title: Temporo-mandibular joint dislocation: an unusual complication of transoesophageal echocardiography.
abstract: Temporo-mandibular joint (TMJ) dislocation is an unusual complication of transoesophageal echocardiography (TEE). We report a rare case of bilateral TMJ dislocation in an 84-year-old man prior to DC cardioversion (DCCV) for atrial flutter. Shortly after TEE and DCCV, the patient complained of bilateral facial pain. An orthopantomogram revealed bilateral TMJ dislocation. A closed reduction was performed by maxillo-facial surgeons under intravenous anaesthesia. Although very uncommon, the physician should be aware of the complication and its management.
authors: Department of Cardiology, Northwick Park Hospital, Harrow, UK.
authors: Brijesh
authors: B
authors: Anantharam
authors: Navtej
authors: N
authors: Chahal
authors: Nigel
authors: N
authors: Stephens
authors: Roxy
authors: R
authors: Senior
mesh_terms: D000369:Aged, 80 and over; D017548:Echocardiography, Transesophageal / Q000009:adverse effects*; D004554:Electric Countershock / Q000009:adverse effects*; D006801:Humans; D008297:Male; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery