J Korean Assoc Maxillofac Plast Reconstr Surg.  1999 Feb;21(1):48-53.

CHANGES OF REFERRED SYMPTOMA FOLLOWING SURGICAL TREATMENT IN PATIENTS DIAGNOSED AS TMJ INTERNAL DERANGEMENT

• Kim HG
• Park KH
• Huh JK
• Yoon HJ
• Kim KY
• Nam KH

Abstract

PURPOSE : The aim of this study was to inverstigate the improvement of referred symptoms of TMJ internal derangement after open surgery of TMJ.
MATERIALS AND METHODS
: The present study focused referred symptoms such as headache, neck pain, shoulder pain and evaluated the incidences and changes in their improvement at 1, 3, 6, 12 months after surgery in 118 patients who had TMJ internal derangement and received mentiscoplasty(or meiscorrhaphy) and eminectomy at TMJ clinic of Yonsei University, Yongdong Severance Hospital, between 1992 and 1997.
RESULTS
: One hundred eighteen patients(102 females, 16 males) with mean age of 29.6 years(range, 14 to 74) were included in this study and the mean follow-up period was 19.5 months(range, 12 to 60). The incidences of headache, neck pain, shoulder pain among the surgically treated TMJ internal derangement patients were 66.9%, 28.8%, 28.0% before surgery. Thirty-two preoperative severe(+++) headache patients were all improved their headache at 1, 3, 6 months after surgery, but slight relapse(9.4%) was found at 12 months after surgery. The clearance rate of preoperative neck and shoulder pain were 91.2% and 90.9% at 1 month after surgery and all of these groups had no pain at 12 months after surgery.
CONCLUSIONS
: Referred symptoms of TMJ internal derangement such as headache, neck pain, shoulder pain were dramatically improved after surgical treatment of TMJ.

MeSH Terms

Female
Follow-Up Studies
Headache
Humans
Incidence
Neck
Neck Pain
Shoulder Pain
Temporomandibular Joint*