Midline Mandibulotomy in management of Chronic Bilateral condylar dislocation: A Case report and a brief review of literature.
DOI:
https://doi.org/10.56501/intjcraniomaxillofacsurgrehab.2023.819Keywords:
Condyle, mandibulotomy, COVID-19, TMJ, joint diseaseAbstract
We present a case of long-standing condylar anterior dislocation treated with midline osteotomy of the mandible after multiple unsuccessful conservative approaches. Patient reported to us during COVID-19 pandemic with inability to close her mouth, happened after self-fall post epileptic attack. Hippocratic and Yurino’s method of reduction were attempted and failed. Patient was then taken under general anaesthesia for indirect reduction which was unsuccessful again. A mandibular midline osteotomy was performed, hemi-mandibles were swung laterally to release the fibrous adhesions in the glenoid fossae and the condyles were seated back. The osteotomy site was fixed using miniplates and screws. Patient recovered uneventfully and no recurrence till date. The challenge in managing long-standing condylar dislocation is discussed in this case report with a brief review of literature.
Keywords: Condyle, COVID-19, Mandibulotomy, TMJ, Joint disease
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Copyright (c) 2023 Anil Kumar Desai, Daniel Maben, Denis Jacob Kurian, Amal Suresh
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