Temporomandibular joint dislocation: experiences from Zaria, Nigeria
Identifieur interne : 003221 ( Pmc/Curation ); précédent : 003220; suivant : 003222Temporomandibular 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.
Url:
DOI: 10.5125/jkaoms.2014.40.3.111
PubMed: 25045637
PubMed Central: 4095815
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<author><name sortKey="Fomete, Benjamin" sort="Fomete, Benjamin" uniqKey="Fomete B" first="Benjamin" last="Fomete">Benjamin Fomete</name>
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<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>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Korean Assoc Oral Maxillofac Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">J Korean Assoc Oral Maxillofac Surg</journal-id>
<journal-id journal-id-type="publisher-id">JKAOMS</journal-id>
<journal-title-group><journal-title>Journal of the Korean Association of Oral and Maxillofacial Surgeons</journal-title>
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<issn pub-type="ppub">2234-7550</issn>
<issn pub-type="epub">2234-5930</issn>
<publisher><publisher-name>The Korean Association of Oral and Maxillofacial Surgeons</publisher-name>
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<article-meta><article-id pub-id-type="pmid">25045637</article-id>
<article-id pub-id-type="pmc">4095815</article-id>
<article-id pub-id-type="doi">10.5125/jkaoms.2014.40.3.111</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Temporomandibular joint dislocation: experiences from Zaria, Nigeria</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Agbara</surname>
<given-names>Rowland</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fomete</surname>
<given-names>Benjamin</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Obiadazie</surname>
<given-names>Athanasius Chukwudi</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Idehen</surname>
<given-names>Kelvin</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Okeke</surname>
<given-names>Uche</given-names>
</name>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna, Nigeria.</aff>
<author-notes><corresp>Corresponding author: Rowland Agbara. Department of Oral and Maxillofacial Surgery, Ahmadu Bello University Teaching Hospital, Shika-Zaria, Kaduna state, Nigeria. TEL: +234-803-4627811, <email>row_prof@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>6</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>27</day>
<month>6</month>
<year>2014</year>
</pub-date>
<volume>40</volume>
<issue>3</issue>
<fpage>111</fpage>
<lpage>116</lpage>
<history><date date-type="received"><day>15</day>
<month>3</month>
<year>2014</year>
</date>
<date date-type="rev-recd"><day>03</day>
<month>5</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>02</day>
<month>6</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Temporomandibular joint</kwd>
<kwd>Dislocations</kwd>
<kwd>Yawning</kwd>
<kwd>Zaria</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label>
<caption><p>Sex distribution of patients in the study.</p>
</caption>
<graphic xlink:href="jkaoms-40-111-g001"></graphic>
</fig>
<fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label>
<caption><p>Class III malocclusion following bilateral temporomandibular joint dislocation.</p>
</caption>
<graphic xlink:href="jkaoms-40-111-g002"></graphic>
</fig>
<fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label>
<caption><p>Treatment type used in the management of patients. (IMF: intermaxillary fixation, VSSO: vertical subsigmoid osteotomy, BBT: bite block traction)</p>
</caption>
<graphic xlink:href="jkaoms-40-111-g003"></graphic>
</fig>
<fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label>
<caption><p>Bite block traction for reduction of bilateral temporomandibular joint dislocation.</p>
</caption>
<graphic xlink:href="jkaoms-40-111-g004"></graphic>
</fig>
<fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label>
<caption><p>Anesthetic technique used in treatment of patients. (GA: general anesthesia, LA: local anesthesia, IV: intravenous)</p>
</caption>
<graphic xlink:href="jkaoms-40-111-g005"></graphic>
</fig>
<fig id="F6" orientation="portrait" position="float"><label>Fig. 6</label>
<caption><p>Restoration of normal occlusion following bite block traction. Note the upper lip injury from wire trauma.</p>
</caption>
<graphic xlink:href="jkaoms-40-111-g006"></graphic>
</fig>
<table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label>
<caption><p>Parameters for each patient in the study</p>
</caption>
<graphic xlink:href="jkaoms-40-111-i001"></graphic>
</table-wrap>
</floats-group>
</pmc>
</record>
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