Internal derangement of the temporomandibular joint alleviated by mandibular osteotomy with arthroscopic disc suturing- a case report with long-term results

Abstract

We performed arthroscopic suturing of the articular disc followed by surgical correction of jaw deformity in patients with dysfunction of the temporomandibular joint when jaw deformity was suspected as an underlying cause of temporomandibular disorders. A representative case is presented. A 25-year-old female was treated with arthroscopic disc suturing designed to increase the effective thickness of an anteriorly displaced disc. Sagittal splitting of the mandibular ramus was subsequently performed to improve occlusion. At present, 11 years 8 months after surgery, both facial asymmetry and malocclusion remain improved and temporomandibular joint symptoms have been alleviated.