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Otologic complications following temporomandibular joint arthroscopy
E L Applebaum1, L F Berg, A Kumar
1Department of Otolaryngology-Head and Neck Surgery, University of Illinois, Chicago.
The Annals of Otology, Rhinology, and Laryngology
|November 1, 1988
Summary
Arthroscopic temporomandibular joint (TMJ) surgery can cause rare but severe ear complications, including hearing loss and facial paralysis. These otologic issues highlight potential risks associated with TMJ arthroscopy procedures.
Area of Science:
- Otolaryngology
- Oral and Maxillofacial Surgery
- Surgical Innovation
Background:
- Arthroscopic techniques are increasingly used for temporomandibular joint (TMJ) disorders.
- This minimally invasive approach offers diagnostic and therapeutic benefits.
- However, emerging complications require careful consideration.
Observation:
- Three patients experienced severe otologic complications post-TMJ arthroscopy.
- Two patients suffered sensorineural hearing loss and vertigo due to ear trauma.
- One patient developed facial paralysis and conductive hearing loss from middle ear trauma.
Findings:
- Severe otologic complications, including hearing loss and vertigo, can arise from TMJ arthroscopy.
- Trauma to the facial nerve trunk during arthroscopy can lead to complete facial paralysis.
- Incus dislocation is a potential cause of conductive hearing loss.
Implications:
- The findings underscore the importance of recognizing and managing rare otologic risks associated with TMJ arthroscopy.
- Surgeons should be aware of potential facial nerve and auditory system trauma.
- Further research into preventative measures and treatment strategies for these complications is warranted.