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

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...

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Autores principales: Papoutsis, Giorgos, Papoutsi, Sylvana, Klukowska-Rötzler, Jolanta, Schaller, Benoît, Exadaktylos, Aristomenis K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214416/
https://www.ncbi.nlm.nih.gov/pubmed/30464655
http://dx.doi.org/10.2147/OAEM.S174116
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author Papoutsis, Giorgos
Papoutsi, Sylvana
Klukowska-Rötzler, Jolanta
Schaller, Benoît
Exadaktylos, Aristomenis K
author_facet Papoutsis, Giorgos
Papoutsi, Sylvana
Klukowska-Rötzler, Jolanta
Schaller, Benoît
Exadaktylos, Aristomenis K
author_sort Papoutsis, Giorgos
collection PubMed
description 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.
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spelling pubmed-62144162018-11-21 Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department Papoutsis, Giorgos Papoutsi, Sylvana Klukowska-Rötzler, Jolanta Schaller, Benoît Exadaktylos, Aristomenis K Open Access Emerg Med Review 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. Dove Medical Press 2018-10-30 /pmc/articles/PMC6214416/ /pubmed/30464655 http://dx.doi.org/10.2147/OAEM.S174116 Text en © 2018 Papoutsis et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Papoutsis, Giorgos
Papoutsi, Sylvana
Klukowska-Rötzler, Jolanta
Schaller, Benoît
Exadaktylos, Aristomenis K
Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department
title Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department
title_full Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department
title_fullStr Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department
title_full_unstemmed Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department
title_short Temporomandibular joint dislocation: a retrospective study from a Swiss urban emergency department
title_sort temporomandibular joint dislocation: a retrospective study from a swiss urban emergency department
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214416/
https://www.ncbi.nlm.nih.gov/pubmed/30464655
http://dx.doi.org/10.2147/OAEM.S174116
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