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Postanesthetic temporomandibular joint dysfunction.

M A Knibbe, J B Carter, G M Frokjer

    Anesthesia Progress
    |January 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

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    Postanesthetic temporomandibular joint (TMJ) dysfunction can arise from normal joints, leading to internal derangements or myofascial pain. Preoperative screening is crucial to identify at-risk patients and prevent long-term symptoms.

    Area of Science:

    • Oral and Maxillofacial Surgery
    • Anesthesiology

    Background:

    • Temporomandibular joint (TMJ) dysfunction, including internal derangements and myofascial pain, can occur after mandibular trauma or procedures.
    • Etiologic factors involve prolonged dental, otolaryngologic procedures, and intraoperative use of laryngoscopes and bronchoscopes.

    Observation:

    • Three cases of postanesthetic TMJ dysfunction are presented, originating from previously normal joints.
    • The study discusses four types of TMJ dysfunction: anterior meniscus dislocation (with and without reduction), mandibular condyle dislocation/subluxation, and myofascial pain dysfunction syndrome.

    Findings:

    • Postoperative TMJ dysfunction can develop even in patients with normal preoperative mandibular function.
    • Failure to diagnose and manage TMJ dysfunction promptly can result in persistent, difficult-to-treat symptoms.

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    Implications:

    • Preoperative screening of mandibular function is recommended to identify patients susceptible to TMJ dysfunction.
    • Recognizing and addressing postanesthetic TMJ dysfunction is essential to prevent chronic sequelae and potential litigation.