title: An alternative surgical procedure for anterosuperior dislocation of intact mandibular condyle.
abstract: Superolateral and anterolateral dislocations of the intact mandibular condyle can be easily overlooked because of their rarity among maxillofacial injuries. In this report, we present the surgery of delayed anterosuperior dislocation of intact mandibular condyle into the temporal fossa. A 17-year-old adolescent girl with anterosuperior dislocation of left intact condyle and associated mandible and zygomatic body fracture underwent surgery 33 days after trauma because of priority accompanied life-threatening intracranial and intra-abdominal injuries. Temporalis muscle shortening with soft tissue attachment prevented closed reduction of the temporomandibular joint; therefore, the temporalis muscle was divided from its insertion on coronoid in a process that, to our knowledge, has never before been described. Although good occlusion was achieved at operation, open bite deformity and laterognathism were observed at the sixth month of follow-up.
authors.affiliation: From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Dicle University Medical Faculty, Diyarbakir; †Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey.
authors.forename: Burhan
authors.initials: B
authors.lastname: Özalp
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Elbey
authors.forename: Mustafa
authors.initials: M
authors.lastname: Durgun
authors.forename: Caferi Tayyar
authors.initials: CT
authors.lastname: Selçuk
mesh_terms: D000293:Adolescent; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017746:Joint Capsule / Q000601:surgery; D004204:Joint Dislocations / Q000601:surgery*; D008310:Malocclusion / Q000209:etiology; D008335:Mandibular Condyle / Q000293:injuries* / Q000601:surgery; D008337:Mandibular Fractures / Q000601:surgery; D009104:Multiple Trauma; D024343:Open Bite / Q000209:etiology; D009917:Orbital Fractures / Q000601:surgery; D013703:Temporal Muscle / Q000601:surgery; D013704:Temporomandibular Joint / Q000293:injuries* / Q000601:surgery; D019224:Temporomandibular Joint Disc / Q000293:injuries / Q000601:surgery; D015051:Zygomatic Fractures / Q000601:surgery