scholarly journals Management of temporomandibular joint recurrent dislocation using Dautery’s procedure: report and review

2019 ◽  
Vol 5 (6) ◽  
pp. 1748
Author(s):  
S. K. Bhandari ◽  
Yuvraj Issar ◽  
Shanender Singh Sambyal ◽  
Andrews Navin Kumar
Keyword(s):  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Recurrent Dislocation ◽  
Anterior Dislocation ◽  
Articular Eminence ◽  
Forward Movement ◽  
Tmj Dislocation ◽  
Surgical Methods ◽  
One Year

<p class="abstract">Temporomandibular joint (TMJ) dislocation is an involuntary forward movement of the mandible beyond the articular eminence with the condyle remaining stuck in the anterior-most position which leaves the patient unable to close his mouth. Various surgical methods have been described in literature for the management of TMJ dislocation in patients where conservative measures are not successful and need surgical intervention. This case report highlights outcome of Dautrey’s method of surgical correction in three cases of recurrent bilateral TMJ dislocation. All the patients had history of manual reduction of lock jaw in the past and none was medically compromised. TMJ tomograms open mouth confirmed anterior dislocation of condyles beyond articular eminence in all three patients. Total six Dautrey’s procedures were performed. All the patients showed marked improvement in pain and TMJ function with no relapse at two years follow up. Post-operative mouth opening became normal in all the patients at one year follow up. No episode of pain, clicking, deviation or TMJ dislocation was seen in follow up period of 1, 3, 6, 12, 24 months. Hence, Dautery’s procedure serves as an effective management option for recurrent temporomandibular joint dislocation.</p>

scholarly journals TRATAMENTO DE LUXAÇÃO MANDIBULAR CRÔNICA COM EMINECTOMIA: RELATO DE CASO

2019 ◽  
Author(s):  
Eugênio Braz Rodrigues Arantes
Keyword(s):  
Temporomandibular Joint ◽  
Chronic Condition ◽  
Mouth Opening ◽  
Temporomandibular Joint Disorders ◽  
Glenoid Cavity ◽  
Articular Eminence ◽  
Joint Dislocation ◽  
Tmj Dislocation ◽  
Joint Dislocations ◽  
Removal Technique

ResumoA luxação da articulação temporomandibular é caracterizada quando o côndilo ultrapassa os movimentos limítrofes da sua excursão normal e se desloca para fora da cavidade glenoide, à frente da eminência articular, permanecendo temporariamente retido. A recorrência dessa patologia caracteriza uma condição recidivante ou crônica. As formas de tratamento para essa desordem estão de acordo com a periodicidade e o tempo de evolução e podem variar desde tratamentos conservadores locais até procedimentos cirúrgicos invasivos. O objetivo do presente trabalho é apresentar o relato de um caso clínico de uma paciente com luxação recidivante da ATM tratada através da técnica de remoção da eminência articular, também chamada de eminectomia. O tratamento deste caso através de eminectomia mostrou-se eficiente e adequado em relação à abertura máxima, recidiva e função articular pós-operatória.Palavras-chave: Articulação temporomandibular, transtornos da articulação temporomandibular, luxações articulares, artroplastia.AbstractTemporomandibular joint dislocation occurs when the condyle exceed the borderline movements of its normal excursion and moves out of the glenoid cavity, remaining temporarily retained in front of the articular eminence. The recurrence of this pathology characterizes a relapsing or chronic condition. The forms of treatment for this disorder are according to the periodicity and time of evolution and may range from local conservative treatments to invasive surgical procedures. The aim of the present paper is to present a case report of a patient with recurrent TMJ dislocation treated by the joint eminence removal technique, also called eminectomy. The proposed treatment in this case proved to be efficient and adequate in relation to the maximum mouth opening, recurrence and postoperative joint function.Key-words: Temporomandibular joint, temporomandibular joint disorders, joint dislocations, arthroplasty.

scholarly journals Chronic bilateral dislocation of temporomandibular joint

1970 ◽  
Vol 8 (2) ◽  
pp. 251-256 ◽  
Author(s):  
S Shakya ◽  
R Ongole ◽  
KN Sumanth ◽  
CE Denny
Keyword(s):  
Temporomandibular Joint ◽  
Surgical Intervention ◽  
Treatment Modalities ◽  
Anterior Dislocation ◽  
Articular Eminence ◽  
Manual Reduction ◽  
Surgical Methods ◽  
Key Words Temporomandibular Joint ◽  
Danlos Syndrome ◽  
Temporomandibular Joint Dislocation

