Atormac
Home  -  About us  -  Editorial board  -  Search  -  Ahead of print  -  Current issue  -  Archives  -  Instructions  -  Subscribe  -  Contacts  -  Advertise - Login 
 
 
     
TECHNICAL NOTE
Year : 2019  |  Volume : 9  |  Issue : 2  |  Page : 393-396

An alternative approach for treating severe injured temporomandibular joints by gunshot wounds


1 Department of Oral and Maxillofacial Surgery, School of Dentistry, University Centre of Para - CESUPA, Belem, PA, Brazil
2 Department of Periodontology, School of Dentistry, University Centre of Para - CESUPA; Cell Culture Laboratory, Faculty of Dentistry, Federal University of Pará, Belem, PA, Brazil
3 Cell Culture Laboratory, Faculty of Dentistry, Federal University of Pará, Belem, PA, Brazil

Correspondence Address:
André Luis Ribeiro Ribeiro
Cell Culture Laboratory, Faculty of Dentistry, Federal University of Pará, Rua Augusto Corrêa, 01, Guamá, 66075110, Belém, PA
Brazil
Login to access the Email id


DOI: 10.4103/ams.ams_35_19

PMID: 31909021

Rights and Permissions

Temporomandibular joint (TMJ) reconstruction is a challenging clinical problem that has been revolutionized due to the development of total alloplastic TMJ replacement (TMJ-TJR); however, the costs are still very high. We used an alternative approach to treat comminuted mandibular condyle fracture with an unviable condyle head caused by gunshot wounds. Our surgical technique consisted of an extended preauricular incision; removal of the fractured condyle, bone fragments, and foreign bodies; reshape/flattening of the fracture edge; fixation of the articular disc (if viable); lining of the TMJ with temporalis muscle/fascia; application of Erich arch bars; and early elastic therapy. We successfully used this approach in five sequential cases that resulted in a good mouth opening (>35 mm) and satisfactory occlusion with teeth in maximum intercuspation. We believe that this technique is an excellent option for treating severe injured TMJs in places where TMJ-TJR is not available.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed476    
    Printed17    
    Emailed0    
    PDF Downloaded85    
    Comments [Add]    

Recommend this journal