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).
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.
Content published before 2002 is available via pay-per-view purchase only.
Subscribe:Subscribe to Atlas of the Oral and Maxillofacial Surgery Clinics of North America
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Modified condylotomy for chronic nonreducing disk dislocations.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997; 84: 234-240
- Treatment of temporomandibular joint dysfunction by intraoral vertical ramus osteotomy.Int J Adult Orthodont Orthognath Surg. 1990; 5: 9-27
- Results of reoperation after failed modified condylotomy.J Oral Maxillofac Surg. 1997; 55 ([discussion: 3–4]): 1250-1253
- Modified condylotomy for treatment of the painful temporomandibular joint with a reducing disc.J Oral Maxillofac Surg. 1993; 51 ([discussion 43–4]): 133-142
- One- and three-year prospective outcome study of modified condylotomy for treatment of reducing disc displacement.J Oral Maxillofac Surg. 2000; 58: 7-17
- Prospective study of modified condylotomy for treatment of nonreducing disk displacement.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 89: 147-158
- Prospective multicenter comparison of 4 temporomandibular joint operations.J Oral Maxillofac Surg. 2005; 63: 1174-1179
- Modification of the modified condylotomy.J Oral Maxillofac Surg. 1996; 54: 548-551
- The condylotomy procedure.Atlas Oral Maxillofac Surg Clin North Am. 1996; 4: 93-106
- Long-term follow-up of modified condylotomy for internal derangement of the temporomandibular joint.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996; 81: 509-515
- Condylotomy in surgery of the temporomandibular joint.Oral Maxillofac Surg Clin North Am. 1989; 1: 303-327
- The treatment of temporomandibular joint internal derangements using a modified open condylotomy: a preliminary report.J Oral Maxillofac Surg. 1991; 49 ([discussion: 83–4]): 578-583
- Disk position before and after modified condylotomy in 80 symptomatic temporomandibular joints.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995; 79: 668-679
Published online: July 04, 2011
The author has no financial disclosure or conflict of interest.
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.