• There is a correlation between TMJ dysfunction and stress and anxiety states; patients are often nervous • There may be limitation of joint movement which can affect mouth opening • The incision is extraoral but the surgeon will handle the oral cavity whilst manipulating the joint. The choice of airway management device should be discussed—a reinforced laryngeal mask airway may be acceptable provided there is good communication between surgeon and anaesthetist • A throat pack is not necessary • Use a viscous ointment to protect the eye—tapes interfere with the surgical field • Muscle paralysis improves access to the joint space • This is a painful procedure, and intravenous or intra-articular morphine is usually required in addition to paracetamol and NSAIDs. The surgeon may prefer not to use local anaesthesia as it causes facial paralysis |
• There is a correlation between TMJ dysfunction and stress and anxiety states; patients are often nervous • There may be limitation of joint movement which can affect mouth opening • The incision is extraoral but the surgeon will handle the oral cavity whilst manipulating the joint. The choice of airway management device should be discussed—a reinforced laryngeal mask airway may be acceptable provided there is good communication between surgeon and anaesthetist • A throat pack is not necessary • Use a viscous ointment to protect the eye—tapes interfere with the surgical field • Muscle paralysis improves access to the joint space • This is a painful procedure, and intravenous or intra-articular morphine is usually required in addition to paracetamol and NSAIDs. The surgeon may prefer not to use local anaesthesia as it causes facial paralysis |
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