Modifications to Norman's procedure for hypermobility of the TMJ
Identifieur interne : 000360 ( Pmc/Corpus ); précédent : 000359; suivant : 000361Modifications to Norman's procedure for hypermobility of the TMJ
Auteurs : Rohit SharmaSource :
- Medical Journal, Armed Forces India [ 0377-1237 ] ; 2012.
Abstract
Norman's procedure is a well known surgical technique for the hypermobility of temporomandibular joint. In this procedure after performing glenotemporal osteotomy the augmentation of the zygomatic root of the temporal bone is done by placing a bone graft from the iliac crest to prevent forward movement of the condyle beyond the eminence. This paper describes the clinical outcome of two modifications added to Norman's procedure. In addition to the conventional procedure inferiorly based pedicled flap from the temporal fascia was sutured to the antero-lateral aspect of the capsule. Intraorally pterygoid disjunction was carried out only in those case in which hypermobility was associated with painful temporomandibular joint disorder.
Modified Norman’s procedure was performed in 10 patients (4 females & 6 males), 7 of them were bilateral and 3 cases were unilateral under general anesthesia.
After one year follow up in none of the cases graft failed or rejected though recurrence along with TMJ pain was noticed in 2 cases.
This technique is versatile but long-term follow up on a larger number of patients is necessary to be able to draw definitive conclusions.
Url:
DOI: 10.1016/j.mjafi.2011.11.001
PubMed: 24532874
PubMed Central: 3862946
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PMC:3862946Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Modifications to Norman's procedure for hypermobility of the TMJ</title>
<author><name sortKey="Sharma, Rohit" sort="Sharma, Rohit" uniqKey="Sharma R" first="Rohit" last="Sharma">Rohit Sharma</name>
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<series><title level="j">Medical Journal, Armed Forces India</title>
<idno type="ISSN">0377-1237</idno>
<imprint><date when="2012">2012</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Norman's procedure is a well known surgical technique for the hypermobility of temporomandibular joint. In this procedure after performing glenotemporal osteotomy the augmentation of the zygomatic root of the temporal bone is done by placing a bone graft from the iliac crest to prevent forward movement of the condyle beyond the eminence. This paper describes the clinical outcome of two modifications added to Norman's procedure. In addition to the conventional procedure inferiorly based pedicled flap from the temporal fascia was sutured to the antero-lateral aspect of the capsule. Intraorally pterygoid disjunction was carried out only in those case in which hypermobility was associated with painful temporomandibular joint disorder.</p>
</sec>
<sec><title>Methods</title>
<p>Modified Norman’s procedure was performed in 10 patients (4 females & 6 males), 7 of them were bilateral and 3 cases were unilateral under general anesthesia.</p>
</sec>
<sec><title>Results</title>
<p>After one year follow up in none of the cases graft failed or rejected though recurrence along with TMJ pain was noticed in 2 cases.</p>
</sec>
<sec><title>Conclusion</title>
<p>This technique is versatile but long-term follow up on a larger number of patients is necessary to be able to draw definitive conclusions.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Med J Armed Forces India</journal-id>
<journal-id journal-id-type="iso-abbrev">Med J Armed Forces India</journal-id>
<journal-title-group><journal-title>Medical Journal, Armed Forces India</journal-title>
</journal-title-group>
<issn pub-type="ppub">0377-1237</issn>
<publisher><publisher-name>Elsevier</publisher-name>
</publisher>
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<article-meta><article-id pub-id-type="pmid">24532874</article-id>
<article-id pub-id-type="pmc">3862946</article-id>
<article-id pub-id-type="publisher-id">S0377-1237(12)00006-8</article-id>
<article-id pub-id-type="doi">10.1016/j.mjafi.2011.11.001</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Modifications to Norman's procedure for hypermobility of the TMJ</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Sharma</surname>
<given-names>Rohit</given-names>
</name>
<degrees>Maj</degrees>
<email>capt_rohit7@yahoo.com</email>
<xref rid="cor1" ref-type="corresp">∗</xref>
</contrib>
</contrib-group>
<aff>Graded Specialist, Dept of Oral & Maxillofacial Surgery, HQ IMTRAT, C/O 99 APO, Bhutan</aff>
<author-notes><corresp id="cor1"><label>∗</label>
Tel./fax: +975 17488549. <email>capt_rohit7@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>9</day>
<month>5</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>7</month>
<year>2012</year>
</pub-date>
<volume>68</volume>
<issue>3</issue>
<fpage>231</fpage>
<lpage>235</lpage>
<history><date date-type="received"><day>4</day>
<month>6</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>18</day>
<month>11</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>© 2012 Published by Elsevier B.V. on behalf of Director General, Armed Forces Medical Services.</copyright-statement>
<copyright-year>2012</copyright-year>
<copyright-holder></copyright-holder>
</permissions>
<abstract><sec><title>Background</title>
<p>Norman's procedure is a well known surgical technique for the hypermobility of temporomandibular joint. In this procedure after performing glenotemporal osteotomy the augmentation of the zygomatic root of the temporal bone is done by placing a bone graft from the iliac crest to prevent forward movement of the condyle beyond the eminence. This paper describes the clinical outcome of two modifications added to Norman's procedure. In addition to the conventional procedure inferiorly based pedicled flap from the temporal fascia was sutured to the antero-lateral aspect of the capsule. Intraorally pterygoid disjunction was carried out only in those case in which hypermobility was associated with painful temporomandibular joint disorder.</p>
</sec>
<sec><title>Methods</title>
<p>Modified Norman’s procedure was performed in 10 patients (4 females & 6 males), 7 of them were bilateral and 3 cases were unilateral under general anesthesia.</p>
</sec>
<sec><title>Results</title>
<p>After one year follow up in none of the cases graft failed or rejected though recurrence along with TMJ pain was noticed in 2 cases.</p>
</sec>
<sec><title>Conclusion</title>
<p>This technique is versatile but long-term follow up on a larger number of patients is necessary to be able to draw definitive conclusions.</p>
</sec>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>Norman's procedure</kwd>
<kwd>Subluxation</kwd>
<kwd>Dislocation</kwd>
<kwd>Temporofascial flap</kwd>
<kwd>Pterygoid disjunction</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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