Long Standing Temporomandibular Joint Dislocation: A Case Report

Saikia, Dipanjal

doi:10.9790/0853-131030308

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Similar reasons have also been reported by Saikia. 10 Unlike the acute dislocation, in long-standing dislocations, manual reduction is usually not easy, unless local anesthesia and muscle relaxants are used. After 2 weeks following dislocation, spasms and shortening of the temporalis and masseter muscles occur and reduction becomes difficult to achieve manually.…”

Section: Discussionmentioning

confidence: 99%

“…2,8 Some literature suggests that chronic dislocation be defined as acute dislocation left untreated or inadequately treated for 72 hours or more, 2,8,9 and there is consensus that if the situation persists for more than a month, then it is chronic dislocation. 3,10,11 According to Akinbami, 12 the TMJ dislocation can be classified, based on the relationship of the head of mandibular condyle with the articular eminence seen on clinicoradiological evaluation, into three types: 1. Type I: The head of the condyle is directly below the tip of the eminence.…”

Section: Introductionmentioning

confidence: 99%

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A Novel Technique for Surgical Reduction of Long-standing Temporomandibular Joint Dislocation

Moshy¹,

Shaban²

2017

International Journal of Head and Neck Surgery

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Introduction: The dislocation of the temporomandibular joint (TMJ) typically occurs when the mandibular condyle becomes displaced out of the glenoid fossa. Long-standing TMJ dislocation may rarely be treated by conventional methods of closed reduction, thus needing surgical intervention ranging from various indirect traction techniques to direct exposure of the TMJ. Aim: This article aimed at bringing into attention of the scientific community a new surgical technique for the management of long-standing TMJ dislocation. Materials and methods: A surgical technique of reducing longstanding TMJ dislocation dubbed as the "Shabani maneuver" has been described. The technique utilizes an externally applied force by physician/surgeon at the mandibular notch which is accessed through a preauricular incision. After making the incision, the mandibular notch is accessed and a Warwick-James elevator is then directed at the notch. An inferiorly directed force is applied once the instrument is secured around the notch and with a combination of conventional method, the condylar head is reduced back to the glenoid fossa. Results: A total of 20 patients with long-standing TMJ dislocation were treated using the technique described. Out of those, 19 patients (95%) were successfully treated. The age range of the patient was between 19 and 81 years with a mean age of 37.75 ± 18.12 years. Yawning was the common cause for dislocation (65%). The mean duration of dislocation was 3.6 months, with the commonest reason for delay in treatment seeking being poverty. Conclusion: This invasive surgical technique is useful where conventional approaches have been tried and proved futile in multiple attempts to reduce long-standing cases of TMJ dislocation. Clinical significance: By describing a new and novel surgical technique for the reduction of long-standing TMJ dislocation, this study promotes its use in clinical practice, especially in settings of developing countries where due to low socioeconomic status, accessibility to operating theater is limited.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Novel Technique for Surgical Reduction of Long-standing Temporomandibular Joint Dislocation

Moshy¹,

Shaban²

2017

International Journal of Head and Neck Surgery

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The Trick of the Trade: Effective Use of Bimanual Reduction Techniques in Treating Acute Temporomandibular Joint Dislocation – A Review and Case Report

Pauly,

Ashok,

Peter

et al. 2024

Kerala Dental Journal

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Dislocation of the condyle of the mandible is a common condition. It may be unilateral or bilateral and can be acute, recurrent and rarely chronic. Dislocation can occur in any direction, with anterior dislocation being the most common. Acute mandibular dislocation is defined as displacement of the mandibular condyle anterior to the articular eminence, causing complete separation of articulating surfaces and fixation in that position. The event is painful and distressing for the patient and their family and poses quite a challenge to the dental team addressing it.

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Long Standing Temporomandibular Joint Dislocation: A Case Report

Cited by 2 publications

References 10 publications

A Novel Technique for Surgical Reduction of Long-standing Temporomandibular Joint Dislocation

A Novel Technique for Surgical Reduction of Long-standing Temporomandibular Joint Dislocation

The Trick of the Trade: Effective Use of Bimanual Reduction Techniques in Treating Acute Temporomandibular Joint Dislocation – A Review and Case Report

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