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Die Therapie der rezidivierenden, fixierten anterioren Kieferluxation mittels einer T-förmigen Miniplatte bei einer älteren polymorbiden Patientin – ein Fallbericht


Stergiou, G C; Obwegeser, J A; Grätz, K W; Zwahlen, R A (2007). Die Therapie der rezidivierenden, fixierten anterioren Kieferluxation mittels einer T-förmigen Miniplatte bei einer älteren polymorbiden Patientin – ein Fallbericht. Schweizer Monatsschrift für Zahnmedizin SMfZ, 117(5):523-529.

Abstract

Unilateral or bilateral dislocation of the TMJ is frequent. Usually it can be treated by the method described by Hippocrates. If conservative treatment (splint therapy, biofeedback, etc.) does not succeed related to recurrent fixed TMJ-dislocation, surgical therapy strategies become necessary. Above all mentally retarded or patients with neuromuscular disorders may necessitate surgical treatment. The two surgical main procedures are: 1. Removal of mechanical obstacles by reduction of the eminentia. 2. Creation of a mechanical obstacle towards the anterior condylar translation. The here presented case shows the treatment of a reccurent, fixed anterior TMJ-dislocation using a miniplate which enables a absolut heightening of the articular tubercle in a 76 years old lady with Morbus Alzheimer and Parkinson. Due to the high incidence of plate fractures, this well discribed therapy, known as miniplate eminoplasty, can not be considered as the treatment of choice for mandibular dislocation. It can be indicated in non-compliant patients or in patients with neuromuscular disorders or in the combination of both as in our case.

Unilateral or bilateral dislocation of the TMJ is frequent. Usually it can be treated by the method described by Hippocrates. If conservative treatment (splint therapy, biofeedback, etc.) does not succeed related to recurrent fixed TMJ-dislocation, surgical therapy strategies become necessary. Above all mentally retarded or patients with neuromuscular disorders may necessitate surgical treatment. The two surgical main procedures are: 1. Removal of mechanical obstacles by reduction of the eminentia. 2. Creation of a mechanical obstacle towards the anterior condylar translation. The here presented case shows the treatment of a reccurent, fixed anterior TMJ-dislocation using a miniplate which enables a absolut heightening of the articular tubercle in a 76 years old lady with Morbus Alzheimer and Parkinson. Due to the high incidence of plate fractures, this well discribed therapy, known as miniplate eminoplasty, can not be considered as the treatment of choice for mandibular dislocation. It can be indicated in non-compliant patients or in patients with neuromuscular disorders or in the combination of both as in our case.

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Additional indexing

Other titles:Therapy of recurrent fixed anterior TMJ dislocation with mini-plates in an aged patient with other ailments. A case report
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Cranio-Maxillofacial Surgery
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:September 2007
Deposited On:17 Jun 2008 07:37
Last Modified:05 Apr 2016 12:23
Publisher:Schweizerische Zahnärzte-Gesellschft
ISSN:0256-2855
Additional Information:Free full text article
Official URL:http://www.sso.ch/doc/doc_download.cfm?uuid=9565972DD9D9424C4D76C90C9707D95E&&IRACER_AUTOLINK&&
PubMed ID:17557644
Permanent URL: http://doi.org/10.5167/uzh-2596

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