oral surgery

Eminectomy is one of the surgical modalities of treatment of Recurrent or Long standing TMJ Dislocations. The joint is accessed through Preauricular or Endauricular or Post auricular approach. The incision is made through skin and superficial fascia The superficial layer of deep temporal fascia is incised. Disssecting between the two layers of deep temporal fascia saves the facial nerve branches. A periosteal incision exposed the articular eminence. A slightly inferiorly directed eminence osteotomy completes the eminectomy. Layered closure of the wound is necessary.