Case Report

Volume 2023, Article ID 23213605, 6 pages

Midline Mandibulotomy in Management of Chronic Bilateral condylar dislocation: A Case report and a brief review of literature

Anil Kumar Desai 1, Daniel Maben 2, Denis Jacob Kurian 3, Amal Suresh 4

1 Professor and HOD, Department of OMFS, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka. 2 Assistant Professor, Department of OMFS, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka. 3 Assistant Professor, Department of OMFS, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka. 4 Assistant Professor, Department of OMFS, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka.

Address for Correspondence:

Daniel Maben MDS

Assistant Professor Dept of Oral and Maxillofacial Surgery SDM College of Dental Sciences and Hospital A constituent unit of Shree Dharmasthala Manjunatheshwara University Dharwad, Karnataka, India

Email: dan12maben@gmail.com Phone: 9731800489

Abstract

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

Financial support and sponsorship

Nil

Conflicts of interest

There are no conflicts of interest.

How to Cite this Article:

Desai, A. K., Maben, D., Denis Jacob Kurian, & Amal Suresh. (2023). Midline Mandibulotomy in management of Chronic Bilateral condylar dislocation: A Case report and a brief review of literature. International Journal of Cranio Maxillofacial Surgery and Rehabilitation, 6. https://doi.org/10.56501/intjcraniomaxillofacsurgrehab.2023.819