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Prevention of the Complication

Table of Contents:

Open TMJ Surgery

During open TMJ surgery careful surgical dissection is essential to minimize the potential risk of violating the middle cranial fossa. Certain complex surgical cases that involve the joint space, joint ankylosis, or traumatic injury of the fossa can increase the risk of iatrogenic perforation. Careful presurgical workup with a preoperative CT or MRI scan has become standard and can help in identifying areas that would be of concern in patients with erosive changes, joint ankylosis, or tumors. The use of virtual surgical planning or navigation surgery along with surgical precision can help to minimize the risk of violating the middle cranial fossa during dissection and bone removal in and around the glenoid fossa.

Arthroscopic TMJ Surgery

During arthroscopic surgery, it is important to be aware of angulation as well as depth of the instruments at all times. Directing the instruments toward the articular eminence and not toward the glenoid fossa can prevent complications associated with perforation of the roof of the glenoid fossa. As discussed in the earlier part of the chapter, close attention needs to be directed to puncture site, direction, depth, and force.

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Prevention of the Complication
Open TMJ Surgery Penetration into the EAC can be avoided during open surgery by careful dissection of soft tissue while being mindful of the EAC proximity, direction, and orientation. The simplest way to avoid this complication is to maintain a plane of dissection anterior to the tragal cartilage...
(Complications of Temporomandibular Joint Surgery)
Prevention of ICU-Related Complications
Recommendations: Implement comprehensive management of ICU patients as far as possible, pay attention to sedation and analgesia, humanistic care, and early activity and exercise and prevent short and long-term complications such as ICU-related myasthenia, delirium, and post-ICU syndrome. Traditional...
(Rehabilitation from COVID-19:An Integrated Traditional Chinese and Western Medicine Protocol)
Open TMJ Surgery
Penetration into the EAC can be avoided during open surgery by careful dissection of soft tissue while being mindful of the EAC proximity, direction, and orientation. The simplest way to avoid this complication is to maintain a plane of dissection anterior to the tragal cartilage down to the postglenoid...
(Complications of Temporomandibular Joint Surgery)
Arthroscopic TMJ Surgery
The risk of penetration into the EAC can be minimized during arthroscopic surgery by the use of appropriate force, direction, and precise spatial awareness. The greatest risk is during the initial arthroscopic puncture with the sharp trocar and cannula. McCain reported on a safe, repeatable, and effective...
(Complications of Temporomandibular Joint Surgery)
Arthroscopic TMJ Surgery
The risk of penetration into the EAC can be minimized during arthroscopic surgery by the use of appropriate force, direction, and precise spatial awareness. The greatest risk is during the initial arthroscopic puncture with the sharp trocar and cannula. McCain reported on a safe, repeatable, and effective...
(Complications of Temporomandibular Joint Surgery)
Open TMJ Surgery
Penetration into the EAC can be avoided during open surgery by careful dissection of soft tissue while being mindful of the EAC proximity, direction, and orientation. The simplest way to avoid this complication is to maintain a plane of dissection anterior to the tragal cartilage down to the postglenoid...
(Complications of Temporomandibular Joint Surgery)