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
28 year old female student was in her usual\nstate of health until a week earlier when she was unable\nto close her mouth after brushing her teeth. There was\nassociated pain in the preauricular area bilaterally. She\nwas a known RVD patient awaiting treatment\ncommencement of HAART but had no other\ncomorbid conditions. On general examination, the\npatient was frail, and weak, with a prognathic mandible.\nPreauricular depression and tenderness were present\nbilaterally. Intraorally, there was an anterior open bite,\nposterior gagging of occlusion, oral thrush. Patient\nwas diagnosed as having bilateral TMJ dislocation and\nwas successfully treated with Hippocratic manouvre\nunder diazepam and PCM after the second attempt,\nwith restoration of full TMJ functions.