Dislocation of the condyle of the mandible is a common condition that may occur in an acute or chronic form. It is characterised by inability to close the mouth with or without pain. Dislocation has to be differentiated from subluxation which is a self reducible condition. Dislocation can occur in any direction with anterior dislocation being the commonest one. Various predisposing factors have been associated with dislocation like muscle fatigue and spasm, the defect in the bony surface like shallow articular eminence, and laxity of the capsular ligament. People with defect in collagen synthesis like Ehler Danlos syndrome, Marfan syndrome are said to be genetically predisposed to this condition. Various treatment modalities have been used ranging from conservative techniques to surgical methods. Acute dislocations can be reduced manually or with conservative approach and recurrent and chronic cases can be reduced by surgical intervention. Though the dislocation in our case was 4 months a simple manual reduction proved to be successful. We believe that manual reduction can be attempted as first line of treatment prior to surgical intervention. Key words: Temporomandibular joint; Dislocation; Management DOI: 10.3126/kumj.v8i2.3570 Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 251-256

Role of Electro Acupuncture Therapy on Temporomandibular Joint Pain With Orofacial Myalgia Following Post Healed Unilateral Cervicofacial Burn

2021 ◽  
Vol 46 (2) ◽  
pp. 123-134
Author(s):  
Gopal Nambi ◽  
Walid Kamal Abdelbasset ◽  
Shereen H. Elsayed ◽  
Anju Verma ◽  
Shimaa Abd El-Hamid Abase ◽  
...  
Keyword(s):  
Acupuncture Therapy ◽  
Temporomandibular Joint ◽  
Joint Pain ◽  
Pain Threshold ◽  
Mouth Opening ◽  
Temporomandibular Joint Pain ◽  
Pain Frequency ◽  
Disability Level

Background: Temporomandibular Joint (TJ) pain and orofacial myalgia (OM) are the most significant problems in physiotherapy context to treat in Cervicofacial burn (CB). However, there is a lack of clinical studies in investigating the effects of electro acupuncture therapy on TJ pain with OM following post healed CB patients.<br/> Objective: To investigate the effects of clinical and functional efficacy of electro acupuncture therapy on temporomandibular joint pain with orofacial myalgia following post healed cervicofacial burn patients.<br/> Methods: Through two block random sampling method, the eligible participants were randomized and allocated into active EAT (Active-EAT; n = 15) and placebo EAT (Placebo-EAT; n = 15) groups. The Active-EAT group received electro acupuncture therapy and the Placebo-EAT group received placebo effect with regular physiotherapy care for 4 times in a week for 4 weeks. Primary (pain intensity, pain threshold, pain frequency) and secondary (mouth opening, disability level and quality of life) measures were measured at baseline, after the 4th week, 8th week and 6 month follow up.<br/> Results: Baseline demographic and clinical attributes show homogenous presentation among the study groups (p > 0.05). After 4 weeks of treatment, and at the end of 6 months follow up, the pain intensity, 3.0 (CI 95% 2.83 to 3.16), pain threshold 18.6 (CI 95% -35.0 to -2.1), pain frequency 2.9 (CI 95% 2.54 to 3.25), mouth opening, -13.4 (CI 95% -15.1 to -11.6), disability level 12.4 (CI 95% 12.16 to 12.63), and quality of life -25.8 (CI 95% -31.0 to -20.5) showed more improvement (p < 0.001) in Active-EAT group than Placebo-EAT group.<br/> Conclusion: The reports of this study proved that, 4 weeks active electro acupuncture therapy with regular physiotherapy care has an ideal treatment protocol for temporomandibular joint pain with orofacial myalgia following post healed cervicofacial burn. This study also provided a new knowledge for physiotherapists in the field of TJ rehabilitation.

scholarly journals Topical Diltiazem Versus Topical Glyceryl Trinitrate In The Management Of Chronic Anal Fissure

JMS SKIMS ◽  
2014 ◽  
Vol 17 (2) ◽  
pp. 55-58
Author(s):  
Shams Ul Bari ◽  
Ajaz Ahmad Malik ◽  
Khurshid Alam Wani ◽  
Ajaz A Rather
Keyword(s):  
Side Effects ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
P Value ◽  
Double Blind ◽  
Surgical Methods ◽  
Significant Difference ◽  
Topical Glyceryl Trinitrate ◽  
One Year

Background: Chemical sphincterotomy is a novel way for treating patients of chronic anal fissure which avoids the risk of fecal incontinence associated with traditional surgical methods. Aims and objectives: The aim of this study was to compare the results of topical Diltiazem with topical Glyceril trinitrate in the management of chronic anal fissure. Methods: 71 patients in the age group of 15 - 61 years with chronic anal fissure were included in this prospective, randomized, double-blind trial over a period of two years with further follow up for one year. The patients were randomly allocated to either Diltiazem gel 2% (37 patients) or Glyceril trinitrate ointment 0.2% (34 patients) and were asked to use the treatment twice daily for 8 weeks. Each patient was reviewed every two weeks. Symptoms, healing, side effects and recurrence were compared using SPSS version 10 employing X2 test. A p-value below 0.05 was considered statistically significant. Results: Patients who received topical diltiazem (DTZ) showed statistically significant difference than those who were prescribed topical glyceril trinitrate in terms of symptoms, wound healing, side effects ( headaches) and recurrence (p=0.03 and 0.003 respectively). Healing occurred in 34 of 37 (92%) patients treated with Diltiazem after 6 weeks and 27 of 34 (80%) patients treated with Glyceril trinitrate after 8 weeks, which shows a significant difference in favour of Diltiazem (P < 0.001). The rest of the patients did not heal and underwent sphincterotomy (SILS). Headache occurred in all of the patients treated with Glyceril trinitrate but none of the patients treated with Diltiazem. Conclusion: Diltiazem gel was found to be better than Glyceril trinitrate ointment due to significantly higher healing rate and fewer side-effects. JMS 2014;17(2):55-58

scholarly journals Improvement of bone-erosive temporomandibular joint (TMJ) abnormalities in adolescents undergoing non-surgical treatment: a longitudinal study

2020 ◽  
Vol 49 (5) ◽  
pp. 20190338 ◽  
Author(s):  
Anna-Karin Abrahamsson ◽  
Linda Z Arvidsson ◽  
Milada Cvancarova Småstuen ◽  
Tore A Larheim
Keyword(s):  
Chronic Pain ◽  
Temporomandibular Joint ◽  
Cone Beam Ct ◽  
Functional Limitation ◽  
Young Patients ◽  
Pain Scale ◽  
Imaging Characteristics ◽  
Surgical Methods ◽  
Patient Series

Objectives: To investigate the longitudinal changes of the imaging temporomandibular joint (TMJ) characteristics in young patients with TMJ-related symptoms and treated with non-surgical methods. The severity of self-reported symptoms at follow-up was also investigated. Methods: A cone beam CT (CBCT)/CT follow-up examination [median follow-up 4.1 (1.3–6.4) years] was performed in 22 patients with erosive TMJ abnormalities [baseline median age 16 (12–18) years]. Imaging characteristics were analyzed and the changes between the examinations were categorized as (A) improvement, (B) no change, or (C) worsening. Severity of follow-up symptoms was evaluated using Jaw Functional Limitation Scale (JFLS-8) and Graded Chronic Pain Scale (Grade 0–IV). Analyses were performed separately for left and right TMJ. Findings at baseline and follow-up were compared using McNemar test to account for dependencies. Changes in proportions of hard tissue findings between examinations were assessed using Wilcoxon signed ranks test. Results: A significant reduction in the proportion of patients with erosive abnormalities was found [59.1%, 95% CI (36.4–79.3) %]. Baseline erosions improved in 9/12 (75%) right and 14/15 (93%) left TMJs. About half repaired; developed an intact cortical outline. Number of joints with osteophytes increased (right: p < 0.04, left: p < 0.003). New osteophytes were mostly found in joints with erosive findings. Low or no limitation of jaw function (Jaw Functional Limitation Scale) was found in 12/22 (55%) and no or low intensity of pain (Graded Chronic Pain Scale Grade 0 or I) in 19/22 (86%) at follow-up. Conclusion: We found a high potential for repair of erosive TMJ abnormalities. However, the patient series was small. The majority of patients assessed their symptom severity at follow-up as low.

scholarly journals Arthrocentesis and Sodium Hyaluronate Infiltration in Temporomandibular Disorders Treatment. Clinical and MRI Evaluation

