Navaneetham Romir, Navaneetham Anuradha, Pugazhendi Satish Kumaran, Nara Gnapika, Umarani Priyanka Jagadish
Department of Maxillofacial Surgery, Brains Super Speciality Hospital, Bengaluru, Karnataka, India.
Department of Maxillofacial Surgery, Mathrusri Ramabai Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.
Ann Maxillofac Surg. 2023 Jan-Jun;13(1):130-132. doi: 10.4103/ams.ams_40_23. Epub 2023 Aug 2.
Chronic protracted temporomandibular joint (TMJ) dislocation refers to a condition that persists for more than one month without reduction.
A 47-year-old male patient first presented to the Department of Maxillofacial Surgery complaining of the inability to close his mouth for nine months.
Chronic protracted dislocation of the temporomandibular joint.
An initial conservative approach was attempted to reduce the condyle, which was unsuccessful. As literature suggests, open-joint surgery with eminectomy and condylectomy of bilateral joints was performed.
OUTCOMES AND TAKE-AWAY LESSONS: A stagewise treatment is essential for such cases of long-standing TMJ dislocations. A conservative approach is first attempted followed by surgery if the conservative approach is unsuccessful. Postsurgery physiotherapy is essential for a better prognosis.
慢性迁延性颞下颌关节(TMJ)脱位是指持续一个月以上未复位的情况。
一名47岁男性患者首次到颌面外科就诊,主诉无法闭口九个月。
颞下颌关节慢性迁延性脱位。
最初尝试采用保守方法复位髁突,但未成功。正如文献所建议的,对双侧关节进行了开放性关节手术,包括颞骨切除术和髁突切除术。
对于这种长期TMJ脱位的病例,分阶段治疗至关重要。首先尝试保守方法,若保守方法失败则进行手术。术后物理治疗对于更好的预后至关重要。