e-ISSN: 3051-6269 | ISSN: 2975-9293

Language

European Journal of Stomatology Oral and Facial Surgery

e-ISSN: 3051-6269 | ISSN: 2975-9293


Abstract

Temporomandibular joint (TMJ) arthroscopy is considered a safe, minimally invasive surgical procedure in the treatment of TMJ derangements. With its continued use, a range of complications have been documented in the literature. Most of them take place during or immediately after the surgical procedure. This case report presents a rare case of parapharyngeal edema following bilateral TMJ arthroscopy in a 34 year-old woman. Swelling required protective intubation up to 1 hour postoperatively, but resolved completely after 48 hours without further intervention. This case report highlights the need for careful surgical planning, adequate surgical technique, and promptness in identifying and solving a complication immediately upon its manifestation, such as fluid extravasation, which is rare, but can risk airway permeability.

References

  • Kassam, K., Cheong, R., & Cascarini, L. (2015). Parapharangeal edema: an uncommon complication of TMJ arthroscopy. Clinical case reports, 3(6), 496–498. https://doi.org/10.1002/ccr3.189
  • González-García, R., Rodríguez-Campo, F. J., Escorial-Hernández, V., Muñoz-Guerra, M. F., Sastre-Pérez, J., Naval-Gías, L., & Gil-Díez Usandizaga, J. L. (2006). Complications of temporomandibular joint arthroscopy: a retrospective analytic study of 670 arthroscopic procedures. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 64(11), 1587–1591. https://doi.org/10.1016/j.joms.2005.12.058
  • Hoffman, D., & Puig, L. (2015). Complications of TMJ surgery. Oral and maxillofacial surgery clinics of North America, 27(1), 109–124. https://doi.org/10.1016/j.coms.2014.09.008
  • Chowdhury, S. K. R., Saxena, V., Rajkumar, K., & Shadamarshan, R. A. (2019). Complications of Diagnostic TMJ Arthroscopy: An Institutional Study. Journal of maxillofacial and oral surgery, 18(4), 531–535. https://doi.org/10.1007/s12663-019-01202-3
  • Hoffman D, Puig L (2015) Complications of TMJ surgery. Oral Maxillofac Surg Clin N Am 27:109–124
  • Murphy, M. A., K. C. Silvester, and T. Y. K. Chan. 1993. htrddUGd haematoma after temporomandibular joint arthroscopy: a case report. Int. J. Oral Maxillofac. Surg. 22:332–335.
  • Patel, S., Jerjes, W., Upile, T., & Hopper, C. (2010). TMJ arthroscopy: rare neurological complications associated with breach of the skull base. The British journal of oral & maxillofacial surgery, 48(4), e18–e20. https://doi.org/10.1016/j.bjoms.2009.12.012
  • McCain JP: Principles and Practice of Temporomandibular
  • Joint Arthroscopy. St Louis, MO, Mosby, 1996, p 128
  • Zhang, S., Yang, C., Cai, X., Liu, X., Huang, D., Xie, Q., Haddad, M. S., & Chen, Z. (2011). Prevention and treatment for the rare complications of arthroscopic surgery in the temporomandibular joint. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 69(11), e347–e353. https://doi.org/10.1016/j.joms.2011.03.062

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Copyright (c) 2025 Beatriz Campos Mota, David Faustino Ângelo

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History

  • Received: 15/09/2024
  • Published: 27/06/2025

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