The effects of treatment timing on the management of patients with multiple facial fractures and on the self-perception of TMD recovery

Silva, Amanda Pagliotto da; Sassi, Fernanda Chiarion; Andrade, Cláudia Regina Furquim de

doi:10.1080/08869634.2022.2046910

Cited by 1 publication

(1 citation statement)

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“…In general, the incidence rate of temporomandibular joint disorders after facial trauma is high and treatment timing plays a significant role in correction of the same [ 2 ]. Temporomandibular joint dysfunction as a result of zygomaticomaxillary complex fractures is less common than due to mandibular fractures.…”

Section: Introductionmentioning

confidence: 99%

To Assess the Effect of Trauma on the Temporomandibular Joint in Postoperative Cases of Zygomaticomaxillary Complex Fractures

Sankaran¹,

Aramanadka

Kudva

et al. 2022

J. Maxillofac. Oral Surg.

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Aim and Objectives The study aims to assess the incidence and features of temporomandibular joint(TMJ) dysfunction in post-surgical treatment of unilateral zygomaticomaxillary complex(ZMC) fractures. The objectives are: To assess severity of TMJ dysfunction in postoperative cases of ZMC fractures. To create awareness of the same among clinicians. Methods Patients presenting with zygomaticomaxillary complex fractures were evaluated prospectively. Evaluation of TMJ dysfunction was done by different parameters via questionnaire, clinical and radiographic examination preoperatively and a follow-up period of 1 week, 3 months and 6 months. The parameters were, clicking of joint, pain on opening /closing, pain on biting, deviation of mandible, pain in the preauricular region, ringing sound and mouth opening. Statistical analysis was done by the Friedman test and Post Hoc analysis. Results On presentation, 69.1% patients diagnosed with ZMC fractures presented with symptoms related to TMJ dysfunction. Post-surgery 1 week majority findings persisted, with 21 patients complained of pain on opening or closing and 2 patients with a persistent opening click. These symptoms, however, decreased over the 3 month and 6 month follow up period. 5 patients presented with decreased mouth opening which was attributed to lack of adequate physiotherapy. Conclusion Patients presented with mild symptoms of TMJ dysfunction until 6 months post-surgery, however these symptoms weren’t significant as the pain score assessed was found to decrease in the following post-operative periods. And the symptoms present were’nt exclusive to conclude a TMJ dysfunction. Early treatment and a close follow up are key to prevent progression of symptoms.

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Section: Introductionmentioning

confidence: 99%