Post-Traumatic Bilateral Superolateral Dislocation of Intact Mandibular Condyle with Symphysis Fracture Causing Typical Bird Facies Resembling TMJ Ankylosis and Asphyxia: An Unusual Case Report

Sharma, Ashish; Dubey, Tushar; Laskar, Shyamalendu; Chauhan, Puja

doi:10.1007/s12663-020-01430-y

Cited by 2 publications

(4 citation statements)

References 15 publications

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“…This seems to correspond to the injury scenario proposed by Debelmas et al This scenario suggests an open parasymphyseal fracture leading to a widening of the transverse dimension of the mandible allowing lateral displacement of the two condyles [2]. However Sharma et al, in her work described a case of lateral dislocation in which there was no associated mandible fracture [5]. Most of the cases identified have been in industrialized countries where road traffic is denser.…”

Section: Discussionsupporting

confidence: 68%

“…Of the 16 publications reviewed, 12 (75%) were Indian (Tab. II) [1,[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. 30 patients were involved with a mean age of 31.87 years.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The average treatment time was 11.78 days (Tab. II) [1,[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17].…”

Section: Literature Reviewmentioning

confidence: 99%

“…However, the one which seems to be the most exhaustive is that proposed by Sharma et al (Tab. I) [5]. The international literature of the past 10 years, explored for the development of this study, revealed that no publication on this subject has been identified in South Saharan Africa (Tab.…”

Section: Introductionmentioning

confidence: 95%

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Post-traumatic superolateral temporo-mandibular dislocation with intact condyle: case series and literature review

N'guessan

Djémi

Bérété

et al. 2022

J Oral Med Oral Surg

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Introduction: Supero-lateral temporomandibular dislocations with intact condyles are very rare, particularly in countries of sub-Saharan Africa where they are poorly documented. Materials and method: This was a retrospective study that included all patients received for superolateral temporomandibular dislocation with intact condyle following a maxillofacial trauma. The period covered by the study was from January 2011 to July 2021. Results: 3 patients were studied. According the classification of temporomandibular superolateral dislocation with intact condyle, the first patient had a Type II A, the second and the third patient, type II B. The manual reduction of the first patient luxation was unstable requiring an osteosynthesis of mandibular symphysis to stabilise the reduction of the temporomandibular dislocation. The second patient manual reduction was unsuccessful requiring an open reduction by preauricular approach. The third left against medical advice. Discussion: The occurrence of temporomandibular superolateral dislocation with intact condyle in an underdeveloped city like Bouaké, is not related to the density of road traffic but to the indiscipline of the many motorcyclists who do not wear helmets. Early reduction of the dislocation, early mobilisation of the joint and mechanotherapy positively influence the postoperative outcome.

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Section: Discussionsupporting

confidence: 68%

“…Of the 16 publications reviewed, 12 (75%) were Indian (Tab. II) [1,[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. 30 patients were involved with a mean age of 31.87 years.…”

Section: Literature Reviewmentioning

confidence: 99%

“…The average treatment time was 11.78 days (Tab. II) [1,[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17].…”

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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Post-traumatic superolateral temporo-mandibular dislocation with intact condyle: case series and literature review

N'guessan

Djémi

Bérété

et al. 2022

J Oral Med Oral Surg

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Features of the Treatment of Hypermobility of the Articular Heads and Dislocations of the Lower Jaw on the Background of Fractures of the Condygal Processes of the Mandible, as a Prevention of Alloplastic Replacements of the Tempomandibular Joint

Toropov,

Avetikov,

Skikevych

et al. 2024

Ukr. Dent. Alm.

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Acute, chronic, and recurrent dislocations are currently defined as conditions in which the mandibular process becomes dislocated from its joints and requires manipulation by another person to return to its normal position. Such conditions are usually preceded by either iatrogenic factors, including fractures of the mandibular branch, or joint instability and hypermobility of its heads. This pathology requires a personalized treatment algorithm: in each case, the clinical and radiological signs of this pathology should be clearly taken into account and the method of conservative or surgical treatment should be determined. Each of them has its advantages and disadvantages, and their combined use is also possible, which is the key to preventing more significant complications that can lead to allostatic replacements, joint components, or joint replacement as a whole. The purpose of the study is to conduct a comparative analysis of the data of clinical examinations, conservative and surgical treatment, complications and postoperative results, taking into account the prevalence of chronic dislocations of the mandible against the background of condylar fractures. Clinical cases of chronic dislocations of the mandible lasting from one to three months after osteosynthesis were analyzed by the authors. Attempts at manual reduction did not bring a positive result, so it was decided to treat the patients conservatively, using bite blocks made of self-hardening plastic and the use of elastic methods of fixation of the mandible, which gave a positive result already in the third week of treatment. Also, these patients were observed in the clinic for 6 months without visualization of complications of both mechanical and inflammatory nature. The analysis of clinical case data allows us to state that the goal of treatment should be to return the condyles to their original physiological position, and conservative methods should be in the first place when creating an algorithm. Early manual reduction of the joint heads is the best method of treatment, if it is possible to carry it out in a timely manner. As the duration of the dislocation increases, the joint cavity is filled with connective tissue, cartilaginous changes occur, adhesions between the articular surfaces are formed, the masticatory muscles shorten with possible fibrosis of the temporalis muscle. We have confirmed the fact that one of the best conservative treatments is the use of an elastic chin-parietal bandage, which acts as a fulcrum to move the heads back under the anterior slope of the articular tubercle, with the simultaneous use of arches and posterior occlusal rollers. If this treatment does not bring a positive result, we use intraoral splints with a fulcrum in the area of the second molar in combination with extraoral traction to move the heads in the posterior direction with simultaneous stretching of the capsule of the temporomandibular joint and its intracapsular ligaments. It should be noted that in each case, all the features of the pathogenesis of this disease should be taken into account and a personalized treatment algorithm should be developed, consisting of conservative methods, and, if ineffective, surgical treatment.

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Post-Traumatic Bilateral Superolateral Dislocation of Intact Mandibular Condyle with Symphysis Fracture Causing Typical Bird Facies Resembling TMJ Ankylosis and Asphyxia: An Unusual Case Report

Cited by 2 publications

References 15 publications

Post-traumatic superolateral temporo-mandibular dislocation with intact condyle: case series and literature review

Post-traumatic superolateral temporo-mandibular dislocation with intact condyle: case series and literature review

Features of the Treatment of Hypermobility of the Articular Heads and Dislocations of the Lower Jaw on the Background of Fractures of the Condygal Processes of the Mandible, as a Prevention of Alloplastic Replacements of the Tempomandibular Joint

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