Bilateral Dislocation of the Temporomandibular Joint in Children
| Autor: | Roman Hossein Khonsari, Diane O'Hana, Ludovic Sicard, Abdelkhaled Kaddour Brahim |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Sedation medicine.medical_treatment Conscious Sedation Joint Dislocations Anesthesia General 03 medical and health sciences 0302 clinical medicine stomatognathic system Recurrence medicine Extraoral Traction Appliances Humans Joint dislocation Reduction (orthopedic surgery) business.industry Infant 030206 dentistry Temporomandibular Joint Disorders medicine.disease Temporomandibular joint stomatognathic diseases Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Orthodontic headgear Child Preschool Female Surgery Oral Surgery medicine.symptom Tomography X-Ray Computed business 030217 neurology & neurosurgery Bandage |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 76:2307-2315 |
| ISSN: | 0278-2391 |
| DOI: | 10.1016/j.joms.2018.04.004 |
| Popis: | Purpose Bilateral nontraumatic temporomandibular joint (TMJ) dislocation is an acute situation that can lead to a chronic and recurrent condition. Few pediatric cases have been reported in the literature and no standardized care protocol has been established to date. Materials and Methods Two cases of chronic bilateral dislocation of the TMJ in young children are reported and their medical management is discussed based on data from the literature. Results A 26 months-old child and a 19-months old child were included. Both had chronic bilateral TMJ dislocation managed using a combination of reduction under nitrous oxide sedation, reduction under general anesthesia, chin-to-vertex bandage and orthodontic headgear. Conclusion TMJ dislocations in children raise specific concerns such as the need for screening for underlying congenital disorders of connective tissues. Furthermore, surgical options in children are very limited. The authors propose a standardized management protocol for recurrent joint dislocation in pediatric populations based on 2 new cases and data from the literature. |
| Databáze: | OpenAIRE |
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