Midline Mandibulotomy for Reduction of Long-Standing Temporomandibular Joint Dislocation

Long-standing temporomandibular joint (TMJ) dislocation is an uncommon condition, and due to its rarity, no definitive guidelines have been developed for its management. Various reduction techniques ranging from indirect traction techniques to direct exposure of the TMJ have been used. Indirect traction techniques for reduction may fail in long-standing dislocation. Management of two cases of long-standing TMJ dislocation with midline mandibulotomy is discussed in which other indirect reduction techniques had failed. Midline osteotomy of the mandible can be used for reduction in difficult TMJ dislocations. An algorithm for the management of long-standing TMJ dislocation is proposed and related literature is reviewed.

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Emergency management of temporomandibular joint dislocation with manual reduction

Journal of Case Reports in Dental Medicine ◽

10.20956/jcrdm.v1i2.96 ◽

2019 ◽

Vol 1 (2) ◽

pp. 27

Author(s):

Zefry Zainal Abidin ◽

Ronny Baehaqi

Keyword(s):

Temporomandibular Joint ◽

Cross Sectional Study ◽

Emergency Unit ◽

Sectional Study ◽

Cross Sectional ◽

Joint Dislocation ◽

Manual Reduction ◽

Tmj Dislocation ◽

Direct Management ◽

Temporomandibular Joint Dislocation

Objective:Present serial case management of temporomandibular joint dislocation in emergency unit and to provide information on emergency handling in the case of temporomandibula joint especially for dentist.Method: Datas of temporomandibular joint dislocation cases were collected from October 2016 to March 2017 with a cross sectional study presented by Oral and Maxillofacial Resident in RSUD Dr Soetomo Surabaya.Results: Nine patients were managed. In totalmales accounted for 66,67% of the patients, and yawning was the most frequent etiological factor. Acute TMJ dislocation had the highest frequency in this study. The management conducted was giving muscle relaxant, manual repositioning and head bandage. Manual reduction of TMJ dislocation can be divided into three approaches, intraorally, extraorally and a combination between the two approaches; intraorally by using Hippocrates’ technique and Wrist Pivot technique. The extraoral approach does not involve fingers in the oral cavity. Applying these three approaches could be distinguished by clinical examination and patient history.Conclusion: Temporomandibular joint dislocation is one of the problem in dentistry that requires direct management and could cause complications if immediate treatment is not givenKeywords: Dislocations, Manual Reduction , Temporomandibular joint

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Eminectomy for the management of unilateral chronic, recurrent temporomandibular joint dislocation: a case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20195578 ◽

2019 ◽

Vol 6 (1) ◽

pp. 197

Author(s):

Sandeep Mehta ◽

Andrews Navin Kumar ◽

Gaurav Dua ◽

Shanender Singh Sambyal

Keyword(s):

Case Report ◽

Temporomandibular Joint ◽

Mouth Opening ◽

Clinical Entity ◽

Joint Dislocation ◽

Tmj Dislocation ◽

Masticatory Efficiency ◽

Temporomandibular Joint Dislocation

In this case reportunilateral chronic mandibular dislocation was managed by Myrhaug’s procedure (eminectomy). Temporomandibular joint (TMJ) dislocation is a uncommon clinical entity and surgery is a more definitive option when it’s come to the management chronic and recurrent TMJ dislocation. Eminectomy is shown to be efficient in preventing TMJ dislocations without affecting the maximum mouth opening, articulation and masticatory efficiency.

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Bilateral temporomandibular joint dislocation following pulmonary function testing: a case report and review of closed reduction techniques

Emergency Medicine Journal ◽

10.1136/emj.2007.055038 ◽

2008 ◽

Vol 25 (7) ◽

pp. 435-436 ◽

Cited By ~ 6

Author(s):

R Oliphant ◽

B Key ◽

C Dawson ◽

D Chung

Keyword(s):

Case Report ◽

Pulmonary Function ◽

Temporomandibular Joint ◽

Closed Reduction ◽

Pulmonary Function Testing ◽

Joint Dislocation ◽

Reduction Techniques ◽

Function Testing ◽

Temporomandibular Joint Dislocation

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Conservative management of bilateral chronic protracted temporomandibular joint dislocation: a case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20203211 ◽

2020 ◽

Vol 6 (8) ◽

pp. 1538

Author(s):

Paramjit . ◽

Neetu Pansotra

Keyword(s):

Case Report ◽

Temporomandibular Joint ◽

Mandibular Condyle ◽

Glenoid Fossa ◽

Articular Eminence ◽

Joint Dislocation ◽

Excellent Outcome ◽

Tmj Dislocation ◽

Temporomandibular Joint Dislocation ◽

The Ideal

Temporomandibular joint (TMJ) dislocation is a condition in which the mandibular condyle is anteriorly displaced beyond the articular eminence, hence completely out of glenoid fossa which leaves the patient unable to close his/her mouth. Long standing TMJ dislocation persisting for more than a month are the most challenging to treat. The management varies widely, from closed reduction to complicated surgical procedures to reduce the dislocated condyle. Each case of dislocation presents with its own unique features. Since there are no standard rules or conventions for the ideal strategy in different circumstances till date, initial approach should be conservative, preserving surgical treatment for later if needed. This paper presents the experience of conservatively managing a case of long standing (one and half month old) TMJ dislocation under general anaesthesia with excellent outcome.

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