scholarly journals RECURRENT TEMPOROMANDIBULAR JOINT DISLOCATIONS IN GERIATRIC PATIENT ON ANTIPSYCHOTIC DRUGS AND ITS CONSERVATIVE MANAGEMENT

2017 ◽  
Vol 10 (11) ◽  
pp. 8 ◽  
Author(s):  
Deepika Pai ◽  
Abhay Kamath T ◽  
Girish Menon ◽  
Arun Urala ◽  
Saurabh Kumar ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Antipsychotic Medication ◽  
Conservative Management ◽  
Antipsychotic Drugs ◽  
Recurrent Dislocation ◽  
Oromandibular Dystonia ◽  
Tmj Dislocation ◽  
Joint Dislocations ◽  
Patient Reported ◽  
Systemic Condition

  Recurrent temporomandibular joint (TMJ) dislocation can cause difficulty in swallowing and speech hence can be distressing for the patient. A 79-year-old male patient reported with recurrent dislocation of TMJ since 2 months. He was on antipsychotic medication for schizophrenia which predisposes to recurrent TMJ dislocation due to oromandibular dystonia. Since the patient had undergone tracheostomy, his systemic condition was not suitable for surgical management. Thus a conservative option of chin cup was planned. The chin cup limits the movement of the mandible hence prevents dislaocation of the TMJ. The patient was successfully rehabilitated with no new episodes of TMJ dislocation for the last 4 months. It focuses on conservative management of recurrent TMJ dislocations induced by antipsychotic drugs.

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 Recurrent TMJ Dislocation in a Child: A Case Report and Discussion

2021 ◽  
Vol 30 (02) ◽  
pp. 139-141
Author(s):  
Humayun Kaleem Siddiqui ◽  
◽  
Sharjeel Bashir
Keyword(s):  
Ct Scan ◽  
Temporomandibular Joint ◽  
Pediatric Population ◽  
Mandibular Condyle ◽  
Recurrent Dislocation ◽  
Retropharyngeal Abscess ◽  
Initial Examination ◽  
Tmj Dislocation ◽  
Dental Procedures ◽  
Digital Manipulation

Temporomandibular joint (TMJ) dislocation demonstrate a displacement of the mandibular condyle from it functional position within the glenoid fossa and articular eminence. TMJ dislocation is an acute episode can be transformed into chronic dislocation after multiple repeated episodes. Oral surgeon is frequently called for the management of recurrent TMJ dislocation in adults. In pediatric population, TMJ dislocation sometimes caused by trauma or other than trauma related to wide opening of the mouth during vomiting, yawning and dental procedures considerably under general anesthesia. A 3-year-old baby girl came to Emergency department with a complaint of open mouth for the last 6 hours. Initial examination was carried out and patient was sent for CT-Scan. CT-Scan reported an asymmetric soft tissue density mass in retropharyngeal area at the level of C1 and C2, showing more bulk on right side. Some subtle radiolucency are also identified within the mass. The possibility of a low-density foreign body or retropharyngeal abscess could not be entirely excluded. A quick examination under anesthesia (EUA)was performed to relieve the patient from the abscess/growth. During EUA, they did not find any growth or collection or pus. The patient was sent to oral and maxillofacial surgeon, on initial examination and previous CT Scan findings, TMJ dislocation was diagnosed. In order to completely examine the patient, reduction of the jaw was attempted on chair side. This was achieved by digital manipulation with little effort and the baby’s jaw was secured with Barton’s bandage to prevent repeated dislocation. She continued tablet baclofen for 6 months as prescribed by the pediatrician. KEYWORDS: Temporomandibular Joint (TMJ), Recurrent dislocation, pediatric

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 Serial kasus berbagai metode perawatan dislokasi sendi temporomandibula berdasarkan jenis dislokasinyaCase series of various temporomandibular joint dislocation treatment methods based on the dislocation type

2021 ◽  
Vol 33 (2) ◽  
pp. 91
Author(s):  
Dina Novianti ◽  
Endang Syamsudin ◽  
Winarno Priyanto
Keyword(s):  
Temporomandibular Joint ◽  
Case Reports ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Facial Asymmetry ◽  
Oral And Maxillofacial Surgery ◽  
Delayed Treatment ◽  
Tmj Dislocation ◽  
Joint Dislocations ◽  
Dislocation Type

