Introduction: Temporomandibular joint (TMJ) dislocation demonstrate a displacement of the mandibular condyle from it functional position within the glenoid fossa and articular eminence. TMJ dislocation is an acute episode can be transformed into chronic dislocation after multiple repeated episodes. Oral surgeon is frequently called for the management of recurrent TMJ dislocation in adults. In pediatric population, TMJ dislocation sometimes caused by trauma or other than trauma related to wide opening of the mouth during vomiting, yawning and dental procedures considerably under general anesthesia.
Case Report: A 3-year-old baby girl came to Emergency department with a complained of open mouth from last 6 hours. Initial examination done and patient send for CT-Scan. CT-Scan report shows an asymmetric soft tissue density in retropharyngeal area at the level of C1 and C2, showing more bulk on right side. Some subtle radiolucencies are also identified within it. Possibility of a low-density foreign body or retropharyngeal abscess cannot be entirely excluded. A quick examination under anesthesia (EUA) was performed to relieve the patient from the abcess/growth. During EUA, they couldnt find any growth or collection or pus. The patient was send to Oral and Maxillofacial surgeon, on initial checkup dislocated jaw was diagnosed. Planed reduction of Jaw dislocation on chair side, was achieved by digital manipulation with little force and jaw secured with Bartons bandage to prevent further form repeated dislocation. The pediatrician had continued tablet beclofen for 6 months.
Key words: Temporomandibular Joint (TMJ), Recurrent dislocation, paediatric
|
