Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case Series

Eminectomy which is one of the popular and most effective treatments for habitual temporomandibular joint luxation was first described by Myrhaug in 1951. There are few reports which described eminectomy being performed under local anesthesia and conscious sedation. We present a case series of habit...

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Main Authors: Joe Iwanaga, Yoshiaki Nakamura, Jingo Kusukawa, R. Shane Tubbs
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/2505864
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author Joe Iwanaga
Yoshiaki Nakamura
Jingo Kusukawa
R. Shane Tubbs
author_facet Joe Iwanaga
Yoshiaki Nakamura
Jingo Kusukawa
R. Shane Tubbs
author_sort Joe Iwanaga
collection DOAJ
description Eminectomy which is one of the popular and most effective treatments for habitual temporomandibular joint luxation was first described by Myrhaug in 1951. There are few reports which described eminectomy being performed under local anesthesia and conscious sedation. We present a case series of habitual luxation of the TMJ treated by eminectomy performed under local anesthesia and conscious sedation and general anesthesia. Five patients were examined and found to have recurrent luxation of the TMJ. The age of patients ranged from 18 to 93 years. Bilateral eminectomy of the TMJ was performed for two patients, and unilateral eminectomy was performed for three patients. Two were examined under intravenous propofol sedation and local anesthesia, while three patients were examined under general anesthesia. One patient died from ileus one month after surgery. The follow-up period except for the case that died from ileus ranged from 12 to 33 months. No recurrent dislocation of the TMJ has been identified. Based on our experience and two other series in the literature, eminectomy with sedation and local anesthesia can be considered and might be a good option in elderly patients.
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spelling doaj-art-2d56ee45d6cf46878e81987dbb6572012025-08-20T03:55:02ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/25058642505864Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case SeriesJoe Iwanaga0Yoshiaki Nakamura1Jingo Kusukawa2R. Shane Tubbs3Dental and Oral Medical Center, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, JapanDepartment of Dental and Oral Surgery, Saiseikai Hita Hospital, 643-7 Miwa, Hita, Oita 877-0000, JapanDental and Oral Medical Center, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, JapanSeattle Science Foundation, 550 17th Ave, James Tower, Suite 600, Seattle, WA 98122, USAEminectomy which is one of the popular and most effective treatments for habitual temporomandibular joint luxation was first described by Myrhaug in 1951. There are few reports which described eminectomy being performed under local anesthesia and conscious sedation. We present a case series of habitual luxation of the TMJ treated by eminectomy performed under local anesthesia and conscious sedation and general anesthesia. Five patients were examined and found to have recurrent luxation of the TMJ. The age of patients ranged from 18 to 93 years. Bilateral eminectomy of the TMJ was performed for two patients, and unilateral eminectomy was performed for three patients. Two were examined under intravenous propofol sedation and local anesthesia, while three patients were examined under general anesthesia. One patient died from ileus one month after surgery. The follow-up period except for the case that died from ileus ranged from 12 to 33 months. No recurrent dislocation of the TMJ has been identified. Based on our experience and two other series in the literature, eminectomy with sedation and local anesthesia can be considered and might be a good option in elderly patients.http://dx.doi.org/10.1155/2016/2505864
spellingShingle Joe Iwanaga
Yoshiaki Nakamura
Jingo Kusukawa
R. Shane Tubbs
Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case Series
Case Reports in Dentistry
title Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case Series
title_full Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case Series
title_fullStr Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case Series
title_full_unstemmed Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case Series
title_short Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case Series
title_sort eminectomy for habitual luxation of the temporomandibular joint with sedation and local anesthesia a case series
url http://dx.doi.org/10.1155/2016/2505864
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AT jingokusukawa eminectomyforhabitualluxationofthetemporomandibularjointwithsedationandlocalanesthesiaacaseseries
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