Use of masseteric and deep temporal nerve blocks for reduction of mandibular dislocation.
A patient presented with a unilateral dislocated condyle that was resistant to reduction by simple manual manipulation because of elevator muscle spasm and severe muscle and temporomandibular joint pain. A technique involving a masseteric nerve block and a temporal nerve block was used, allowing a quick, safe, and minimally painful reduction. The method used for delivering these nerve blocks is described here.
Young
Andrew L
AL
Orofacial Pain Center, Department of Oral Medicine, University of Medicine and Dentistry, University Heights, Newark, New Jersey, USA. andrewyoungdds@yahoo.com
Khan
Junad
J
Thomas
Davis C
DC
Quek
Samuel Y P
SY
D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007267:Injections; D004204:Joint Dislocations / Q000628:therapy*; D008012:Lidocaine / Q000008:administration & dosage; D008335:Mandibular Condyle / Q000293:injuries; D008338:Mandibular Injuries / Q000628:therapy*; D008349:Manipulation, Orthopedic; D008406:Masseter Muscle / Q000294:innervation*; D009407:Nerve Block / Q000379:methods*; D013703:Temporal Muscle / Q000294:innervation*; D013704:Temporomandibular Joint / Q000293:injuries; D013705:Temporomandibular Joint Disorders / Q000628:therapy
D000779:Anesthetics, Local; D008012:Lidocaine