陳旧性両側顎関節脱臼に非観血的整復法を施行した1例

• Published in: 日本口腔外科学会雑誌 Vol. 59; no. 1; pp. 18 - 22
• Main Authors: 吉田, 将亜, 松田, 光悦, 小神, 順也, 竹川, 政範, 近藤, 英司, 柴山, 尚大
• Format: Journal Article
• Language: Japanese
• Published: 社団法人 日本口腔外科学会 01.01.2013
• Subjects: 陳旧性顎関節脱臼; 顎間牽引; 顎関節
• ISSN: 0021-5163; 2186-1579
• DOI: 10.5794/jjoms.59.18

This report presents a case of chronic mandibular dislocation treated by conservative reduction in a patient who was receiving anticoagulant therapy. The patient was a 65-year-old woman who was referred to the Department of Oral and Maxillofacial Surgery in Asahikawa Medical University for the treatment of chronic mandibular dislocation. Chronic mandibular dislocation had developed during hospitalization for cardiogenic embolism. Since the patient's physician recommended us to continue anticoagulation therapy, we decided to perform conservative reduction by lever action, using intraoral blocks with built-up heels and elastic traction. Because the patient was edentulous, we innovated on past reports of conservative reduction by lever action using teeth. Eleven days after treatment, the reduction was successful, and the jaws were stable. By 1 year after treatment, there was no recurrent dislocation, and the outcome was good.