Chronic Protracted Dislocation of Temporomandibular Joint in a Trauma Patient - A Case Report

Author:

Navaneetham Romir12,Navaneetham Anuradha13,Pugazhendi Satish Kumaran2,Nara Gnapika3,Umarani Priyanka Jagadish3

Affiliation:

1. Department of Maxillofacial Surgery, Brains Super Speciality Hospital, Bengaluru, Karnataka, India

2. Department of Maxillofacial Surgery, Mathrusri Ramabai Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India

3. Department of Maxillofacial Surgery, AR Academy of Modern Dentistry, Bengaluru, Karnataka, India

Abstract

Abstract Rationale: Chronic protracted temporomandibular joint (TMJ) dislocation refers to a condition that persists for more than one month without reduction. Patient Concerns: A 47-year-old male patient first presented to the Department of Maxillofacial Surgery complaining of the inability to close his mouth for nine months. Diagnosis: Chronic protracted dislocation of the temporomandibular joint. Treatment: An initial conservative approach was attempted to reduce the condyle, which was unsuccessful. As literature suggests, open-joint surgery with eminectomy and condylectomy of bilateral joints was performed. Outcomes and Take-away Lessons: A stagewise treatment is essential for such cases of long-standing TMJ dislocations. A conservative approach is first attempted followed by surgery if the conservative approach is unsuccessful. Postsurgery physiotherapy is essential for a better prognosis.

Publisher

Medknow

Subject

Oral Surgery,Surgery

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