Jaisani Mehul R, Pradhan Leeza, Sagtani Alok
Department of OMFS, College of Dental Surgery, B P Koirala Institute of Health Science, Dharan, Nepal.
J Maxillofac Oral Surg. 2015 Jun;14(2):470-1. doi: 10.1007/s12663-013-0505-8. Epub 2013 Mar 27.
Dislocation of the temporomandibular joint represents 3 % of all reported dislocated joints. In the last 3 decades many cases of TMJ dislocation have been reported with a wide variety of treatment options ranging from non-surgical conservative approaches to open joint procedures. The question remains whether one method is superior to the others. Conservative treatments are still the option in this part of the continent due to financial constraints and as well as due to availability of skilled manpower. A variety of conservative techniques have been described for reducing dislocations, all of which require 10-14 days of immobilization of the jaw post reduction so as to prevent further episodes of dislocation. Immobilization of the jaw can be done in the form of barrel bandage, barton bandage, head chin cap or maxillomandibular fixation using arch bars. We suggest the use of a cervical collar as a form of post reduction immobilization technique to overcome the inherent disadvantages of conventional forms of immobilization techniques.
颞下颌关节脱位占所有报告的关节脱位病例的3%。在过去30年里，有许多颞下颌关节脱位的病例报告，治疗选择多种多样，从非手术保守方法到开放性关节手术。问题仍然是一种方法是否优于其他方法。由于经济限制以及熟练人力的可用性，保守治疗在该大陆的这一地区仍然是选择。已经描述了多种用于复位脱位的保守技术，所有这些技术在复位后都需要将颌骨固定10 - 14天，以防止进一步脱位。颌骨固定可以采用桶状绷带、巴顿绷带、头下巴帽或使用牙弓夹板进行颌间固定的形式。我们建议使用颈托作为复位后固定技术的一种形式，以克服传统固定技术固有的缺点。
