Novel Conservative Management For Recurrent Temporomandibular Joint Dislocation

ABSTRACT

Introduction/Aims: We present the difficulties of managing a medically compromised patient with recurrent Temporomandibular Joint Dislocation who presented to us during the COVID-19 pandemic. We describe the novel use of an anti-snore head strap, in conjunction with a soft cervical collar which was successful in preventing further TMJ dislocations. To our knowledge, this has not been previously reported in the literature. It is important that clinicians must explore all options in patients with limited scope for surgical management when treating recurrent TMJ dislocations. Material(s) and Method(s) An anti-snore device was acquired online and in conjuction with a soft cervical collar was used to maintain the TMJ in it's position and prevent further recurrent dislocations. Results/Statistics This simple, cost-effective and comfortable device reduced the number of hospital admissions for the patient, thereby additionally reducing her risk of contracting COVID-19. Prior to this intervention, the patient had presented for admission 10 times, resulting in a total stay of 65 days - the cost for this was 66,121.09. The anti-snore head device cost 11.99. Conclusions/Clinical Relevance We present a novel technique in managing TMJ dislocation in a patient with severe morbidity who is limited with surgical treatment options. Therefore, we suggest the use of an anti-snore chin strap in conjunction with a soft cervical collar as a conservative management in medically compromised recurrent TMJ dislocations. Copyright © 2022