2020 ◽  
Vol 5 (1) ◽  
pp. 18 ◽  
Author(s):  
Mario Santagata ◽  
Roberto De Luca ◽  
Giorgio Lo Giudice ◽  
Antonio Troiano ◽  
Giuseppe Lo Giudice ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Joint Damage ◽  
Mouth Opening ◽  
Sodium Hyaluronate ◽  
Mean Value ◽  
Temporomandibular Joint Disorders ◽  
Mean Values ◽  
Masticatory Efficiency ◽  
The Mean

Arthrocentesis in temporomandibular joint disorders can be associated with the intra-articular infiltration of various drugs with the objective of increase treatment efficacy. The aim of this study was to evaluate the clinical indexes variation in patients affected by temporomandibular joint disorders treated with arthrocentesis and sodium hyaluronate (SH) injections. A total of 28 patients suffering from temporomandibular joint disorders underwent one cycle of five arthrocentesis and infiltrations of sodium hyaluronate. Spontaneous mouth opening improved from 36.3 ± 7.5 mm to 45.1 ± 1.9 mm at six months follow-up. A significant reduction in the pain at rest and during mastication mean values emerged at follow-up (p < 0.0001). The mean masticatory efficiency, evaluated through a visual analogic scale, showed improvement at the follow-up period, highlighted by the increase of mean value from a baseline of 3.1 ± 1.2 to a mean value of 8.5 ± 1.2 (p < 0.0001). The mean severity of the joint damage at baseline time was 2.4 ± 0.9 and decreased to 0.4 ± 0.3 at the end of the follow-up period. The decrease in values is confirmed by statistical test (p < 0.05). Our data show how arthrocentesis integrated with sodium hyaluronate infiltrations performed under local anesthesia is a valid method of treating temporomandibular joint disorders.

scholarly journals Ligament Reconstruction for Recurrent Anterior Dislocation of the Radial Head

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Taku Hatta ◽  
Kiyotsugu Shinagawa ◽  
Kou Hayashi ◽  
Kazushige Hasegawa ◽  
Yoshinori Miyasaka ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Radial Head ◽  
Ligament Reconstruction ◽  
Pathological Condition ◽  
Recurrent Dislocation ◽  
Anterior Dislocation ◽  
Annular Ligament ◽  
Internal Brace ◽  
Sports Activities

Isolated recurrent dislocation of the radial head (RH) is very rare, and there have been few reports describing the surgical treatment of this injury. We herein report the case of a 13-year-old girl who underwent ligament reconstruction surgery for isolated recurrent RH dislocation. Her symptoms included pain and apprehension at the elbow with the forearm in supination. A radiologic examination revealed anterior dislocation of the RH with the forearm in supination but complete reduction with the forearm in neutral to pronated positions. Surgical treatment to reconstruct the annular ligament and facilitate the radial collateral ligament was performed using an autograft with internal brace augmentation. At a 12-month follow-up examination, the patient had asymptomatic stability with recovery to sports activities. This case report describes a novel technique for the treatment of a rare pathological condition of the elbow.

Open Capsulorrhaphy with Suture Anchors for Recurrent Anterior Dislocation of the Shoulder

1998 ◽  
Vol 26 (5) ◽  
pp. 625-629 ◽  
Author(s):  
Andrea Ferretti ◽  
Angelo De Carli ◽  
Michele Calderaro ◽  
Fabio Conteduca
Keyword(s):  
Surgical Technique ◽  
Suture Anchor ◽  
Recurrent Dislocation ◽  
Deep Infection ◽  
Anterior Dislocation ◽  
Suture Anchors ◽  
Rating Systems ◽  
Lost To Follow Up ◽  
Recurrent Anterior Dislocation

Forty of 42 consecutive open capsulorrhaphies with suture anchors for treatment of traumatic recurrent anterior dislocation of the shoulder were reviewed after a minimum follow-up of 2 years. Two patients were lost to follow-up. Follow-up was conducted according to the rating systems of Rowe and the Society of American Shoulder and Elbow Surgeons. The surgical outcome was satisfactory in 38 patients (95%). Eighteen of the 22 patients who were involved in competitive overhead or collision sports before surgery returned to their preoperative sports levels. One patient, whose operation was unsuccessful, experienced recurrent dislocation. In one patient, a deep infection that occurred as a complication of the surgical technique healed after suture anchor removal. Although a longer follow-up is necessary, this technique appears to have encouraging results as it avoids the risks related to the use of screws and staples.

Sign in / Sign up

Export Citation Format

Share Document