Treatment of Posterior Dislocation of the Mandibular Condyle with the Double Mitek Mini Anchor Technique: A Case Report

Publication date: Available online 10 October 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Jonathan B. Albilia, Hillary Weisleder, Larry M. Wolford
Posterior dislocation of the mandibular condyle is a rare disorder caused by trauma to the chin, accompanied by damage to the external auditory canal. Treatment of posterior condylar dislocation (PCD) is directed at repositioning the condyle into the glenoid fossa, preventing recurrent dislocations, and maintaining patency of the ear canal. With early intervention, closed reduction with manual manipulation is successful but in chronic protracted PCD, this may be ineffective. This case report describes an elderly patient with a chronic protracted PCD resulting from a blow to the chin, and in which manual reduction was unsuccessful. An open arthroplasty for condylar reduction and application of a "reverse" double Mitek Mini Anchor technique was required to prevent recurrence of PCD with a successful outcome.



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