Continued persistent facial pain despite several surgical interventions in the temporomandibular joint.

Dental clinics of North America 2023 Vol.67(1) p. 61-70

Rosèn A, Helgeland E, Pedersen TØ

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Abstract

This article describes a woman in her forties who spontaneously developed facial pain 19 years after double-jaw orthognathic surgery. The focus of her pain was the left side of the face, including the temporomandibular joint (TMJ). Conservative treatment was initiated, including several occlusal splints, in addition to injections with local anesthesia, botulinum toxin, and corticosteroids, with limited effects. Surgical treatments with arthroscopy and discectomy, and ultimately a TMJ prosthesis, improved the patient's joint function but did not reduce pain. The question is whether the degenerated joint was due to progression of the original disease process or to multiple surgical procedures.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 botulinum toxin 보툴리눔독소 주사 dict 1
시술 orthognathic surgery 안면윤곽술 dict 1

MeSH Terms

Female; Humans; Temporomandibular Joint Disorders; Temporomandibular Joint; Facial Pain; Joint Prosthesis

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