The study of combined unilateral intraoral and extraoral reduction approach in the treatment of anterior temporomandibular joint dislocation

doi:10.7518/hxkq.2019.03.013

Abstract

Abstract:

Objective To observe the clinical outcomes of a combined unilateral intraoral and extraoral reduction approach in the treatment of anterior temporomandibular joint (TMJ) dislocation. Methods Postural muscular chains were utilized in the biomechanical analysis of stomatognathic systems for improving TMJ repositioning approaches. A total of 87 patients with anterior TMJ dislocation were included in the present study. A combined unilateral intraoral and extraoral reduction approach was applied, and the clinical effects were evaluated. Results Biomechanical analysis reveal that reflexive contraction of the maxillary muscle group was blocked sufficiently during the combined unilateral intraoral and extraoral reduction process. All dislocated TMJs were set successfully and efficiently with few complications. Conclusion Combined unilateral intraoral and extraoral reduction approach is an effective, convenient, and minimally invasive way to treat anterior TMJ dislocations.

Key words: biomechanics, temporomandibular joint, anterior dislocation, reduction

CLC Number:

R782.6 ⁺2

Tingting Ma,Yong Song,Junlin Wang,Yanjie Liu,Yucong Chen,Hujie He,Bohao Wang. The study of combined unilateral intraoral and extraoral reduction approach in the treatment of anterior temporomandibular joint dislocation[J]. West China Journal of Stomatology, 2019, 37(3): 295-298.

Figures/Tables 2

References 14

[1]	Akinbami BO . Evaluation of the mechanism and principles of management of temporomandibular joint dislocation. Systematic review of literature and a proposed new classification of temporomandibular joint dislocation[J]. Head Face Med, 2011,7:10.
[2]	Ardehali MM, Tari N, Bastaninejad SH , et al. Comparison of different approaches to the reduction of anterior temporomandibular joint dislocation: a randomized clinical trial[J]. Int J Oral Maxillofac Surg, 2016,45(8):1009-1014. doi: 10.1016/j.ijom.2016.04.015 URL
[3]	皮昕, 王美青, 何三纲 . 口腔解剖生理学[M]. 7版. 北京: 人民卫生出版社, 2012: 139-143.
	Pi X, Wang MQ, He SG. Oral anatomy and physiology[M]. 7th ed. Beijing: People’s Medical Publishing House, 2012: 139-143.
[4]	张志愿, 俞光岩 . 口腔颌面外科学[M]. 7版. 北京: 人民卫生出版社, 2012: 388-390.
	Zhang ZY, Yu GY. Oral and maxillofacial surgery[M]. 7th ed. Beijing: People’s Medical Publishing House, 2012: 388-390.
[5]	Liddell A, Perez DE . Temporomandibular joint dislocation[J]. Oral Maxillofac Surg Clin North Am, 2015,27(1):125-136. doi: 10.1016/j.coms.2014.09.009 URL
[6]	Chen YC, Chen CT, Lin CH , et al. A safe and effective way for reduction of temporomandibular joint dislocation[J]. Ann Plast Surg, 2007,58(1):105-108. doi: 10.1097/01.sap.0000232981.40497.32 URL
[7]	Ardehali MM, Kouhi A, Meighani A , et al. Temporomandibular joint dislocation reduction technique: a new external method vs. the traditional[J]. Ann Plast Surg, 2009,63(2):176-178. doi: 10.1097/SAP.0b013e31818937aa URL
[8]	Cheng D . Unified hands technique for mandibular dislocation[J]. J Emerg Med, 2010,38(3):366-367. doi: 10.1016/j.jemermed.2008.12.022 URL
[9]	Gorchynski J, Karabidian E, Sanchez M . The “syringe” technique: a hands-free approach for the reduction of acute nontraumatic temporomandibular dislocations in the emergency department[J]. J Emerg Med, 2014,47(6):676-681. doi: 10.1016/j.jemermed.2014.06.050 URL
[10]	Xu JT, Dong ST, Zhou HH , et al. The supine position technique method is better than the conventional method for manual reduction of acute nontraumatic temporomandibular joint dislocation[J]. J Craniofac Surg, 2016,27(4):919-922. doi: 10.1097/SCS.0000000000002645 URL
[11]	Forshaw RJ . Reduction of temporomandibular joint dislocation: an ancient technique that has stood the test of time[J]. Br Dent J, 2015,218(12):691-693.
[12]	Prechel U, Ottl P, Ahlers OM , et al. The treatment of temporomandibular joint dislocation[J]. Dtsch Arztebl Int, 2018,115(5):59-64.
[13]	Shun TAT, Wai WT, Chiu LC . A case series of closed reduction for acute temporomandibular joint dislocation by a new approach[J]. Eur J Emerg Med, 2006,13(2):72-75. doi: 10.1097/01.mej.0000192046.19977.5a URL
[14]	Yeşiloğlu N, Sarici M, Şirinoğlu H , et al. The lever technique for the external reduction of temporomandibular joint dislocation[J]. J Plast Reconstr Aesthet Surg, 2015,68(1):123-125. doi: 10.1016/j.bjps.2014.08.052 URL

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