The need for open surgical exploration of the temporomandibular joint (TMJ) with meniscus or capsular surgery, including meniscectomy if performed, arises when a patient has severe TMJ pathology—such as disc perforation, capsular damage, or chronic dislocation—requiring surgical exposure under anesthesia with assistance in a hospital, potentially with microsurgery, to repair or remove the meniscus or capsule and restore function. This is indicated for complex TMJ issues, critical where joint integrity affects maxillofacial movement.
Specific scenarios include:
For example, a patient with a perforated TMJ disc might need this for pain relief, with meniscectomy if irreparable. In aged care, an elderly patient could benefit for function, given frailty. By exploring and repairing the joint, this service restores mobility, relieves pain, and enhances function, making it a key maxillofacial procedure.
Restores TMJ function, relieves severe pain, and corrects joint damage.
Recovery of 6-8 weeks with swelling, therapy, and restricted motion; hospital stay required.
