J Korean Dent Soc Anesthesiol.  2013 Sep;13(3):121-126. 10.17245/jkdsa.2013.13.3.121.

Manual Reduction of Temporomandibular Joint Long-standing Dislocation under General Anesthesia

• Son JS
• Oh JH
• Choi BH
• Yoo JH

• KMID: 2345023
• DOI: http://doi.org/10.17245/jkdsa.2013.13.3.121

Abstract

Temporomandibular joint (TMJ) dislocation is an acute paintful condition that causes severe functional limitation. So, manual reduction is the treatment of choice and should be performed as early as possible. Long-term dislocation of the TMJ that has persisted for more than 1 month is comparatively rare. This may include severe illness, neurological diseases and prolonged intensive care hospitalization with oral intubation and sedation. A joint that remains prolonged dislocated undergoes morphological change which is also true for periarticular tissue, especially in ligaments and muscles. Treatment of long-term TMJ dislocation should be different from acute TMJ dislocation, as simple reduction is difficult to achieve and it's likely to redislocate. The prevention of redislocation after reduction should be considered. This is a case report of about manual reduction of temporomandibular joint long-standing dislocation under general anesthesia.

Keyword

General anesthesia; Manual reduction; TMJ dislocation

MeSH Terms

Anesthesia, General*
Critical Care
Dislocations*
Hospitalization
Intubation
Joints
Ligaments
Muscles
Paint
Temporomandibular Joint*