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Surgical Treatment of the Internal Derangememt of TMJ

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Abstract


Internal derangememt of TMJ is defined as an abnormal relationship of articular disk to the Mandibular condyle, fossa and articular eminence.
Anterior disk displacement of the disk causes the common symptoms of reciprocal clicking and limitation of mouth opening. Most Patients with internal derangements can be managed by conservative teatments. But surgical treatment is indicated for those patients who have chronic internal derangement that has failed to respond to nonsurgical treatment. The objective of surgical treatment is to eliminate pain and to restore normal function.
Meniscectomy is indicated for the internal derangement of disk with perforation and gross morphological changes, nonreactive to conservative treatments. After meniscectomy, variable materials have been used for disk reconstruction.
We present a case of interanal derangement of TMJ that was sucessfully treated by meniscetomy and autogenous auricular cartilage graft for disk replacement.

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