Cheng David
Department of Emergency Medicine, University Hospital, Hackettstown, New Jersey, USA.
J Emerg Med. 2010 Apr;38(3):366-7. doi: 10.1016/j.jemermed.2008.12.022. Epub 2009 Mar 20.
The conventional approach to mandibular dislocation involves intraoral bilateral inferior-posterior downward force on the patient's molar occlusal surfaces.
DISCUSSION/TECHNIQUE: The unified hands technique is a new method for reducing a mandibular dislocation. The technique involves intraoral unilateral application of both hands on the side of the dislocated mandible. This maneuver was successful in reducing a mandibular dislocation refractory to the traditional method of intraoral bilateral inferior-posterior downward force on the patient's molar occlusal surface.
The technique described may be useful for the emergent reduction of mandibular dislocations when traditional methods fail.
下颌脱位的传统治疗方法是在患者磨牙咬合面上进行口内双侧后下方向的用力。
讨论/技术:双手统一技术是一种复位下颌脱位的新方法。该技术是在脱位下颌侧进行口内双手单侧应用。这种手法成功地复位了对传统的在患者磨牙咬合面进行口内双侧后下方向用力方法难治的下颌脱位。
当传统方法失败时,所描述的技术可能有助于下颌脱位的紧急复位。