Journal of The Korean Dental Society of Anesthesiology (대한치과마취과학회지)

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
권호 표지

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

전신마취하에 도수정복된 측두하악관절 장기탈구

  • Son, Jeong-Seog (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Severance Christian Hospital)) ;
  • Oh, Ji-Hyeon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Severance Christian Hospital)) ;
  • Choi, Byung-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Severance Christian Hospital)) ;
  • Yoo, Jae-Ha (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Severance Christian Hospital))
  • 손정석 (연세대학교 치과대학 구강악안면외과학 교실(원주세브란스기독병원)) ;
  • 오지현 (연세대학교 치과대학 구강악안면외과학 교실(원주세브란스기독병원)) ;
  • 최병호 (연세대학교 치과대학 구강악안면외과학 교실(원주세브란스기독병원)) ;
  • 유재하 (연세대학교 치과대학 구강악안면외과학 교실(원주세브란스기독병원))
  • Received : 2013.06.25
  • Accepted : 2013.10.02
  • Published : 2013.09.30
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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.

Keywords

References

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