Use of open reduction for bilateral chronic dislocation of the temporomandibular joint: A case report

We herein report a case of bilateral chronic dislocation of the temporomandibular joint (TMJ) with bilateral mandibular fractures reduced by condylar process excision. An 85-year-old man was referred to our clinic in July 2008 for examination of bilateral mandibular fractures and dislocation of TMJs...

Full description

Saved in:
Bibliographic Details
Published inJournal of the Japanese Society for the Temporomandibular Joint Vol. 23; no. 1; pp. 5 - 9
Main Authors MIYAMOTO, Ikuya, NOGAMI, Shinnosuke, YAMASHITA, Yoshihiro, MITSUGI, Syou, YAMAUCHI, Kensuke, TAKAHASHI, Tetsu
Format Journal Article
LanguageJapanese
Published The Japanese Society for Temporomandibular Joint 2011
一般社団法人 日本顎関節学会
Subjects
Online AccessGet full text
ISSN0915-3004
1884-4308
DOI10.11246/gakukansetsu.23.5

Cover

More Information
Summary:We herein report a case of bilateral chronic dislocation of the temporomandibular joint (TMJ) with bilateral mandibular fractures reduced by condylar process excision. An 85-year-old man was referred to our clinic in July 2008 for examination of bilateral mandibular fractures and dislocation of TMJs. He had been involved in a traffic accident in May 2008, in which his whole body had been struck hard. He was taken to an emergency hospital, where he was found to have bilateral mandibular fractures, dislocation of the TMJs, a left rib fracture and a left clavicle fracture. The mandibular fractures were operated on under general anesthesia, but the surgeon was unable to reduce the dislocation, and repositioning of the fractures was imperfect. In July 2008, we operated under general anesthesia on the bilateral mandibular fractures only, owing to his advanced age, and to the fact that he was suffering from pneumothorax, pneumonia and pleural effusion. We operated again on the TMJ dislocations under general anesthesia in September 2008. We chose condylar process excision in view of its short surgery time. After the operation, the patient was able to close his mouth, and the TMJs did not dislocate again. His progress after the operation was good.
ISSN:0915-3004
1884-4308
DOI:10.11246/gakukansetsu.23.5