Background: Temporomandibular joint (TMJ) disorders
are under-diagnosed in pediatric patients, and infantile TMJ
luxation is a very rare condition. Luxation early in life can
cause skletofacial problems, such as retrognathia, if it is left
untreated for a long time. It is well known that severe retrognathia
is one of the most common causes of sleep-disordered
breathing (SDB).
Clinical presentation: The authors report a case of infantile
TMJ luxation with secondary retrognathia associated with
SDB, in which intraoral vertico-sagittal ramus osteotomy (IVSRO)
was chosen over intraoral vertical ramus osteotomy and
sagittal split ramus osteotomy for surgical correction.
Conclusion: IVSRO is an effective osteotomy technique for
correcting skeletofacial deformities, especially in cases associated
with TMJ disorders