A case series of closed reduction for acute temporomandibular joint dislocation by a new approach

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Thomas Au Tak ShunLau Chor Chiu

Abstract

The management of acute temporomandibular joint dislocation relies on the traditional method, which involves intraoral manipulation of the mandible on both sides of the patient. Often, intravenous sedative or analgesic agents are needed to facilitate closed reduction. In this report, the authors introduce a new approach called the ipsilateral approach, in which extraoral or intraoral manipulation of the dislocated side is performed to accomplish closed reduction, without using sedatives or analgesics. Three methods, namely, extraoral, intraoral and combined, are described. A prospective observational study was performed to investigate this ipsilateral approach. Six medical officers were recruited to attend to patients with acute temporomandibular joint dislocation. The following protocol was used: (1) Try the extraoral method in all patients first. (2) If it fails, use the intraoral method. (3) If both fail, attempt using a combined method. (4) If all fail, perform the traditional method as usual. A total of 24 episodes of temporomandibular joint dislocation were examined, out of which 13 were successfully reduced by the extraoral method. Of the remaining 11 episodes, 10 were successfully reduced by the intraoral method, the la...Continue Reading

References

May 1, 1989·The American Journal of Emergency Medicine·N H Luyk, P E Larsen
Jun 4, 1998·The Journal of Emergency Medicine·V Y Totten, R F Zambito
Jan 4, 2001·Pediatric Emergency Care·P J Whiteman, E C Pradel

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Citations

Dec 18, 2009·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Li-Kai WangYing-Hui Chen
Feb 5, 2008·The Journal of Emergency Medicine·Theodore C ChanGary M Vilke
Nov 2, 2013·The Journal of Manual & Manipulative Therapy·Lisa T Hoglund, Brian W Scott
Apr 4, 2015·Journal of Maxillofacial and Oral Surgery·Shruti ChhabraPrachi Gupta
Sep 10, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Nebil YeşiloğluGaye Taylan Filinte
Jan 24, 2020·The Journal of Manual & Manipulative Therapy·Federico StolbizerMaria M Andrada

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