Isler Sabri Cemil, Cakarer Sirmahan, Yalcin Basak Keskin, Sitilci Tolga
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
Ann Maxillofac Surg. 2018 Jan-Jun;8(1):154-157. doi: 10.4103/ams.ams_142_17.
Temporomandibular jaw dislocation is an uncontrolled anterior movement of the condyle beyond the articular eminence. It can occur mostly in young adults, and the symptoms are mouth opening disturbance, preauricular skin depression, tense masticatory muscles, and pain. The main purpose of the eminectomy procedure is removal of a part of the articular eminence to maintain free movement of the condyle. The surgical procedure may be performed by conventional surgery or piezosurgery. The present case report describes the management of a recurrent mandibular dislocation in a 28-year-old patient who had also treated conservatively with autologous blood injection. In this report, bilateral eminectomy was performed by piezosurgery to provide soft-tissue protection, precise cut, and optimal view of the surgical area. The management technique is discussed within the current literature.
颞下颌关节脱位是髁突不受控制地向前移动超过关节结节。它多见于年轻人，症状包括张口障碍、耳前皮肤凹陷、咀嚼肌紧张和疼痛。关节结节切除术的主要目的是切除部分关节结节以保持髁突的自由移动。该手术可通过传统手术或压电手术进行。本病例报告描述了一名28岁复发性下颌关节脱位患者的治疗情况，该患者也曾接受过自体血注射保守治疗。在本报告中，通过压电手术进行双侧关节结节切除术，以提供软组织保护、精确切割并获得手术区域的最佳视野。本文在当前文献范围内讨论了该治疗技术。
