Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department.

Papoutsis, Giorgos; Papoutsi, Sylvana; Klukowska-Rötzler, Jolanta; Schaller, Benoît; Exadaktylos, Aristomenis (2018). Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department. Open access emergency medicine, 10, pp. 171-176. Dove Medical Press 10.2147/OAEM.S174116

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Purpose Temporomandibular joint (TMJ) dislocation is an uncommon and debilitating condition of the facial skeleton. The condition may be traumatic or nontraumatic, in an acute or chronic form, and with bilateral or monolateral expression. Patients and methods In this study, conducted from May 2012 to July 2016, we retrospectively analyzed TMJ dislocations treated in the Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, by focusing on the following parameters: age, gender, reason, localization, frequency, and therapy. Results Thirty-two patients were included. The mean age was 42.06 years and there was no predominant gender. Most cases of TMJ dislocation were nontraumatic (93.7%). Dislocations were mostly bilateral (59.4%) and appeared in a chronic situation and with repetitive events (62.5%). Thirty-one patients received conservative treatment, which consists of reposition of the TMJ with (38.7%) or without (61.3%) analgosedation. Only one patient needed surgical reposition due to previous surgical treatment. Conclusion This is the first attempt to evaluate TMJ dislocations in Switzerland in an acute hospital setting. To our knowledge, there are no other studies that systematically analyze these injuries by focusing on the patients' characteristics. Surgical reposition is only indicated in complicated and very rare situations. Conservative approaches are commonly used and should be exhausted before any surgery.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Schädel-, Kiefer- und Gesichtschirurgie
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DBMR Forschung Mu35 > Forschungsgruppe Schädel-, Kiefer- und Gesichtschirurgie

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery

UniBE Contributor:

Klukowska-Rötzler, Jolanta; Schaller, Benoît and Exadaktylos, Aristomenis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1179-1500

Publisher:

Dove Medical Press

Language:

English

Submitter:

Caroline Dominique Zürcher

Date Deposited:

20 Feb 2019 17:43

Last Modified:

20 Feb 2019 17:44

Publisher DOI:

10.2147/OAEM.S174116

PubMed ID:

30464655

Uncontrolled Keywords:

dislocations emergency medicine temporomandibular joint

BORIS DOI:

10.7892/boris.123929

URI:

https://boris.unibe.ch/id/eprint/123929

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