A TMJ arthroscopy (keyhole surgery) allows your surgeon to see inside your temporomandibular joint (TMJ, or jaw joint) using a camera fitted through a small cut on your skin. Your surgeon can diagnose problems such as torn cartilage and damage to the face of the joint. They may also be able to treat some problems using surgical instruments or by washing out the joint (arthrocentesis) without making a large cut.
It is to confirm exactly what the problem is and for numerous people. The problem can be treated at the same time. It offers numerous benefits such as:
Problems inside a joint can frequently be diagnosed using tests such as CT scans and MRI scans. Non-surgical treatment includes taking anti-inflammatory medications, wearing TMJ splints, and resting the TMJ. Muscle relaxing drugs or injections of Botox can reduce common stiffness to the muscles of mastications but do not treat the underpinning cause. A steroid injection into the joint can occasionally reduce pain for several months but may have side effects if repeated too frequently.
The operation is performed under a general anesthetic and generally takes less than an hour to complete. The operation can take up to 2 hours if your surgeon needs to perform any surgery within a joint. They will fit a camera through a small cut in front of your ears to examine the inside of the joint for damage to the cartilage, joint surface, and ligaments. Your Oral Maxillofacial Surgeon may fit one or two needles through the cut and use them to wash out any loose material caused by wear and tear on the joint surface. Or, your surgeon may make another cut to fit surgical instruments to treat the oral joint surface or use sutures to change the position of the cartilage.
Before the procedure, schedule a thorough consultation with your oral maxillofacial surgeon. This is an essential step to discuss your medical history, current symptoms, and any concerns you may have. The surgeon will evaluate whether TMJ arthroscopy is the right treatment option for your TMJ Disorder and also advise you for the necessary precautions to be taken before the Arthroscopy.
General complications of any operation include
Specific complications of the TMJ Arthroscopy procedure include
The swelling and discomfort is generally more for the first few hours. You should be able to go home the same day. To reduce the threat of bleeding, swelling, and bruising, do not exercise, have a hot bath, or bend down for a few days. It's important to keep the joint moving. Your Maxillofacial surgeon will give you stretching exercises to do to help improve your mouth opening. You should continue to rest and wear any splints until you're told otherwise. You should be suitable to return to work after a few days, depending on your type of work.
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