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Updated: Jun 17, 2026
03:58
The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
Published on: August 2, 2024
Temporomandibular joint dislocation during orotracheal extubation
Li-Kai Wang1, Ming-Chung Lin, Fuh-Cheng Yeh
1Department of Anesthesiology, Chi Mei Hospital, Tainan, Taiwan, R.O.C.
Summary
Temporomandibular joint (TMJ) dislocation can occur during airway procedures. This case highlights bilateral TMJ dislocation after extubation, emphasizing the need for anesthesiologist preparedness.
Area of Science:
- Anesthesiology
- Oral and Maxillofacial Surgery
- Emergency Medicine
Background:
- Temporomandibular joint (TMJ) dislocation is a known risk during airway manipulation.
- Most perioperative TMJ dislocations occur during anesthetic induction.
Observation:
- A 35-year-old woman experienced bilateral TMJ dislocation immediately after orotracheal extubation.
- The patient was unable to close her mouth post-extubation, despite an otherwise uncomplicated uterine myomectomy.
Findings:
- Bilateral TMJ dislocation was diagnosed and successfully reduced using the transoral approach.
- The dislocation was likely caused by excessive mouth opening before full patient wakefulness.
Implications:
- Anesthesiologists must be prepared for TMJ dislocation as a potential complication of airway management.
- Prompt diagnosis and management are crucial for patient recovery.
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