Temporomandibular joint dislocation: experiences from Zaria, Nigeria
Identifieur interne : 001682 ( Main/Exploration ); précédent : 001681; suivant : 001683Temporomandibular joint dislocation: experiences from Zaria, Nigeria
Auteurs : Rowland Agbara [Nigeria] ; Benjamin Fomete [Nigeria] ; Athanasius Chukwudi Obiadazie [Nigeria] ; Kelvin Idehen [Nigeria] ; Uche Okeke [Nigeria]Source :
- Journal of the Korean Association of Oral and Maxillofacial Surgeons [ 2234-7550 ] ; 2014.
Abstract
Dislocation of the temporomandibular joint may occur for various reasons. Although different invasive methods have been advocated for its treatment, this study highlights the value of non-invasive treatment options even in chronic cases in a resource-poor environment.
A seven-year retrospective analysis of all patients managed for temporomandibular joint dislocation in our department was undertaken. Patient demographics, risk factors associated with temporomandibular joint dislocation and treatment modalities were retrieved from patient records.
In all, 26 patients were managed over a seven-year period. Males accounted for 62% of the patients, and yawning was the most frequent etiological factor. Conservative treatment methods were used successfully in 86.4% of the patients managed. Two (66.7%) of the three patients who needed surgical treatment developed complications, while only one (5.3%) patient who was managed conservatively developed complications.
Temporomandibular joint dislocation appears to be associated with male sex, middle age, yawning, and low socio-economic status, although these observed relationships were not statistically significant. Non-invasive methods remain an effective treatment option in this environment in view of the low socio-economic status of the patients affected.
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DOI: 10.5125/jkaoms.2014.40.3.111
PubMed: 25045637
PubMed Central: 4095815
Affiliations:
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uniqKey="Idehen K" first="Kelvin" last="Idehen">Kelvin Idehen</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Nigeria</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna</wicri:regionArea><wicri:noRegion>Kaduna</wicri:noRegion></affiliation></author><author><name sortKey="Okeke, Uche" sort="Okeke, Uche" uniqKey="Okeke U" first="Uche" last="Okeke">Uche Okeke</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Nigeria</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, 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type="wicri:doubleKey">2234-7550:2014:Agbara R:temporomandibular:joint:dislocation</idno><idno type="wicri:Area/Main/Merge">001688</idno><idno type="wicri:Area/Main/Curation">001682</idno><idno type="wicri:Area/Main/Exploration">001682</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Temporomandibular joint dislocation: experiences from Zaria, Nigeria</title><author><name sortKey="Agbara, Rowland" sort="Agbara, Rowland" uniqKey="Agbara R" first="Rowland" last="Agbara">Rowland Agbara</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Nigeria</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna</wicri:regionArea><wicri:noRegion>Kaduna</wicri:noRegion></affiliation></author><author><name sortKey="Fomete, Benjamin" sort="Fomete, Benjamin" uniqKey="Fomete B" first="Benjamin" last="Fomete">Benjamin Fomete</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Nigeria</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna</wicri:regionArea><wicri:noRegion>Kaduna</wicri:noRegion></affiliation></author><author><name sortKey="Obiadazie, Athanasius Chukwudi" sort="Obiadazie, Athanasius Chukwudi" uniqKey="Obiadazie A" first="Athanasius Chukwudi" last="Obiadazie">Athanasius Chukwudi Obiadazie</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Nigeria</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna</wicri:regionArea><wicri:noRegion>Kaduna</wicri:noRegion></affiliation></author><author><name sortKey="Idehen, Kelvin" sort="Idehen, Kelvin" uniqKey="Idehen K" first="Kelvin" last="Idehen">Kelvin Idehen</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Nigeria</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna</wicri:regionArea><wicri:noRegion>Kaduna</wicri:noRegion></affiliation></author><author><name sortKey="Okeke, Uche" sort="Okeke, Uche" uniqKey="Okeke U" first="Uche" last="Okeke">Uche Okeke</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Nigeria</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna</wicri:regionArea><wicri:noRegion>Kaduna</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of the Korean Association of Oral and Maxillofacial Surgeons</title><idno type="ISSN">2234-7550</idno><idno type="eISSN">2234-5930</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>Dislocation of the temporomandibular joint may occur for various reasons. Although different invasive methods have been advocated for its treatment, this study highlights the value of non-invasive treatment options even in chronic cases in a resource-poor environment.</p></sec><sec><title>Materials and Methods</title><p>A seven-year retrospective analysis of all patients managed for temporomandibular joint dislocation in our department was undertaken. Patient demographics, risk factors associated with temporomandibular joint dislocation and treatment modalities were retrieved from patient records.</p></sec><sec><title>Results</title><p>In all, 26 patients were managed over a seven-year period. Males accounted for 62% of the patients, and yawning was the most frequent etiological factor. Conservative treatment methods were used successfully in 86.4% of the patients managed. Two (66.7%) of the three patients who needed surgical treatment developed complications, while only one (5.3%) patient who was managed conservatively developed complications.</p></sec><sec><title>Conclusion</title><p>Temporomandibular joint dislocation appears to be associated with male sex, middle age, yawning, and low socio-economic status, although these observed relationships were not statistically significant. Non-invasive methods remain an effective treatment option in this environment in view of the low socio-economic status of the patients affected.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Last, Rj" uniqKey="Last R">RJ Last</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Osborn, Jw" uniqKey="Osborn J">JW Osborn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koolstra, Jh" uniqKey="Koolstra J">JH Koolstra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ingawale, S" uniqKey="Ingawale S">S Ingawalé</name></author><author><name sortKey="Goswami, T" uniqKey="Goswami T">T Goswami</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caminiti, Mf" uniqKey="Caminiti M">MF Caminiti</name></author><author><name sortKey="Weinberg, S" uniqKey="Weinberg S">S 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Chukwudi" last="Obiadazie">Athanasius Chukwudi Obiadazie</name><name sortKey="Okeke, Uche" sort="Okeke, Uche" uniqKey="Okeke U" first="Uche" last="Okeke">Uche Okeke</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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