CONDYLECTOMY TMJ PDF

A condylectomy is the preferred method for treating dysmorphology in temporomandibular joint (TMJ) defects. This procedure is indicated for a. A detailed technique for a high intracapsular condylectomy using specially designed condylar instruments is described. This procedure was performed on An intraoral approach to the TMJ was first reported by Sear in Nickerson and Veaco described intraoral condylectomy for intraoral vertical ramus.

Author: Tek Arashik
Country: Sao Tome and Principe
Language: English (Spanish)
Genre: Medical
Published (Last): 12 September 2010
Pages: 346
PDF File Size: 13.45 Mb
ePub File Size: 1.6 Mb
ISBN: 761-5-93198-210-7
Downloads: 25541
Price: Free* [*Free Regsitration Required]
Uploader: Nacage

Few investigations have studied post-condylectomy joint function, which limits comparison with our results [ 6 ].

One complication observed postoperatively is the decrease in the vertical dimension of the operated side of the mandible, which causes immediate premature contact in the ipsilateral molars, resulting in a contralateral codnylectomy bite.

The temporal branch was present with minor limitations for most patient and mayor limitations were observed in one patient; even so, for this patients was not problem in his daily activities.

The surgical access was closed in layers up to skin level. This anatomic condition may be the first factor for intervening in alterations condyylectomy preoperative and postoperative tmj function. Hyperplasia of the mandibular condyle: Our goal is to give you access to powerful and credible information that is not available anywhere else.

No limitations of zygomatic condyleectomy were observed at the time of evaluation Table 2. The procedure usually takes 60 to 90 minutes.

The average age was 21 years old. It connects the mandible and the temporal bone, hence its name. The patients were hospitalized for 24 h or less and after 10 days from surgery, began with physiotherapy to mobilize the jaw and facial muscles in order to restore mandibular function early; physiotherapy was maintained for 7 to 13 sessions according to the case.

A high condylectomy is a modified version of the procedure where the bone of the condyle head is simply re-contoured to remove the diseased or damaged part. At this point, the cut was made with a reciprocating saw, surgical drill or piezoelectric system to obtain an adequate and condhlectomy osteotomy. Verified Doctors Condyldctomy goal is to give you access to powerful and credible information that is not available anywhere else. The surgical time was estimated between 60 and 90 minutes, progressively decreasing the surgical time from the first surgery.

  ACI 350-06 PDF

In a study involving 14 patients, none of them had any pain during the follow-up visit. Condylectomy, which can be either low or high, works by removing the condyle completely.

It is made up of mandibular condyles, the articular surface of the temporal bone, an articular disc, a lateral pterygoid, a capsule, and ligaments. Some patients are also given medications or steroid injections.

Hyperplasia of the mandibular condyle. It is a surgical procedure used in cases that involve an organic disease of the said joint. From a morphological point of view, a condyle with hyperplasia undergoes significant modifications including the condyle, the articular fossa and coronoid process being integrally affected by the disease and determining the growth of the entire mandible structure [ 10 ].

DocDoc has Asia’s largest healthcare physician network with 23, doctors, clinics and 55 hospitals from various specialties throughout the region. Stress Wear condylectomu tear of the jaw joint Craniofacial trauma Chronic ear infections Uneven bite, usually caused by a new denture, dental crown, or filling Bruxism, a condition that causes a person to clench his jaw or grind his teeth during ymj Underlying medical conditions, such as osteoarthritis, rheumatoid arthritis, goutor fibromyalgia TMJ disorders can be treated without surgery.

The variables were studied using SPSS Disclosure of conflict of interest The authors declare that they have no competing financial interests.

Condylar hyperplasia, TMJ, facial asymmetry. Scar was not related to problem with patient and the temporal branch of facial nerve was observed with limitations but without problem for patients.

Condylectomy for temporomandibular joint dysfunction. A survey of seventeen postoperative patients.

Most patients undergo the procedure without any complication. The few studies show good results without complication [ 78 ], whereas others have indicated postoperative complications such as pain and TMJ dysfunction [ 9 ].

Condylar hyperplasia is a frequent pathology that causes severe facial asymmetries. The presence of postoperative joint pain was also assessed visual analogue scaleas was the presence of joint noises with examination of mandible mobility and bilaterally palpation of tmj and the function of the facial nerve in its zygomatic and temporal branch 0: TMJ noises of the operated condyle were present in 3 patients Am J Orthod Condy,ectomy Orthop.

  ARHAT BOXING PDF

It can also be performed in conjunction with orthognatic surgery.

TMJ function after partial condylectomy in active mandibular condylar hyperplasia

Discusssion Joint function is relevant in every aspect of orofacial stability. Then, the condyle was detached to measure and position the place to perform the osteotomy.

The condylectomy has been used to manage this disease with for some surgeons [ 3 ]; although there have been variations in the surgical technique t,j 4 ], the surgery has essentially not modified substantially. Condylectomy is sometimes combined with other procedures, such as a caudal mandibulectomy. This is effective in removing any bone irregularities or impingement in the temporomandibular joint.

Condylevtomy is run by a group of professionals who have been medical tourists.

There was a problem providing the content you requested

A survey of seventeen postoperative patients. Scarring, which is usually insignificant and does not cause major aesthetic problems for most patients TMJ noises, which occurred in 3 patients or Table 1 Distribution of 14 patient with condilectomy and his situation in relation to function of mandible.

Condylectomy is considered a safe procedure. The patient was assessed according to the study cnodylectomy Condylectomy is beneficial for patients who suffer from temporomandibular joint disorders. Important findings in our research are the absence of pain and the absence of joint noises; the VAS score performed for this study showed values of 2 and 1 level in three patients, demonstrating that t,j postoperative pain is not a problem for this surgery.

For patients, this condition was not relevant for daily. Olate S, De Moraes M. A Company that Cares DocDoc is run by a group of professionals who have been medical tourists.

Please review our privacy policy. In our patients it was not possible to observe characteristics of osteoarthritis, perhaps due to the short follow-up time, but we confirmed normal mandibular function in terms of dynamics and daily life conditioners.

Distribution of 14 patient with condilectomy and his situation in relation to function of mandible. Norman J, Painter D.

It works by totally removing the condyle.