Vertiginous crisis following temporomandibular joint athrocentesis: a case report

Oral Maxillofac Surg. 2017 Mar;21(1):79-81. doi: 10.1007/s10006-016-0603-0. Epub 2016 Dec 6.

Abstract

Temporomandibular joint arthrocentesis and arthroscopy have recently exceeded open surgeries for disorders that failed to respond to conservative treatment. The efficacy of arthrocentesis in reestablishing normal mouth opening and reducing pain and dysfunctions is now commonly accepted, but in contrast to arthroscopy, there are no large series studies on arthrocentesis complications. We report the major complication occurred in our experience: a case of a patient that complained of a violent vertigo, without hearing disorders, following the procedure.

Keywords: Temporomandibular arthrocentesis; Temporomandibular arthrocentesis complications; Temporomandibular disorders; Temporomandibular joint.

MeSH terms

  • Anesthesia, Local
  • Arthrocentesis / adverse effects*
  • Female
  • Humans
  • Meniere Disease / etiology*
  • Mepivacaine
  • Middle Aged
  • Postoperative Complications / etiology*
  • Temporomandibular Joint Disorders / therapy*

Substances

  • Mepivacaine