Extraoral temporomandibular joint dislocation reduction

(A) Extraoral manual method for TMJ reduction. On one side, the fingers hold the mandible angle and pull the mandible more anteriorly (arrow). The thumb is placed over the malar eminence and serves as a fulcrum (arrowhead). This maneuver further dislocates the ipsilateral TMJ (dashed arrow), rotates the dislocated jaw, and facilitates the contralateral TMJ reduction.
(B) On the other side, the thumb is placed just above the anterior displaced coronoid process and applies persistent pressure to push the dislocated mandible back (arrow). The fingers are placed behind the mastoid process to provide a counteractive force (arrowhead). The dislocated condyle head is pushed back to the mandibular fossa (dashed arrow).