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Jaw Joint Surgery

Jaw joints are unique joints of our body and quite commonly undergo some pathological changes dissimilar

to other joints. These require specialist attention. Fortunately most of these managements are non

There is a common entity called FACIAL ARTHROMYALGIA or in common terms, FACIAL PAIN

SYNDROME. It is an addition to medical vocabulary in today's stressful lifestyle like IBS. Facial

Arthromyalgia is pain and dysfunction originating and radiating from the bone-muscle-ligament-nerve

complex of the jaw joints located just in front of the ears.

Most people seek an answer to this problem from multiple specialists dealing with ear, nerves or bones

without much result before reaching a Maxillofacial Surgeon. The first task is to pin point the type of

disorder, i.e. the degree of damage done. Based on the diagnosis, the treatment may be only soft diet and Fellowship Programs
physiotherapy; a bite raising/altering splint; ultrasound/TENS therapy; minimally invasive interventions into
the joint or rarely, open joint plasty.

TMJ Arthroscopy and Arthroplasty

Fellowship programs started for

One year residential fellowship programme for

MDS (OMS), MS (ENT) and MS (General

Surgery). Details

Short postings as OBSERVER Details

A novel development into this field is the development of ultra fine arthroscopes that can be used to look

into the joint and operate inside without elaborate incisions and explorations, risking the facial nerves
damage and a scar. The equipment being very expensive and the training to use it being hardly available,

this facility was not available in this part of the world. We put an end to this problem by acquiring a Stryker
TMJ Scope into our battery.

The commonest open joint procedure is ankylectomy of TMJ. This means removing a fused part of bone

limiting jaw movements or actually locking it completely. Additional surgical procedures are performed in
the same operation to guarantee a permanent result. Following are only two pictures where patients came
with locked jaw joints due to ankylosis and could hardly open their mouth. They went home with full mouth

opening ability and retain that till date.

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Doctors know that there are other reasons for limited mouth opening, namely OSMF. We have surgical cure

for that as well, in selected cases.

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