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Oral and Maxillofacial Surgery
Published in: Oral and Maxillofacial Surgery 1/2019

01-03-2019 | Botulinum Toxin | Original Article

Surgical management of recurrent TMJ dislocation—a systematic review

Authors: Shreya Tocaciu, M. J. McCullough, G. Dimitroulis

Published in: Oral and Maxillofacial Surgery | Issue 1/2019

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Abstract

Purpose

Recurrent temporomandibular joint (TMJ) dislocation can be challenging to treat and the current understanding regarding aetiology and management of this condition is limited. The aim of this paper was to conduct a systematic review regarding the management of recurrent TMJ dislocation.

Methods

A literature review was conducted using PRISMA guidelines to identify papers published between 2006 and 2016. The resultant papers were analysed.

Results

A total of 33 papers were found relevant to the study. Minimally invasive techniques described included autologous blood injection, which was associated with an overall success of 80% at 12 months. Other modalities investigated included OK-432 sclerotherapy, laser capsulorrhaphy, botulinum toxin of the lateral pterygoid muscle or modified dextrose. These publications show promising success rates.
Surgical techniques described included disc plication, eminoplasty and eminectomy. These modalities had a similar success rate, although numbers were limited. The true incidence of recurrent TMJ dislocation is unknown and aetiology is limited to expert opinion.

Conclusion

The current understanding of management for recurrent TMJ dislocation is limited to case series and case reports. This paper compiles the current understanding of management of recurrent TMJ dislocation. Compared to previous reviews, this paper describes some novel minimally invasive techniques with promising success in the management of recurrent TMJ dislocation.
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Metadata
Title
Surgical management of recurrent TMJ dislocation—a systematic review
Authors
Shreya Tocaciu
M. J. McCullough
G. Dimitroulis
Publication date
01-03-2019
Publisher
Springer Berlin Heidelberg
Keyword
Botulinum Toxin
Published in
Oral and Maxillofacial Surgery / Issue 1/2019
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-019-00746-5

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