syringe TMJ reduction

16 Apr

cool trick from a 2014 JEM article:

 

TMJ dislocation:

  • commonly from excessive mouth opening (e.g. yawning, laughing)
  • anterior TMJ dislocations most common (non-traumatic)

 

Study:

  • 30/31 successful reductions (all anterior dislocations)
  • 77% took < 1 min

Technique:

  • take 5-10 mL syringe
  • pt gently bites down on syringe (placed across molars)
  • ask pt to roll syringe back & forth

 

Benefits:

  • hands-free (no bite risk to provider)
  • quick
  • no procedural sedation needed

 

Seems pretty cool.  Add it to the toolbox.

 

References: JEM article; picture

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