Surgical treatment for bilateral recurrent anterior luxation of the temporomandibular joint with concomitant cerebral infarction: Report of a case

Abstract

Insanity, cerebrovascular disease, and Parkinson's disease have been noted to cause temporomandibular joint luxation. We herein describe an effective surgical treatment for recurrent luxation of the temporomandibular joint associated with cerebral infarction. A 73-year-old woman was referred to our Department of Dentistry and Oral Surgery at Toho Hospital with the chief complaint of masticatory dysfunction, closure of mouth. Hippocrates's operation was performed after the clinical diagnosis of bilateral anterior luxation of the temporomandibular joint. Postoperative recurrence of luxation was noted and we fabricated a chin cap for prevention of further reluxation. But it was ineffective. Therefore blocking of the condylar translation was achieved by performing a Leclerc's operation. Nine months postoperative follow-up revealed no evidence of recurrence.