Abstract
IntroductionA dislocation of the temporomandibular joint represents three percent of all reported dislocated joints.The treatment entails reduction of the deformity and this can often be achieved in a ward setting.Case presentationWe present the case of a 29-year-old Caucasian man with a non-traumatic bilateral anterior temporomandibular joint dislocation. Following several unsuccessful attempts, due to both inadequate patient analgesia and sedation, joint reduction had to be performed in theatre with the patient under general anesthesia.ConclusionThis case highlights the importance of providing the patient with adequate analgesia and sedation when attempting the reduction of temporomandibular joint dislocations.
Highlights
A dislocation of the temporomandibular joint represents three percent of all reported dislocated joints
We present the case of a man with non-traumatic bilateral anterior temporomandibular joint (TMJ) dislocation and discuss his management
The maxillofacial team in the hospital were contacted. He was subsequently transferred later that evening to a regional oral and maxillofacial surgical unit. He admitted that during the previous attempts at joint reduction he had been in considerable pain and was unable to relax his muscles of mastication
Summary
A dislocation of the temporomandibular joint (TMJ) represents three percent of all reported dislocated joints [1]. Case presentation A well-built 29-year-old Caucasian man attended the emergency department in the late evening unable to close his mouth immediately after yawning He had no medical problems, he did admit to having longstanding ‘clicking’ of his left TMJ. There was a depression in the his Upon further questioning, he admitted that during the previous attempts at joint reduction he had been in considerable pain and was unable to relax his muscles of mastication. He was unable to relax his muscles sufficiently to facilitate reduction because of his ongoing anxiety and apprehension over the procedure He refused both local and regional anesthetic techniques due to the previous unsuccessful attempts and was insistent upon the use of general anesthesia. Advice regarding the possibility of further dislocation and instability were given to him prior to discharge
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