TMJ (temporomandibular joint) surgery is an option for management of temporoamandibular dysfunction, a group of conditions that cause pain and loss of normal function to the TMJ, and TMJ pathology.
TMJ (temporomandibular joint) surgery includes procedures of varying complexity.
There are several types of TMJ Surgery Procedures
This is usually done under local anaesthesia where two needles are inserted into the TMJ space to allow the space to be flushed and where appropriate, medication to be instilled.
This procedure is done under general anaesthesia. A small incision is made in front of the ear to access the joint with special instruments to visualise the joint surfaces and where appropriate, dissect any adhesions
The TMJ surface or disc that is significantly diseased may require open joint surgery to trim irregular joint surfaces or remove the disc. An incision is made in front of the ear and scalp. Depending on the TMJ condition, the disc may be repaired or removed, and any joint surface irregularities or pathology may be removed.
In some cases, the TMJ condyle may be removed and reconstructed with rib bone or a prosthesis.
Post-operative recovery for joint surgery may take 5-10 days. You will be prescribed medications to reduce pain and swelling and aid in your recovery.
You will experience soreness but usually, no severe pain should be experienced. Post-operative swelling is expected and usually minor, but occasionally more pronounced swelling can occur and should resolve within 24 - 36 hours. Cold compress may be applied to the area for the first 24hours after the joint surgery.
It is uncommon, but possible, that you may experience numbness or muscle weakness in the region of the joint surgery. This is usually temporary and should resolve without treatment.
You are advised to go on a liquid-diet following your procedure. The surgeon will discuss the progress of your diet during your post-operative visits.
There are jaw exercises that you may be required to perform after the surgery which are critical for the success of the treatment.
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