AM was a 25-year-old female trader who\ndiscovered that she could no longer close her mouth\nafter yawning a day before presentation. She also had\npain in the preauricular region. This was her first\nexperience of such, and she had no comorbid\nconditions. On examination, it was noticed that she\nhad limitation in mouth opening and closure, her lip\nseal was incompetent and there was bilateral tenderness\nin the preauricular regions. TMJ movement\ntransmission was not detected bilaterally. Radiologic\ninvestigations revealed an anterior displacement of the\ncondylar head beyond the articular eminence. No other\nabnormality was seen. Patient had Hippocrates\nmanouvre done to reposition the head of the condyle\nback in the glenoid fossa and this was successful. Barrel\nbandage was applied to immobilize the joint. The\noutcome as at two (2) days post reduction was a\nsuccessful restoration of TMJ movement
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.