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TMJ arthroscopy

4-minute read

This page will give you information about a TMJ arthroscopy. If you have any questions, you should ask your GP or other relevant health professional.

What is a TMJ arthroscopy?

An arthroscopy (keyhole surgery) allows your surgeon to see inside your temporomandibular joint (TMJ) using a camera inserted through a small cut on your skin.

Your surgeon can diagnose problems such as a torn cartilage and damage to the surface of the joint. They may be able to treat some problems using surgical instruments or by washing out the joint (arthrocentesis), without making a larger cut.

What are the benefits of surgery?

The aim is to confirm exactly what the problem is and for many people the problem can be treated at the same time.

Illustration showing the temporomandibular joint.
The temporomandibular joint.

Are there any alternatives to surgery?

Problems inside a joint can often be diagnosed using tests such as CT scans and MRI scans.

Non-surgical treatment such as rest, taking anti-inflammatory painkillers and wearing a TMJ splint can sometimes help.

If the problem is with the chewing muscles around the joint, muscle-relaxing medication or injections of Botox can reduce joint stiffness but do not treat the underlying cause.

A steroid injection into the joint can sometimes reduce pain for several months but may cause side effects if repeated too often.

What does the operation involve?

The operation is performed under a general anaesthetic and usually takes about 20 minutes for each joint. The operation can take up to 2 hours if your surgeon needs to perform any surgery within a joint.

They will insert a camera through a small cut in front of your ear to examine the inside of the joint for damage to cartilage, joint surfaces and ligaments.

Your surgeon may insert one or two needles through the cut and use them to wash out any loose material caused by wear of the joint surfaces. Or, your surgeon may make another cut to insert surgical instruments to treat scarring, improve the joint surfaces or to use a stitch to change the position of the cartilage disc.

What complications can happen?

Some of these can be serious and can even cause death.

General complications of any operation

  • pain
  • bleeding
  • bruising and swelling
  • infection of the surgical site (wound)
  • blood clot in your leg
  • blood clot in your lung

Specific complications of this operation

  • not being able to open your mouth fully (trismus) and jaw stiffness
  • tenderness and pain in the joint
  • numbness of the temple and ear
  • weak forehead movement

How soon will I recover?

The swelling and discomfort is usually at its worst for the first few hours.

You should be able to go home the same day.

To reduce the risk of bleeding, swelling and bruising, do not do strenuous exercise, have a hot bath or bend down for 2 weeks.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

It is important to keep the joint moving. Your surgeon will give you stretching exercises to do to help improve how your mouth opens.

You should be able to return to work after a few days, depending on your type of work.

Summary

A TMJ arthroscopy is an operation to diagnose and treat problems such as locking, pain and being restricted when opening your mouth, without the need for a large cut on your skin.

IMPORTANT INFORMATION
The operation and treatment information on this page is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. The information should not replace advice that your relevant health professional would give you.

For more on how this information was prepared, click here.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: September 2019


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