Use of bone plates and screws to manage chronic mandibular dislocation
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Rodrigues Azenha, Marcelo
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Aquest document és un/a article, creat/da en: 2010
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Different treatment modalities are described in literature to treat mandibular recurrent dislocation, including intra-
capsular esclerosant injections, articular eminence reduction, soft tissues suture to limit condilar movement, and
grafts or implants to create mechanical interference, like zygomatic arch down fracture or articular eminence in-
crease by bone plates. In this paper, a patient with mandibular recurrent dislocation episodes were eliminated after
bilateral fixation of bone plates to the lateral sur-face of the zygomatic arch to restrict mandibular movements.
One arm of the plate was extended me-dially just below the articular eminence and fixed at lateral zygomatic arch
portion by two screws. The surgical technique is described and 24 months follow-up period is demonstrate with
excellent recovery and functional activities. The temporomandibular joint (TMJ) function was unimpeded and no
recu-rrence of condilar dislocation was observed. We concluded that this technique is safe and efficient to hinder
dislocations of mandible, preserve the TMJ initial characteristics, and prevent abnormal condi-lar movements over
the eminence
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