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Division of Oral and Maxillofacial Surgery, Department of Surgery, Emory University School of Medicine, 1365B Clifton Road North East, Suite 2300, Atlanta, GA, USA
The modified condylotomy is an extra-articular surgical procedure used to manage patients
with temporomandibular joint dysfunction. The primary purpose of the procedure is
to increase joint space by allowing the mandibular condyle to move inferiorly with
respect to both the articular disc and eminence (Figs 1 and 2). An additional goal in some patients is to establish a more normal condyle/disc
relationship, particularly for Wilkes I, II, and III (early) internal derangements.
This disc relationship can be achieved in many patients by allowing the condyle to
move anteriorly in addition to inferiorly (Fig. 3).
Fig. 1Proposed osteotomy site behind the inferior alveolar neurovascular bundle.
Fig. 3Inferior and anterior movement of the proximal segment to increase joint space and
reestablish a more normal relationship between the disc and condyle.