Pendahuluan: Dislokasi sendi temporomandibula (TMJ) merupakan suatu keadaan dimana kondilus keluar dari fosa glenoidalis ke arah superior, posterior atau anterior melewati eminentia artikularis dan seringkali disertai dengan spasme otot-otot pengunyahan. Penanganan yang terlambat dapat menimbulkan komplikasi berupa asimetri wajah dan menggangu pengunyahan. Tujuan penulisan kasus ini adalah menyampaikan serial kasus perawatan dislokasi sendi temporomandibular berdasarkan jenis dislokasinya. Laporan kasus: Empat tipe kasus dislokasi TMJ datang ke IGD dan Poli Bedah Mulut dan Maksilofasial Rumah Sakit Hasan Sadikin Bandung dengan riwayat dislokasi yang berbeda. Pasien berjenis kelamin dua laki-laki dan dua perempuan, berusia 33 hingga 66 tahun dengan faktor predisposisi menguap. Klasifikasi dislokasi yaitu akut dan kronis. Perawatan keempat kasus berupa reduksi manual, menggunakan metode Hippocrates dan wrist pivot, hingga pembedahan dengan miotomi. Simpulan: Keadaan dislokasi yang berbeda memerlukan perawatan yang berbeda. Kasus akut dapat segera dilakukan reduksi manual, sedangkan kasus kronis memerlukan pembedahan. Keterlambatan penanganan yang tepat dapat membuat keadaan menjadi lebih berat sehingga memerlukan penanganan yang lebih kompleks dan biaya yang lebih besar. ABSTRACTIntroduction: Temporomandibular joint (TMJ) dislocation is a condition in which the condyle exits the glenoid fossa superiorly, posteriorly, or anteriorly through the articular eminence and is often accompanied by mastication muscle spasm. Delayed treatment can cause complications in the form of facial asymmetry, thus interfere with mastication. The purpose of the case series was to present a case series of temporomandibular joint dislocations treatment based on the dislocation type. Case reports: Four different patients with four types of TMJ dislocation cases came to the ER and the Oral and Maxillofacial Surgery Clinic of Hasan Sadikin Hospital Bandung, with different dislocation histories. The patients were two males and two females, aged 33 to 66 years, with predisposing factors of yawning. Classifications of dislocations were acute and chronic. The four cases’ treatments were manual reduction, each using the Hippocrates method and wrist pivot, up to surgery with myotomy. Conclusions: Different dislocation conditions require different treatments. Acute cases can be directly reduced manually, while chronic cases require surgery. Delay in proper handling will severe the situation, requiring more complex treatment with higher costs.

scholarly journals Synovial Tissue Proteins and Patient-Specific Variables as Predictive Factors for Temporomandibular Joint Surgery

Diagnostics ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 46
Author(s):  
Mattias Ulmner ◽  
Rachael Sugars ◽  
Aron Naimi-Akbar ◽  
Nikolce Tudzarovski ◽  
Carina Kruger-Weiner ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Synovial Tissue ◽  
Surgical Outcome ◽  
Clinical Decision Making ◽  
Protein Profile ◽  
Strong Association ◽  
Tissue Inhibitor Of Metalloproteinase ◽  
Patient Specific ◽  
Disc Displacement ◽  
Patient Reported

Our knowledge of synovial tissues in patients that are scheduled for surgery as a result of temporomandibular joint (TMJ) disorders is limited. Characterising the protein profile, as well as mapping clinical preoperative variables, might increase our understanding of pathogenesis and forecast surgical outcome. A cohort of 100 patients with either disc displacement, osteoarthritis, or chronic inflammatory arthritis (CIA) was prospectively investigated for a set of preoperative clinical variables. During surgery, a synovial tissue biopsy was sampled and analysed via multi-analytic profiling. The surgical outcome was classified according to a predefined set of outcome criteria six months postoperatively. Higher concentrations of interleukin 8 (p = 0.049), matrix metalloproteinase 7 (p = 0.038), lumican (p = 0.037), and tissue inhibitor of metalloproteinase 2 (p = 0.015) were significantly related to an inferior surgical outcome. Several other proteins, which were not described earlier in the TMJ synovia, were detected but not related to surgical outcome. Bilateral masticatory muscle palpation pain had strong association to a poor outcome that was related to the diagnoses disc displacement and osteoarthritis. CIA and the patient-reported variable TMJ disability might be related to an unfavourable outcome according to the multivariate model. These findings of surgical predictors show potential in aiding clinical decision-making and they might enhance the understanding of aetiopathogenesis in TMJ disorders.

scholarly journals Midline Mandibulotomy for Reduction of Long-Standing Temporomandibular Joint Dislocation

2013 ◽  
Vol 6 (2) ◽  
pp. 127-131 ◽  
Author(s):  
Vidya Rattan ◽  
Sachin Rai ◽  
Amit Sethi
Keyword(s):  
Temporomandibular Joint ◽  
Indirect Reduction ◽  
Joint Dislocation ◽  
Related Literature ◽  
Reduction Techniques ◽  
Tmj Dislocation ◽  
Direct Exposure ◽  
Uncommon Condition ◽  
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.

scholarly journals TMJ Replacement Following Pseudoarthrosis of Condylar Neck Fracture With Dislocation of the Condylar Neck Within the Infra-Temporal Fossa

2021 ◽  
Vol 6 ◽  
pp. 247275122110368
Author(s):  
Sergio Olate ◽  
Claudio Huentequeo-Molina ◽  
Alejandro Unibazo ◽  
Juan Pablo Alister
Keyword(s):  
Temporal Bone ◽  
Orthognathic Surgery ◽  
Patient Specific ◽  
Dental Occlusion ◽  
Facial Trauma ◽  
Class Iii ◽  
Oral Rehabilitation ◽  
Tmj Dislocation ◽  
Patient Reported ◽  
Condylar Neck

Study Design: Case Report Objective: To present a patient with long-standing TMJ dislocation and pseudoarthrosis in the temporal bone treated with orthognathic surgery and unilateral joint replacement. Method: The patient, a 52-year-old female, came to our department to treat facial asymmetry and oral rehabilitation. The patient reported early facial trauma at 7 years old showing partial edentoulism, dental occlusion class III and a 19 mm mandibular midline deviation. Cone beam computed tomography showed the left TMJ in long-standing dislocation into the fossa temporalis, creating a new articular fossa in the temporal bone and adaptation of the hard and soft tissue. Results: Orthognathic surgery and TMJ replacement using a patient-specific implant and dental rehabilitation were planned; surgery was performed with no complications, and the 1-year follow-up showed that this treatment was a good option for long-standing TMJ dislocation. Conclusion: The long-term TMJ dislocation can be successfully treated by TMJ replacement using a patient-specific implant to obtain facial balance and oral function and avoid relapse.

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