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European Journal of Echocardiography Advance Access published online on November 24, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jep178
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Temporo-mandibular joint dislocation: an unusual complication of transoesophageal echocardiography

Brijesh Anantharam, Navtej Chahal, Nigel Stephens and Roxy Senior*

Department of Cardiology, Northwick Park Hospital, Harrow HA1 3UJ, UK

Received 20 August 2009; accepted after revision 21 October 2009.

* Corresponding author. Tel: +44 208 869 2547/2548, fax: +44 208 864 0075, Email: roxysenior{at}cardiac-research.org


  Abstract

Temporo-mandibular joint (TMJ) dislocation is an unusual complication of transoesophageal echocardiography (TEE). We report a rare case of bilateral TMJ dislocation in an 84-year-old man prior to DC cardioversion (DCCV) for atrial flutter. Shortly after TEE and DCCV, the patient complained of bilateral facial pain. An orthopantomogram revealed bilateral TMJ dislocation. A closed reduction was performed by Maxillo-facial surgeons under intravenous anaesthesia. Although very uncommon, the physician should be aware of the complication and its management.

Keywords: Transoesophageal echocardiography; Temporo-mandibular joint dislocation


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