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一名29岁男性双侧颞下颌关节脱位:病例报告

Bilateral temporomandibular joint dislocation in a 29-year-old man: a case report.

作者信息

Thangarajah Tanujan, McCulloch Neil, Thangarajah Suthan, Stocker Judith

机构信息

University Hospital Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.

出版信息

J Med Case Rep. 2010 Aug 10;4:263. doi: 10.1186/1752-1947-4-263.

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.

摘要

引言

颞下颌关节脱位占所有报告的关节脱位的3%。治疗需要纠正畸形,这通常可在病房环境中完成。

病例介绍

我们报告一例29岁白种男性非创伤性双侧颞下颌关节前脱位的病例。由于患者镇痛和镇静不足,多次尝试复位均未成功,最后不得不在手术室对患者实施全身麻醉后进行关节复位。

结论

该病例突出了在尝试复位颞下颌关节脱位时为患者提供充分镇痛和镇静的重要性。

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本文引用的文献

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Posterior dislocation in intact mandibular condyle: an unusual case.完整下颌骨髁突后脱位:不常见病例。
Int J Oral Maxillofac Surg. 2010 Jan;39(1):89-91. doi: 10.1016/j.ijom.2009.07.061. Epub 2009 Oct 4.
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Closed reduction of a temporomandibular joint dislocation: is this possible with regional anesthesia?
Paediatr Anaesth. 2008 Dec;18(12):1269-70. doi: 10.1111/j.1460-9592.2008.02790.x.
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Temporomandibular joint dislocation after laryngeal mask airway insertion.
Acta Anaesthesiol Taiwan. 2008 Jun;46(2):82-5. doi: 10.1016/S1875-4597(08)60032-6.
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TMJ dislocation.
Br Dent J. 2008 Feb 23;204(4):170-1. doi: 10.1038/bdj.2008.112.
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Bilateral temporomandibular joint dislocation after PEG tube placement.
Gastrointest Endosc. 2004 Jan;59(1):146-7. doi: 10.1016/s0016-5107(03)02362-9.

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