• Annals of plastic surgery · Aug 2009

    Randomized Controlled Trial Comparative Study

    Temporomandibular joint dislocation reduction technique: a new external method vs. the traditional.

    • Mojtaba Mohamadi Ardehali, Ali Kouhi, Ali Meighani, Farshid Mahboubi Rad, and Hamed Emami.
    • Otorhinolaryngology Research Center, Amir-A'lam Hospital, Department of Otolaryngology and Head and Neck Surgery, Tehran University of Medical Sciences, Tehran, Iran.
    • Ann Plast Surg. 2009 Aug 1;63(2):176-8.

    AbstractThe 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 an 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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