OS, a 65-year-old female trader presented\nwith a one year history of clicking sounds in the right\ntemporomandibular joint area on mastication. There\nwas no history of trauma, pain, swelling or any other\nsymptoms. Background medical history revealed that\nshe was a known hypertensive on medications. On\nexamination, it was discovered that the patient had\nbilateral TMJ clicking sounds on mandibular excursion.\nThere were no areas of swelling/depression or\ntenderness. Plain X-ray (TMJ views) showed anterior\ndislocation of the right mandibular condyle on opening.\nA diagnosis of chronic recurrent right TMJ dislocation\nwas made. She was treated with intraarticular injection\nof triamsinolone 40mg weekly for six weeks alongside\nphysiotherapy. There was improvement of symptoms\nand she did not present for follow up or with\nreoccurrence.
NP was a 60-year-old housewife who\npresented with a three hour history of inability to close\nthe mouth after yawning. There was associated pain\nand discomfort in the preauricular area bilaterally. She\nhad a similar incident four (4) months earlier. No\nprevious history of trauma. She is a known\nhypertensive on moduretic. A diagnosis of bilateral\nanterior TMJ dislocation was made. She had a\nsuccessful treatment using the extra-oral technique after\nfailed Hippocrates manouvre attempts. She was\nsubsequently immobilized with the barrel bandage