A survey of temporomandibular joint dislocation: aetiology, demographics, risk factors and management in 96 Nigerian cases

Ugboko, V.I.; Oginni, Fadekemi Olufunmilayo; Ajike, SO; Olasoji, H O; Adebayo, Ezekiel Taiwo

doi:10.1016/j.ijom.2004.10.025

Cited by 66 publications

(82 citation statements)

References 12 publications

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“…Most medical textbooks describe the traditional intraoral reduction method for TMJ dislocations. This technique requires a significant amount of force, especially in patients who have strong mastication musculatures for TMJ reduction (3,4,8,9). The traditional intraoral technique requires physicians to place their two thumbs on the molars of the mandible, and then push the mandible in an inferior and posterior direction to reposition the condyle back into the glenoid fossa (3,(8)(9)(10).…”

Section: Discussionmentioning

confidence: 99%

The “Syringe” Technique: A Hands-Free Approach for the Reduction of Acute Nontraumatic Temporomandibular Dislocations in the Emergency Department

Gorchynski

Karabidian

Sánchez

2014

The Journal of Emergency Medicine

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, Abstract-Background: The traditional intraoral manual reduction of temporomandibular joint (TMJ) dislocations is time consuming, difficult, and at times ineffective, and commonly requires conscious sedation. Objectives: We describe a novel technique for the reduction of acute nontraumatic TMJ dislocations in the emergency department (ED). Methods: This study was a prospective convenience sample population during a 3-year period at two university teaching-hospital EDs where acute nontraumatic TMJ dislocations were reduced utilizing our syringe technique. Demographics, mechanism, duration of dislocation, and reduction time were collected. Briefly, the ''syringe'' technique is a hands-free technique that requires a syringe to be placed between the posterior molars as they slide over the syringe to glide the anteriorly displaced condyle back into its normal anatomical position. Procedural sedation or intravenous analgesia is not required. Results: Of the 31 patients, the mean age was 38 years. Thirty patients had a successful reduction (97%). The majority of dislocations were reduced in <1 min (77%). The two most common mechanisms for acute TMJ dislocations were due to chewing (n = 19; 61%) and yawning (n = 8; 29%). There were no recurrent dislocations at 3-day followup. Conclusion: We describe a novel technique for the reduction of the acutely nontraumatic TMJ dislocation in the ED. It is simple, fast, safe, and effective. Ó 2014 Elsevier Inc.

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Section: Discussionmentioning

confidence: 99%

The “Syringe” Technique: A Hands-Free Approach for the Reduction of Acute Nontraumatic Temporomandibular Dislocations in the Emergency Department

Gorchynski

Karabidian

Sánchez

2014

The Journal of Emergency Medicine

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“…In Nigeria, there are considerable data on specific surgical conditions such as facial fractures, [2][3][4] tumors [5][6][7] and other maxillofacial conditions. [8][9][10] However, reports of the overall pattern of presentation to oral and maxillofacial surgical treatment centers in Nigeria are quite few. To date, only one 1 exists to our knowledge.…”

Section: Introductionmentioning

confidence: 99%

Audit of oral and maxillofacial surgical conditions seen at Port Harcourt, Nigeria

2008

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Background:The worldwide pattern of oral and maxillofacial surgical conditions has been rarely reported despite its significance in head and neck medicine. The Niger Delta region comprises 9 of the 36 states in the Federal Republic of Nigeria. There are scanty reports on oral and maxillofacial surgical diseases from the region despite its 95% contribution to Nigeria's oil-revenue. Methods: This retrospective survey of oral/maxillofacial surgical cases seen at a referral center in Port Harcourt, a city in the Niger delta region of Nigeria. Results: Between 2000 and 2004, our center offered specialized maxillofacial surgical services to 86 patients coming from 5 states in the Niger delta region. These patients made up 20% of all patients seen at the department within the period. There were 110 indications for surgical interventions. Most were complaints of trauma (46.4%). The rest were tumors and allied lesions (39.0%) and cysts (12.7%). Ratio of male to female patients was 1.7:1 while patients were aged between 9 and 85years (mean 31.2years, standard deviation ±15.4). Most (n = 63, 73%) had surgical treatment while a significant proportion (19%) defaulted. Seventy -nine surgical procedures were performed (69 primary and 10 secondary). Primary procedures included maxillo-mandibular fixation (31.9%) and enucleation of tumor/cyst (17.4%). While our series of 86 cases over 4years appears low, there is likelihood that oral and maxillofacial surgical conditions are as common in the Niger Delta region as in other parts of Nigeria. There is scarcity of skilled manpower and equipments for the management of oral maxillofacial surgical conditions in the region. Health promotion activities are needed to improve awareness for early diagnosis of these conditions. Also, poverty alleviation measures need to be effective as defaults were often due to inability to pay for treatment. Conclusion: In many parts of the Niger Delta region of Nigeria, oral and maxillofacial surgical diseases are not uncommon causes of morbidity. However, many parts of the region lack requisite manpower for prevention and curative health activities. Defaults from hospital treatment were due to preference for traditional (unorthodox) measures and financial inability. Poverty alleviation measures need to be stepped up while the state of medical infrastructure should be enhanced in the region. Keywords: oral, maxillofacial, diseases, trauma, tumors, cysts, cancerRésumé Introduction: La tendance mondiale de la situation de la chirurgie buccale et maxillo a été rarement signalée en dépit de son importance dans le domaine de médecine de la tête et du cou. La région du Niger Delta comprend 9 des 36 Etats de la République Fédérale du Nigéria. Il y peu de rapports sur la maladie de la chirurgie buccale et maxillo dans la région en dépit de sa 95% contribution au revenu pétrolier du Nigéria.Oral and maxillofacial surgical conditions in Nigeria. Adebayo E. T. et al. Page | 30Méthodes: Cette étude rétrospective des cas d'oral/chirurgie maxillo vus à un cent...

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“…Joint overextension may be caused by yawning, vomiting, screaming, laughing, or during an epileptic seizure. [7] Asymptomatic TMJ disorders in apparently young healthy patient may act as a predisposing factor and partly explain how yawning could trigger off joint dislocation [8].…”

Section: IIImentioning

confidence: 99%

Long Standing Temporomandibular Joint Dislocation: A Case Report

Saikia¹

2014

IOSRJDMS

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A survey of temporomandibular joint dislocation: aetiology, demographics, risk factors and management in 96 Nigerian cases

Cited by 66 publications

References 12 publications

The “Syringe” Technique: A Hands-Free Approach for the Reduction of Acute Nontraumatic Temporomandibular Dislocations in the Emergency Department

The “Syringe” Technique: A Hands-Free Approach for the Reduction of Acute Nontraumatic Temporomandibular Dislocations in the Emergency Department

Audit of oral and maxillofacial surgical conditions seen at Port Harcourt, Nigeria

Long Standing Temporomandibular Joint Dislocation: A Case Report

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