전신마취하에 도수정복된 측두하악관절 장기탈구
Manual Reduction of Temporomandibular Joint Long-standing Dislocation under General Anesthesia
손정석, 오지현, 최병호, 유재하,
소속 상세정보
손정석 ( Son Jeong-Seog ) - 연세대학교 치과대학 구강악안면외과학교실
오지현 ( Oh Ji-Hyeon ) - 연세대학교 치과대학 구강악안면외과학교실
최병호 ( Choi Byung-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 구강악안면외과학교실
KMID : 0980220130130030121
Abstract
Temporomandibular joint (TMJ) dislocation is an acute paintful condition that causes severe functional limitation. So, manual reduction is the treatment of choice and should be performed as early as possible. Long-term dislocation of the TMJ that has persisted for more than 1 month is comparatively rare. This may include severe illness, neurological diseases and prolonged intensive care hospitalization with oral intubation and sedation. A joint that remains prolonged dislocated undergoes morphological change which is also true for periarticular tissue, especially in ligaments and muscles. Treatment of long-term TMJ dislocation should be different from acute TMJ dislocation, as simple reduction is difficult to achieve and it’s likely to redislocate. The prevention of redislocation after reduction should be considered. This is a case report of about manual reduction of temporomandibular joint long-standing dislocation under general anesthesia.
키워드
General anesthesia; Manual reduction; TMJ dislocation
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