Fernandez-Sanroman J
Department of Oral and Maxillofacial Surgery, Povisa Medical Center, Vigo, Spain.
J Oral Maxillofac Surg. 1997 Apr;55(4):333-8; discussion 338-9. doi: 10.1016/s0278-2391(97)90119-1.
This article describes the use of calvarial bone grafts to augment the height of the articular eminence to treat recurrent mandibular dislocation.
Eight patients with mandibular recurrent dislocation were studied clinically, radiographically, and with magnetic resonance imaging (MRI) immediately before surgery, and at 1 week, 6 months, and 1 year after the operation. All the patients were treated with a modification of the Lindemann-Norman technique, performing an oblique osteotomy in the articular eminence and placing a calvarial graft into the osteotomy to augment the height of the eminence.
During 18 months of follow-up, no cases of dislocation were noted.
The results of this study indicate that the surgical technique presented has very low morbidity and predictable outcomes.