Citation

Dahy KG, Takahashi K, Kiso H, Aihara K, Chin K, et al. (2018) Treatment of Acquired Retrognathia Secondary to Infantile Temporomandibular Joint Luxation with Intraoral Vertico-Sagittal Ramus Osteotomy. Int Arch Oral Maxillofac Surg 2:011. doi.org/10.23937/iaoms-2017/1710011

Copyright

© 2018 Dahy KG, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/iaoms-2017/1710011

Treatment of Acquired Retrognathia Secondary to Infantile Temporomandibular Joint Luxation with Intraoral Vertico-Sagittal Ramus Osteotomy

Khaled Gamal Dahy1,2*, Katsu Takahashi1, Honoka Kiso1, Kensaku Aihara3, Kazuo Chin4 and Kazuhisa Bessho1

1Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kyoto University, Japan

2Department of Otolaryngology-Head and Neck Surgery, Sohag University, Egypt

3Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Japan

4Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University, Japan

Abstract

Background

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).

Clinical presentation

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.

Conclusion

IVSRO is an effective osteotomy technique for correcting skeletofacial deformities, especially in cases associated with TMJ disorders.