Yıl: 2021 Cilt: 21 Sayı: 1 Sayfa Aralığı: 115 - 123 Metin Dili: İngilizce DOI: 10.5505/amj.2021.73693 İndeks Tarihi: 21-06-2021

TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY

Öz:
Objectives: This study aims to evaluate demographic and clinical characteristics of the emergency department (ED) cases with a diagnosis of temporomandibular joint (TMJ) dislocation alongside the patient management of these cases.Materials and Methods: Our single-center and retrospective study was conducted at the ED of Eskisehir Osmangazi Health, Practice and Research Hospital in 10 years and 10 months (01.01.2010-30.10.2020). All 18 years and older patients diagnosed with TMJ dislocation at the ED during the studied period were included in the study. The information on demographics, dislocation type and mechanism, medical history of repeated dislocation, imaging, application of reduction, reduction outcome, and necessity of sedo-analgesia were obtained from the patients’ records. The lack of data required for analysis in the records was taken as an exclusion criterion.Results: When the file records were examined 113 cases were diagnosed with TMJ dislocation in ED. 66 cases were primary admissions and 47 cases were recurrent admissions of these cases. Primary applications are evaluated; the mean age was 42.74±20.83 and 69.7%(n=46) were women. The joint dislocation was present in 56.1%(n=37) bilaterally. 98.5%(n=65) of them were non-traumatic. When all the cases were evaluated, it was determined that 91.2%(n=103) did not perform radiological imaging. During reduction, it was observed that sedo-analgesia was applied in 13.3%(n=15) cases. It was observed that 98.2%(n=111) of the reduction applications resulted successfully. No complication records of the cases were found.Conclusion: Management of TMJ dislocation is important for patient comfort and joint function. Emergency physicians successfully manage acute TMJ dislocation, which they rarely encounter.
Anahtar Kelime:

ACİL SERVİS’TE TEMPOROMANDİBULAR EKLEM DİSLOKASYONU: GERİYE DÖNÜK BİR ÇALIŞMA

Öz:
Amaç: Bu çalışmanın amacı, acil serviste (AS) Temporomandibular eklem (TME) dislokasyonu tanısı alanolguların demografik ve klinik özelliklerini hasta idaresi ile birlikte değerlendirmektir. Materyal ve Metot: Çalışmamız tek merkezli ve geriye dönük olarak 10 yıl ve 10 aylık bir sürede (01.01.2010- 30.10.2020) Eskişehir Osmangazi Üniversitesi Sağlık, Uygulama ve Araştırma Hastanesi Acil Servis’indeyapılmıştır. Çalışma sürecinde AS’ye başvuran, TME dislokasyonu tanısı alan, 18 yaş ve üzeri tüm hastalarçalışmaya dahil edilmiştir. Olguların demografik verileri, dislokasyon tipi ve mekanizması, tekrarlayandislokasyon hikayesi varlığı, görüntüleme varlığı, redüksiyon uygulaması varlığı, yapıldı ise redüksiyonsonlanımı ve sedoanaljezi gerekliliği ile ilgili bilgileri dosya kayıtlarından alınmıştır. Analiz için gerekli verilerekayıtlarda ulaşılamaması da dışlama kriteri olarak belirlenmiştir. Bulgular: Dosya kayıtları incelendiğinde 113 olgunun AS’de TME dislokasyonu tanısı aldığı görüldü. 66 olgubirincil başvuru, 47 olgu ise bu olguların tekrarlayan başvuruları idi. Birincil başvurular değerlendirildiğinde;yaş ortalaması 42,74±20,83 idi ve %69,7’si (n=46) kadındı. %56,1 (n=37) bilateral eklem dislokasyonumevcuttu. %98,5’i (n=65) non-travmatik idi. Olguların tamamına bakıldığında %91,2’sinde (n=103) radyolojikgörüntüleme yapılmadığı belirlendi. Redüksiyon işlemleri sırasında %13,3 (n= 15) olguda sedoanaljeziuygulandığı görüldü. Redüksiyon uygulamalarının %98,2’sinin (n=111) başarı ile sonuçlandığı görüldü.Olgulara ait komplikasyon kaydına rastlanmadı. Sonuç: TME dislokasyonu idaresi hasta konforu ile eklem fonksiyonu açısından önemlidir. Acil tıp hekimlerinadir de olsa karşılaştıkları akut TME dislokasyonu idaresini başarı ile gerçekleştirmektedirler.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Baloğlu Kaya F, ozakin e, Kaya S, Karakılıç M (2021). TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. , 115 - 123. 10.5505/amj.2021.73693
Chicago Baloğlu Kaya Filiz,ozakin engin,Kaya Seyhmus,Karakılıç Muhammed Evvah TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. (2021): 115 - 123. 10.5505/amj.2021.73693
MLA Baloğlu Kaya Filiz,ozakin engin,Kaya Seyhmus,Karakılıç Muhammed Evvah TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. , 2021, ss.115 - 123. 10.5505/amj.2021.73693
AMA Baloğlu Kaya F,ozakin e,Kaya S,Karakılıç M TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. . 2021; 115 - 123. 10.5505/amj.2021.73693
Vancouver Baloğlu Kaya F,ozakin e,Kaya S,Karakılıç M TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. . 2021; 115 - 123. 10.5505/amj.2021.73693
IEEE Baloğlu Kaya F,ozakin e,Kaya S,Karakılıç M "TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY." , ss.115 - 123, 2021. 10.5505/amj.2021.73693
ISNAD Baloğlu Kaya, Filiz vd. "TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY". (2021), 115-123. https://doi.org/10.5505/amj.2021.73693
APA Baloğlu Kaya F, ozakin e, Kaya S, Karakılıç M (2021). TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. Ankara Medical Journal, 21(1), 115 - 123. 10.5505/amj.2021.73693
Chicago Baloğlu Kaya Filiz,ozakin engin,Kaya Seyhmus,Karakılıç Muhammed Evvah TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. Ankara Medical Journal 21, no.1 (2021): 115 - 123. 10.5505/amj.2021.73693
MLA Baloğlu Kaya Filiz,ozakin engin,Kaya Seyhmus,Karakılıç Muhammed Evvah TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. Ankara Medical Journal, vol.21, no.1, 2021, ss.115 - 123. 10.5505/amj.2021.73693
AMA Baloğlu Kaya F,ozakin e,Kaya S,Karakılıç M TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. Ankara Medical Journal. 2021; 21(1): 115 - 123. 10.5505/amj.2021.73693
Vancouver Baloğlu Kaya F,ozakin e,Kaya S,Karakılıç M TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY. Ankara Medical Journal. 2021; 21(1): 115 - 123. 10.5505/amj.2021.73693
IEEE Baloğlu Kaya F,ozakin e,Kaya S,Karakılıç M "TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY." Ankara Medical Journal, 21, ss.115 - 123, 2021. 10.5505/amj.2021.73693
ISNAD Baloğlu Kaya, Filiz vd. "TEMPOROMANDIBULAR JOINT DISLOCATION AT THEEMERGENCY DEPARTMENT: A RETROSPECTIVE STUDY". Ankara Medical Journal 21/1 (2021), 115-123. https://doi.org/10.5505/amj.2021.73693