J Korean Assoc Maxillofac Plast Reconstr Surg.  2003 May;25(3):257-261.

Case report of chronic recurrent dislocation treated by subperiosteal dissection of masticatory muscles

• Sim JH
• Kim KH
• Moon JS
• Min BJ
• Lee WH
• Hong KJ

Abstract

Chronic recurrent dislocation(CRD) of the jaw has various etiological causes, including trauma, congenital or acquired neurological illness, ingestion of certain medicines, incoordination of the neuromuscular activity of the chewing muscles, articular anatomical alteration, etc. Various surgical methods have been advocated for the treatment of the CRD. They may be divided into two groups: procedures designed to limit translation of the condyle and procedures eliminating obstacles in the condylar path. Hypomobility of mandible can be developed after BSSRO and it is probably caused by scar contracture, injury to the tendinous attachments of the temporalis muscle, inadequate muscular rehabilitation, muscle atrophy, and myofibrosis. Many authors, therefore, emphasized the importance of physical therapy especially after BSSRO to prevent the complication. Based on that idea, we designed more conservative surgical method to limit mandibular openning compared the methods that previously introduced and tried to treat he CRD. This new method consists of extensive subperiosteal dissection of masseter and the temporalis muscle under local anesthesia and use of intermaxillary elastics for some periods.

Keyword

Chronic recurrent dislocation(CRD); Subperiosteal dissection; Hypomobility

MeSH Terms

Anesthesia, Local
Ataxia
Cicatrix
Contracture
Dislocations*
Eating
Jaw
Mandible
Mastication
Masticatory Muscles*
Muscles
Muscular Atrophy
Rehabilitation