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.
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The diagnosis and treatment of the cases was based on the protocol previously published by Olate [ 6 ]. Joint function is relevant in every aspect of orofacial stability. Our results observed adequate mouth opening over 35 mm with no significant restrictions and adequate laterality.
Condylectomy for temporomandibular joint dysfunction. A survey of seventeen postoperative patients.
In a study performed on 17 patients who underwent condylectomy, 14 of them experienced relief from symptoms. Condylar hyperplasia is a recurrent pathology that frequently causes facial asymmetry [ 1 ]. Saridin [ 9 ] also reported that there were no depression-type changes in the patients after the condylectomy, which means the surgery carries no risk of causing depression in the postoperative stage.
The surgery is currently performed without complications and with techniques that optimize the procedure coondylectomy 4 ]; however, postoperative TMJ function has been a matter of limited research [ 6 ].
This is most effective on patients who have periarticular neoplasia or ankylosis. Condylar hyperplasia is a frequent pathology that causes severe facial asymmetries.
Scarring, which is usually insignificant and does not cause major aesthetic problems for most patients TMJ noises, which occurred in 3 patients or Most patients undergo the procedure without any complication. Possible Risks and Complications The complication rate of condylectomy procedures for the treatment of TMJ disorders is very low. Table 2 Distribution of 14 patients with condilectomy in relation to condicion of cohdylectomy nerve, pain and tmj noise.
Condylectomy is considered a safe procedure. TMJ noises of the operated condyle were present in 3 patients However, condylectomy is more effective in patients who suffer from organic TMJ disorders or those that are stress-related. It works by totally removing the condyle.
Condylectomy is sometimes combined with other procedures, such as a caudal mandibulectomy. Patients who experience TMD symptoms are advised to make some lifestyle changes, condypectomy as resting the joint, shifting to a soft diet, doing gentle jaw exercises, massaging the muscles around the jaw, and avoiding clenching the jaw or grinding the teeth.
DocDoc is run by a group of professionals who have been medical tourists. Efficacy of high condylectomy for mangement of condylar hiperplasia. A survey of seventeen postoperative patients.
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National Center for Biotechnology InformationU. The potential complications are quite few and are mostly related to the temporal branch of the facial nerve. The condylectomy has been used to manage this disease with for some surgeons [ 3 ]; although there have been variations in the surgical technique [ 4 ], the surgery has essentially not modified substantially.
The scar was not significant for any of the patients; no patient reported esthetic changes due to the incision. It can be concluded that the condylectomy is a safe and effective procedure with low morbidity for patients. Some patients are also given medications or steroid injections. Fondylectomy hyperplasia, TMJ, facial asymmetry.
Disclosure of conflict of interest The authors declare that they have no competing financial interests.
After the surgery, the patient is usually advised to stay in the hospital for 24 hours. The hospital stay was 24 hours or tj in 12 of the cases and was 12 hours or less in two cases; these last two cases were done on an outpatient basis.
With an average of 11 month after surgery, the results showed that the open mouth over 35 mm and lateralities average 9 mm for the both right and left side were normal and without statistical differences between the right or left side. However, some patients eventually require surgery if the disorders do not respond to treatment or if their conditions do not improve. This anatomic condition condylrctomy be the first factor for intervening in alterations of preoperative and postoperative tmj function.
Distribution of 14 patient with condilectomy and his situation in relation to function of mandible. The function of the facial nerve was observed with mayor complications when compared with the other analysis in this research.
The analysis was performed with the visual analog scale VAS condylfctomy with a 7 cm metallic rule. Treatment with arch bars and elastics associated to compensatory or corrective orthodontics in conjunction with orthognatic surgery are possible alternatives in these cases [ 1112 ]. One point that has not been sufficiently analyzed in the international literature is the function of the facial nerve VIIwhich did not exhibit any significant sequelae in our patients.
The condylar fragment was subsequently removed and the articular disc repositioned without suturing or capturing it. The surgical scar was studied with questions directed by an operator different from the condylectoym who performed the surgery. Papel de la hiperplasia condilar. As one of the largest medical tourism companies in the region, we are able to secure and share the critical information that is most linked to quality and cost of care. Few investigations have studied post-condylectomy joint function, which limits comparison with our results [ 6 ].