Single Injection of Twin Nerve Block in Longstanding Unilateral Temporomandibular Joint Dislocation: A Novel Technique
A Novel Technique
,
Abstract
Unilateral temporomandibular joint (TMJ) dislocation is a rare condition often triggered by yawning, vomiting, or other activities involving wide opening of the mouth, resulting from the forward movement of the condylar head. This case report highlights a longstanding unilateral TMJ dislocation managed by the single injection of local anesthetics into the deep temporal and masseteric nerve peripheries, alleviating muscle spasm and pain to restore TMJ function.
1. Cohen L, Kim DJ. New facial asymmetry: a case of unilateral temporomandibular joint dislocation. J Emerg Med. 2014 Jul;47(1):e11-3.
2. Huang IY, Chen CM, Kao YH, Chen CM, Wu CW. Management of long-standing mandibular dislocation. Int J Oral Maxillofac Surg. 2011 Aug;40(8):810-4.
3. Ugboko VI, Oginni FO, Ajike SO, Olasoji HO, Adebayo ET. A survey of temporomandibular joint dislocation: aetiology, demographics, risk factors and management in 96 Nigerian cases. Int J Oral Maxillofac Surg. 2005 Jul;34(5):499-502.
4. Young AL, Khan J, Thomas DC, Quek SY. Use of masseteric and deep temporal nerve blocks for reduction of mandibular dislocation. Anesth Prog. 2009 Spring;56(1):9-13.
5. Laskin DM, Greene CS, Hylander WL. TMDs: An Evidence-Based Approach to Diagnosis and Treatment. Chicago: Quintessence; 2006. p. 415.
6. Lee SH, Son SI, Park JH, Park IS, Nam JH. Reduction of prolonged bilateral temporomandibular joint dislocation by midline mandibulotomy. Int J Oral Maxillofac Surg. 2006 Nov;35(11):1054-6.
7. Quek S, Young A, Subramanian G. The twin block: a simple technique to block both the masseteric and the anterior deep temporal nerves with one anesthetic injection. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Sep;118(3):e65-7.
8. Sang LK, Mulupi E, Akama MK, Muriithi JM, Macigo FG, Chindia ML. Temporomandibular joint dislocation in Nairobi. East Afr Med J. 2010 Jan;87(1):32-7.
9. Akinbami BO. Evaluation of the mechanism and principles of management of temporomandibular joint dislocation. Systematic review of literature and a proposed new classification of temporomandibular joint dislocation. Head Face Med. 2011 Jun 15;7:10.
10. Sia SL, Chang YL, Lee TM, Lai YY. Temporomandibular joint dislocation after laryngeal mask airway insertion. Acta Anaesthesiol Taiwan. 2008 Jun;46(2):82-5.
11. Rosemore J, Nikoomanesh P, Lacy BE. Bilateral temporomandibular joint dislocation after PEG tube placement. Gastrointest Endosc. 2004 Jan;59(1):146-7.
12. Nusrath MA, Adams JR, Farr DR, Bryant DG. TMJ dislocation. Br Dent J. 2008 Feb 23;204(4):170-1. doi: 10.1038/bdj.2008.112.
13. Hsiung CP, Suresh S. Closed reduction of a temporomandibular joint dislocation: is this possible with regional anesthesia? Paediatr Anaesth. 2008 Dec;18(12):1269-70.
14 Thomaidis V, Tsoucalas G, Fiska A. The Hippocratic Method for the Reduction of the Mandibular Dislocation, an Ancient Greek Procedure Still in Use in Maxillofacial Surgery. Acta Med Acad. 2018 May;47(1):139-143.
15 Yurino M. New method for reduction of acute anterior dislocation of the mandible. J Oral Maxillofac Surg. 1983 Nov;41(11):751. doi: 10.1016/0278-2391(83)90194-5.
16 WARRAICH RA. TREATMENT OF TMJ RECURRENT DISLOCATION THROUGH EMINECTOMY—A STUDY. Pakistan Oral & Dental Journal.;28(1).
2. Huang IY, Chen CM, Kao YH, Chen CM, Wu CW. Management of long-standing mandibular dislocation. Int J Oral Maxillofac Surg. 2011 Aug;40(8):810-4.
3. Ugboko VI, Oginni FO, Ajike SO, Olasoji HO, Adebayo ET. A survey of temporomandibular joint dislocation: aetiology, demographics, risk factors and management in 96 Nigerian cases. Int J Oral Maxillofac Surg. 2005 Jul;34(5):499-502.
4. Young AL, Khan J, Thomas DC, Quek SY. Use of masseteric and deep temporal nerve blocks for reduction of mandibular dislocation. Anesth Prog. 2009 Spring;56(1):9-13.
5. Laskin DM, Greene CS, Hylander WL. TMDs: An Evidence-Based Approach to Diagnosis and Treatment. Chicago: Quintessence; 2006. p. 415.
6. Lee SH, Son SI, Park JH, Park IS, Nam JH. Reduction of prolonged bilateral temporomandibular joint dislocation by midline mandibulotomy. Int J Oral Maxillofac Surg. 2006 Nov;35(11):1054-6.
7. Quek S, Young A, Subramanian G. The twin block: a simple technique to block both the masseteric and the anterior deep temporal nerves with one anesthetic injection. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Sep;118(3):e65-7.
8. Sang LK, Mulupi E, Akama MK, Muriithi JM, Macigo FG, Chindia ML. Temporomandibular joint dislocation in Nairobi. East Afr Med J. 2010 Jan;87(1):32-7.
9. Akinbami BO. Evaluation of the mechanism and principles of management of temporomandibular joint dislocation. Systematic review of literature and a proposed new classification of temporomandibular joint dislocation. Head Face Med. 2011 Jun 15;7:10.
10. Sia SL, Chang YL, Lee TM, Lai YY. Temporomandibular joint dislocation after laryngeal mask airway insertion. Acta Anaesthesiol Taiwan. 2008 Jun;46(2):82-5.
11. Rosemore J, Nikoomanesh P, Lacy BE. Bilateral temporomandibular joint dislocation after PEG tube placement. Gastrointest Endosc. 2004 Jan;59(1):146-7.
12. Nusrath MA, Adams JR, Farr DR, Bryant DG. TMJ dislocation. Br Dent J. 2008 Feb 23;204(4):170-1. doi: 10.1038/bdj.2008.112.
13. Hsiung CP, Suresh S. Closed reduction of a temporomandibular joint dislocation: is this possible with regional anesthesia? Paediatr Anaesth. 2008 Dec;18(12):1269-70.
14 Thomaidis V, Tsoucalas G, Fiska A. The Hippocratic Method for the Reduction of the Mandibular Dislocation, an Ancient Greek Procedure Still in Use in Maxillofacial Surgery. Acta Med Acad. 2018 May;47(1):139-143.
15 Yurino M. New method for reduction of acute anterior dislocation of the mandible. J Oral Maxillofac Surg. 1983 Nov;41(11):751. doi: 10.1016/0278-2391(83)90194-5.
16 WARRAICH RA. TREATMENT OF TMJ RECURRENT DISLOCATION THROUGH EMINECTOMY—A STUDY. Pakistan Oral & Dental Journal.;28(1).
| Issue | Vol 22 (Continuously Published Article-Based) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/fid.v22i27.19204 | |
| Keywords | ||
| Temporomandibular Joint Mandibular Nerve Nerve Block Joint Dislocations | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Kumar N, Kumari R. Single Injection of Twin Nerve Block in Longstanding Unilateral Temporomandibular Joint Dislocation: A Novel Technique. Front Dent. 2025;22.
