Journal title
عنوان نشریه
Journal of Dentomaxillofacial
Literature & Humanities
http://3dj.gums.ac.ir
1
admin
doi
en
jalali
1393
7
1
gregorian
2014
10
1
3
2
online
1
fulltext
en
Unilateral Temporomandibular Joint Dislocation after Jaw Thrust Maneuver
So on
So on
پژوهشي
Original article
<p>A 25-yr-old Iranian woman with incomplete abortion who was diagnosed and scheduled for dilatation and curettage procedures under general anesthesia. After premedication with Fentanyl 50µg and midazolam 2mg and enough pre-oxygenation, anesthesia was induced by sodium thiopental 250 mg and succynilcholine 60 mg with mask ventilation. After completion of procedure, the patient had a period of laryngospasm that we had to maneuvered head tilt and jaw thrust to insert an oral airway for effective ventilation. It was noted that the patient mouth was persistently open about 2 cm after removing of oral airway as the patients chin deviated to the left side. On palpation the right temporomandibular joint (TMJ) could be felt below the zygomatic arch and a diagnosis of unilateral mandibular dislocation was made. To confirm diagnosis plain radiography (anterior posterior skull projection) was immediately taken. TMJ dislocation was reduced by the anesthesiologist that placed his thumbs near the mandibular posterior teeth with his finger .Jaw dislocation after general anesthesia should be consider as an emergency situation that be harmful for the patients so everybody who work in the airway management must be alert to this complication .Actually, know to treat it.</p>
Temporomandibular ,Joint dislocations,General anesthesia ,Jaw trust
29
32
http://3dj.gums.ac.ir/browse.php?a_code=A-10-1-53&slc_lang=en&sid=1
Ali
mohammadzadeh jouryabi
No
Department of Anesthesiology , Guilan University of Medical Sciences, medical School, Rasht, Iran
Ali
khalighi sigaroudi
No
Department of Oral And Maxillofacial Surgery, Guilan University of Medical Sciences, medical School, Rasht, Iran
mohammad
haghighi
Yes
Department of Anesthesiology , Guilan University of Medical Sciences, medical School, Rasht, Iran.
Abbas
Sedighinejad
No
Department of Anesthesiology , Guilan University of Medical Sciences, medical School, Rasht, Iran.
Bahram
naderi nabi
No
Department of Anesthesiology , Guilan University of Medical Sciences, medical School, Rasht, Iran
samaneh
ghazanfar tehran
No
Department of Anesthesiology , Guilan University of Medical Sciences, medical School, Rasht, Iran.
nasim
ashoori saheli
No
Department of Anesthesiology , Guilan University of Medical Sciences, medical School, Rasht, Iran.