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
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.