In 2006, 12 patients underwent surgery, one male and 11 female. Age rank was from 35 to 52 years, average age was 44 years. After clinical and radiographic examination, emitted diagnosis on patients linear tomography was the following: mandibular chronic dislocations at least three previous events with pain symptomatology equal to or above 8 in the Analogous Visual Scale AVS. Evolution was in average 1.5 years. Oral opening was 55 mm or more. Patients had been conventionally treated, for at least three months previously, with muscle re-programming exercises, physical therapy, placement of class III elastics, application of botulinum toxin in external pterygoid muscle. All the aforementioned methods proved to be unsuccessful Table I.
Doce pacientes fueron intervenidos quirúrgicamente en el 2006, 1 masculino y 11 femeninos, con una edad promedio de 44 años 35-52 a quienes se les diagnosticó clínica y radiográficamente tomografía lineal luxación crónica mandibular por lo menos 3 eventos previos, con sintomatología dolorosa mayor o igual a 8 en la escala visual análoga EVA, evolución de 1.5 años en promedio 1-3, y una apertura bucal de 55 mm o mayor a ésta, tratados en forma conservadora durante por lo menos tres meses a base de ejercicios de reprogramación muscular, terapia física, colocación de elásticos clase III, aplicación de toxina botulínica en músculo pterigoideo externo sin éxito Cuadro I.