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Mandibular joint dysfunction otalgia caused by a bomb explosion wave.

A A Taher1, R M Johns

  • 1Oral and Maxillofacial Surgery Clinic, Baqiet Ulla University Hospital, Tehran, I.R. Iran.

The Journal of Craniofacial Surgery
|December 1, 1992
PubMed
Summary

Bomb blasts caused temporomandibular joint dysfunction with ear pain in 495 patients during the Iraq/Iran conflict. Treatments varied, but most patients showed good responses to interventions for this war-related injury.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Trauma Surgery
  • Otolaryngology

Background:

  • The Iraq/Iran conflict resulted in numerous civilian casualties exposed to bomb explosion waves.
  • Bomb blast injuries can affect various body systems, including the head and neck.
  • Temporomandibular joint (TMJ) dysfunction and otalgia are potential sequelae of blast wave exposure.

Purpose of the Study:

  • To investigate the incidence and management of temporomandibular joint dysfunction with otalgia in patients exposed to bomb explosions.
  • To evaluate the treatment outcomes for these specific blast-related injuries.

Main Methods:

  • Retrospective review of 495 patients treated at the Oral and Maxillofacial Surgery Clinic.
  • Patients presented with symptoms of TMJ dysfunction and otalgia following exposure to bomb explosion waves.

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  • Treatment modalities included conservative management and surgical interventions.

    • Main Results:

    • A significant number of patients (495) presented with TMJ dysfunction and otalgia after bomb blast exposure.
    • Treatment approaches were tailored to individual patient needs, ranging from conservative measures to surgery.
    • The overall patient response to treatment was generally favorable.

    Conclusions:

    • Bomb explosion waves are a significant cause of temporomandibular joint dysfunction and otalgia.
    • A combination of conservative and surgical treatments can effectively manage these blast-induced injuries.
    • Prompt diagnosis and appropriate management are crucial for favorable outcomes in patients with blast-related TMJ disorders.