Abstract
This report presents a case of the habitual luxation of the temporomandibular joint (TMJ) dislocation surgically treated to limit the movement of the condylar head in a patient with cerebral hemorrhage and chronic renal failure. A 61-year-old woman visited Ehime University Hospital with chief complaint of habitual luxation of the left temporomandibular joint (TMJ) which was not possible for her to control due to right-sided paralysis resulting for a previous cerebral hemorrhage episode. She also suffered from chronic renal failure requiring maintenance hemodialysis three times a week. We first attempted a conservative treatment with a chin cap, however, this was not effective. Therefore, we planned a surgical procedure under general anesthesia. Application of a bent titanium plate on the zygomatic arch to prevent the luxation, the so-called “Buckley-Terry method”, was performed under general anesthesia. Hemodialysis was performed the day prior to and following surgery, and the patient was observed in the Intensive Care Unit on the day of the operation. The postoperative course of this patient was uneventful without any severe complication of renal functions and no clinical evidence of recurrent luxation of TMJ at 8-month postoperative follow up.
