By Peter D. Quinn, Eric J. Granquist
This moment version of the Atlas of Temporomandibular Joint Surgery is an immense revision of Dr. Quinn’s vintage paintings, considering new methods, apparatus, and evidence-based findings from the newest study in TMJ treatment.
Assuming that readers are acquainted with non-surgical treatments to right temporomandibular discomfort and problems, Drs. Quinn and Granquist concentrate on the surgical treatments for problems which are past conservative therapy. This concise, how-to surgical atlas courses either the amateur and skilled health professional during the intra-articular and extra-articular tactics that experience confirmed efficacious within the remedy of complicated craniomandibular disorder. Chapters take readers via determination making for TMJ surgical procedure, diagnostic imaging equipment, surgical methods, surgical procedure for inner derangements, trauma, osseous surgeries, overall joint substitute, and pathologies.
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Additional info for Atlas of Temporomandibular Joint Surgery
The inferior alveolar branch of the trigeminal nerve enters the mandibular ramus on the medial surface and runs inferiorly and anteriorly until it exits through the mental foramen. This nerve innervates the teeth, anterior gingiva, and lip. Radiographic assessment of the exact course of this nerve through the mandible is necessary if screws will be placed through the ramus as is necessary for prosthetic joint replacement. Vascular anatomy The external carotid artery terminates in two branches: the superficial temporal and internal maxillary arteries.
Endaural The endaural incision is simply a cosmetic modification of the standard preauricular approach. 13 (a) Placement of modified retromandibular approach and endaural incisions. Note well hidden incision placement along the tragus. (b) Comparison of preauricular (thin arrow) and endaural incisions (thick arrow). The endaural incision allows for stepped tissue dissection for improved tissue coverage of the temporomandibular joint. 40 Atlas of Temporomandibular Joint Surgery incision from the pretragal crease posteriorly so that the incision is placed behind the prominence of the tragus itself.
34 (a) Normal T1 image of the TMJ in the closed mouth position. (b) Normal T1 MRI in the open mouth position. 35 (a, b) Open and closed views of right temporomandibular joint with early anterior disk displacement with reduction. 36 (a) Closed mouth T1 MRI showing anteriorly displaced disk with thickened posterior band. Note minimal osseous changes. (b) Cryosection showing early pathologic changes with anterior disk displacement. Note thickening of retrodiscal tissue. 37 Open (a) and closed (b) MR image of right temporomandibular joint showing anterior disk displacement without reduction.
Atlas of Temporomandibular Joint Surgery by Peter D. Quinn, Eric J. Granquist