TMJ pyseudoankylosis after neurosurgery procedure of intracranial AV malformation. How we solved it

Introduction: Trismus after neurosurgical procedures is an unusual complication.

Case report: In the postoperative recovery of temporal bone craniotomy for treatment of intracranial AV malformation the patient developed a progressive trismus that limited the mouth opening to 14 mm. With physiotherapy it arrived to 22 mm. MRI and CT showed a normal TMJ. Coronoidectomy and temporal muscle detachment was performed and an intraoperative opening of 34 mm was achieved. After postoperative physiotherapy we reached 39 mm.

Conclusions: Mouth opening limitation may be due to extraarticular reasons such as fibrous scars of the temporal muscles. This cases may be solved with simple coronoidectomy.

Only gold members can continue reading. Log In or Register to continue

Jan 21, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on TMJ pyseudoankylosis after neurosurgery procedure of intracranial AV malformation. How we solved it
Premium Wordpress Themes by UFO Themes