Discussions By Condition: Mouth conditions

Please Advice on the following case

Posted In: Mouth conditions 2 Replies
  • Posted By: Mina Safwat
  • March 30, 2011
  • 05:49 PM

Hi all, I hope you help me with the following case we are really confused and time is running.

Current Case (according to the patient’s description): Limited movement of the mouth, accompanied by pain near the ears when opening or closing the mouth. Case started over a year ago; and almost 8 months ago, patient started basic conservative treatment (guards for the teeth along with pain killers) but the pain is getting worse.

MRI was performed on:
• Sagittal T1 and T2 WIs open and closed mouth positions
• Coronal on T2 WI
MRI Findings:
• Limited translation movement of the mandibular condyles on both sides more restricted on the left side.
• Both articular cartilages are seen anteriorly dislocated their posterior laminae are located opposite to the articular eminences and shows more anterior translation in opem mouth views with no evidence of recapture.

Questions:

What are the possible ways of treatment?

I understand we can use a bronchoscope operation or a surgery. What is the probability for success for both the bronchoscope operation/the surgery? Is success of the case guaranteed for the bronchoscope operation/the surgery? Are there any risks accompanied with the bronchoscope operation or the surgery?


Thanks a lot in advance.

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2 Replies:

  • Hi all, I hope you help me with the following case we are really confused and time is running.Current Case (according to the patient’s description): Limited movement of the mouth, accompanied by pain near the ears when opening or closing the mouth. Case started over a year ago; and almost 8 months ago, patient started basic conservative treatment (guards for the teeth along with pain killers) but the pain is getting worse.MRI was performed on:• Sagittal T1 and T2 WIs open and closed mouth positions• Coronal on T2 WIMRI Findings:• Limited translation movement of the mandibular condyles on both sides more restricted on the left side.• Both articular cartilages are seen anteriorly dislocated their posterior laminae are located opposite to the articular eminences and shows more anterior translation in opem mouth views with no evidence of recapture.Questions:What are the possible ways of treatment? I understand we can use a bronchoscope operation or a surgery. What is the probability for success for both the bronchoscope operation/the surgery? Is success of the case guaranteed for the bronchoscope operation/the surgery? Are there any risks accompanied with the bronchoscope operation or the surgery? My father was a periodontist, I am sending this link to the doctor that bought his business 26 years ago. His wife is an endodontist. I think that one of them might be able to help. Name is Dr. Kelly(both of them).Thanks a lot in advance.My father was a periodontist, I am sending this link to the doctor that bought his business 26 years ago. His wife is an endodontist. I think that one of them might be able to help. Name is Dr. Kelly(both of them).
    jackrorabbit 113 Replies Flag this Response
  • My father was a periodontist, I am sending this link to the doctor that bought his business 26 years ago. His wife is an endodontist. I think that one of them might be able to help. Name is Dr. Kelly(both of them).Answer I received from her"In regards to the problem in the link. It seems as though the issue is that the articular cartilages are displaced bilaterally. I assume the question is regarding treatment? Unless I am not understanding the findings in the x-rays correctly. I am not an oral surgeon but I believe that surgery is the only treatment to reposition her cartilage. I don’t know what caused her disarticulation but she must be in some serious discomfort."
    jackrorabbit 113 Replies Flag this Response
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