Revisited the conventional manoeuver of Hippocrates in method in temporal-mandible joint dislocation

The human temporo-mandibular joint a synovial joint is unique as it goes through a range of movements necessary for masticatory functions. Being strategically positioned between the mandible and the temporal bone, in dislocations of this joint the individual presents with a painful open mouth. Though preferred, manual reduction under local anaesthesia can be undertaken in acute dislocations. Various techniques have been advocated in global literature The oldest technique is the “Hippocratic maneuver”, that has stood the test of time. The three step procedure can be undertaken in the outpatient setup even under sedation and local anesthesia. Naval surgeon William Paul Crillon Barton, introduced the usage of bandages to hold the repositioned mandible. Lewisg modified the procedure by carrying out the three step procedure of Hippocrates in a sitting position.

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Publication Details

Journal
International Journal of Otorhinolaryngology and Head and Neck Surgery
Published
2025-09-24
DOI
https://doi.org/10.18203/issn.2454-5929.ijohns20253003
Primary Topic
Facial Trauma and Fracture Management
Type
article
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article

Revisited the conventional manoeuver of Hippocrates in method in temporal-mandible joint dislocation

KISHAN B. MATHUR, Ravinder Kaur, Anjana Pillai, Jyoti Jindal et al.
International Journal of Otorhinolaryngology and Head and Neck Surgery
Facial Trauma and Fracture Management
article

Revisited the conventional manoeuver of Hippocrates in method in temporal-mandible joint dislocation

KISHAN B. MATHUR, Ravinder Kaur, Anjana Pillai, Jyoti Jindal, Vineeta Arora, Garima Bansal, Sandeep Chauhan, Shubham Munjal, M Kaushal, Manish Munjal, Sakshi Jeriwal
article en

Abstract

The human temporo-mandibular joint a synovial joint is unique as it goes through a range of movements necessary for masticatory functions. Being strategically positioned between the mandible and the temporal bone, in dislocations of this joint the individual presents with a painful open mouth. Though preferred, manual reduction under local anaesthesia can be undertaken in acute dislocations. Various techniques have been advocated in global literature The oldest technique is the “Hippocratic maneuver”, that has stood the test of time. The three step procedure can be undertaken in the outpatient setup even under sedation and local anesthesia. Naval surgeon William Paul Crillon Barton, introduced the usage of bandages to hold the repositioned mandible. Lewisg modified the procedure by carrying out the three step procedure of Hippocrates in a sitting position.

International Journal of Otorhinolaryngology and Head and Neck SurgeryVol. 11(5)
Guru Teg Bahadur Hospital (IN), Dayanand Medical College & Hospital (IN)
Openalex Percentile: Top 59%
Facial Trauma and Fracture Management
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Revisited the conventional manoeuver of Hippocrates in method in temporal-mandible joint dislocation — KISHAN B. MATHUR, Ravinder Kaur, et al. · International Journal of Otorhinolaryngology and Head and Neck Surgery (2025) | TGRS Research Map | TGRS