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
OO was a 40-year-old female fashion\ndesigner who presented with a 1 day history of inability\nto close her mouth following a fall during an epileptic\nfit during which she hit her face on the floor. This was\nthe seventh episode, the first episode having occurred\n13 years prior to presentation. She is known epileptic\nof twenty eight years on Epanutin and Phenobarbitone.\nOn examination, patient had obvious facial asymmetry,\nwith flattening of the left side of the face, elongation\nof the face and a depressed hollow in the preauricular\nareas bilaterally. There was also enamel fracture of 11.\nDiagnosis made was that of bilateral anterior TMJ\ndislocation. The dislocation was successfully treated\nusing the Hippocrates manouvre. No complication\nwas recorded.