tailieunhanh - Báo cáo y học: "Bilateral temporomandibular joint dislocation in a 29-year-old man: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Bilateral temporomandibular joint dislocation in a 29-year-old man: a case report. | Thangarajah et al. Journal of Medical Case Reports 2010 4 263 http content 4 1 263 JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Bilateral temporomandibular joint dislocation in a 29-year-old man a case report Tanujan Thangarajah1 Neil Mcculloch1 Suthan Thangarajah2 Judith Stocker1 Abstract Introduction A 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 presentation We 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. Conclusion This case highlights the importance of providing the patient with adequate analgesia and sedation when attempting the reduction of temporomandibular joint dislocations. Introduction A dislocation of the temporomandibular joint TMJ represents three percent of all reported dislocated joints 1 . The majority of cases are non-traumatic and are often precipitated by yawning eating dental treatment endoscopy or oral intubation. The diagnosis is confirmed by radiography and immediate closed reduction should be performed 2 . Pivotal to achieving joint reduction is adequate patient analgesia and sedation where appropriate. We present the case of a man with non-traumatic bilateral anterior TMJ dislocation and discuss his management. 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. Although he had no medical problems he did admit to having longstanding clicking of his left TMJ. He was not on any regular medication was a non-smoker and drank alcohol socially. His occupation was as an .