Temporomandibular joint (TMJ) disorders are under-diagnosed in pediatric patients, and infantile TMJ luxation is a very rare condition. Luxation early in life can cause skletofacial problems, such as retrognathia, if it is left untreated for a long time. It is well known that severe retrognathia is one of the most common causes of sleep-disordered breathing (SDB).
The authors report a case of infantile TMJ luxation with secondary retrognathia associated with SDB, in which intraoral vertico-sagittal ramus osteotomy (IVSRO) was chosen over intraoral vertical ramus osteotomy and sagittal split ramus osteotomy for surgical correction.
IVSRO is an effective osteotomy technique for correcting skeletofacial deformities, especially in cases associated with TMJ disorders.