You are here

TEMPOROMANDIBULER EKLEM LUKSASYONUNUN TEDAVİSİ: KAPSÜLÜN TEL İLE PLİKASYONU VE ASILMASI OLGU BİLDİRİMİ

TREATMENT OF THE TMJ LUXATIONS: PLICATION AND HANGING OF THE CAPSULE WITH WIRE

Journal Name:

Publication Year:

Abstract (2. Language): 
Surgical treatment methods in TMJ luxations can be accomplished by two methods. These are to prevent moving ofcondly to the front ofeminentia or by excising off emi-nentia to give free motion to the condyle. Prevention of extended motion of the condyle can be done by increasing the level of the eminentia with alloplastic materials and oto-gen bone grafts, narrowing of joint capsul with plication or spazmolizis with lateral pterygoid muscle myotomia. We used here less invasive and much more simple method. In this case, in orter to decrease condyl motions plication of capsule has been done and hanged on zygomatic bone as a fixed point with stainless steel wire material.
Abstract (Original Language): 
TME luksasyonlannda cerrahi tedavi metodlan iki yolla olabilir. Bunlar eminensia önüne kondil hareketini önlemek ya da kondîlin serbest hareketi için eminensianın ek-sizyonunu yapmaktır. Kondilin aşırı hareketini önlemek için alloplastik materyeller ve otojen kemik grefti kullanarak eminensianın yükseltilmesi, kapsüler plikasyonla eklem daraltılması ya da lateral pterygoid kas myotomisi uygulayarak kas spazmının giderilmesi ile yapılabilir. Bu olguda kondil hareketini azaltmak amacıyla paslanmaz tel kullanarak kapsül plikasyonu yapılarak sabit bir yer olan zigomatik kemiğe asma işlemi yapılmıştır. 18 ay sonraki kontrolünde TME'de ağrı, çene hareketleri sırasında ses, kısıtlılık, hassasiyet ve kayma şikayetlerinin giderildiği görülmüştür.
245
248

REFERENCES

References: 

1. Bell WW. Recent concepts in management of the temporomandibular joint. / Oral Surg 1970:28: 569.
2. Benson BJ and Keith DA. Patient response to surgical/non-surgical treatment for internal derengement. J Oral Maxillofac Surg 1985: 43: 770.
3. Bush FM. et al. Prevalence of Mandibuler dysjunction: Sub-juctive Signs and Symptoms. In MA. Littleton (ed.), Ocllusion: Diagnosis and Treatment. Plast Reconstr Surg 1975: 55: 355.
4. Farrar WB. Diagnosis and treatment of painful TMJ. J ProthetDent 1968: 20: 494.
5. Farrar WB, and McCarty WL Jr. A clinical outline of TMJ Diagnosis and Treatment. 7th Ed. Montgomery, Normandie Publications 1982.
6. Fredeus MS, Ziter WD and Doyle PK. Principles of treatment for TMJ ankylosis. J Oral Surg 1975: 33: 757.
7. Greene C and Laskin D. Splint therapy for the myofascial pain dysjunction syndrome, a comparative study. J Am Dent Assoc 1972: 84: 624.
8. Laskin DM. Etiology of pain-dysfunction syndrome. J Am Dent Assoc 1969: 79: 147
9. Mc Kelvey LE. Sclerozan solution İn the treatment of chronic subluxation of TMJ J Oral Surg 1950: 8: 225.
10. Miller GA, and Page HL. TMJ ankylosis o literature. J Oral Surg 1985: 33: 792.
11. Sindet-Pedersen S. Intraoral myotomy of the lateral pterygoid muscle for treatmentof recurretn dislocation of the mandibular condyle. / Oral Maxillofacial Surg 1988: 46: 445.
12. Toller PA. Temporomandibuler capsular rearrangement. Br J Oral Surg 1974: 11: 207.

Thank you for copying data from http://www.arastirmax.com