Treatment of Recurrent Dislocation of TMJ

Recurrent dislocation of T. M. J Dislocation in which the condyle will be anterior to the glenoid fossa and the patient can not be relocate. Many factors have been implicated to this phenomena, 1-trauma.2- neurological factar.3- Drugs lik tricyclic antidepressent drugs 4-Systemic disease example Ehler& #039, s Danlas Syndrome, osteogenesis imperfecta and Marfan& #039, s Syndrome Treatment of this phenomena have been continuo to challenge among the maxillofacial Surgeons by using augmentation of the articular eminence with iliac or crania! bone graft, or down fractrure of the Zygomatic arch by iliacbone graft and fixed with screw plate, some surgeon prefer to use condylectemy or eminectomy to get free movment of condyl with the glenoid fossa. The aim of this paper is to present an effective treatment methed For recurrent dislocation of T. mj with out interfere with the capsule of condyle while the articular eminence is augmented by onlay iliac bone graft which fixed by bone.