02/10/2021
Interesting case:
78 y/o man went to his local GP c/o inability to close mouth, difficultly speaking, eating and drinking.
After examination and investigation be the GP he was informed he had a CVA (stroke)
Eventually 4 MONTHS LATER went to a dentist with jaw and tooth pain.
Dentist sent him for an OPG and referred to me for opinion and management of TMD.
After taking a history and clinical exam it was clear he had bilateral TMJ dislocations.
Attempted closed reduction under GA. Unsuccessful.
Back to theatre 1 week later for open reduction and R temporo-malar osteotomy. Successful.