4.2 Article

Temporomandibular Joint Dislocation Reduction Technique A New External Method vs. the Traditional

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ANNALS OF PLASTIC SURGERY
卷 63, 期 2, 页码 176-178

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SAP.0b013e31818937aa

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temporomandibular joint; reduction; extraoral approach; TMJ dislocation

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The traditional intraoral approach for temporomandibular joint dislocations reduction, although effective, has some disadvantages. Here, a new extraoral approach is described. This Study was performed to evaluate this new method's success rate. Patients visiting all emergency room were randomly allocated to 2 groups; one group was reduced with the extraoral approach and the other with the intraoral method. Among 29 attempts with the conventional method, 25 were successful (86.2%; 95% confidence interval: 73-100) and among 29 attempts with the external method, 16 were successful (55.2%; 95% confidence interval: 39-79). This difference was statistically significant. Because of the benefits of the external approach, such as avoiding hand bites and disease transfer, it can be a reasonable choice to reduce a dislocated temporomandibular joint.

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