Post-surgical neuromas in patients with total alloplastic temporomandibular joint reconstruction: a retrospective case series.
This study evaluated pain scores and maximal incisal opening (MIO) in patients with total alloplastic temporomandibular joints found to have post-surgical neuromas following revision arthroplasty, compared with patients who underwent revision arthroplasty without neuromas. 19 cases were reviewed of which 11 had neuromas excised. Data were available for 8 cases in the immediate postoperative period and 7 cases had follow-up data. 8 patients had revision arthroplasty with excision of scar tissue (7 with postoperative, 4 with long-term data). Follow-up ranged from 2 months to 5.9 years (mean 1.2 years). 6 of 8 patients obtained clinically significant pain reduction in the immediate postoperative period when their neuromas were excised, compared with 3 of 7 patients without neuromas. On long-term follow-up, 3 of 7 patients in the neuroma group had clinically significant pain reduction, 3 reported lower pain scores, 1 had no pain change. No patients had increased pain. 1 of 4 patients in the scar revision group had clinically significant pain reduction, 2 had no change, 1 reported increased pain. Mean MIO was 23 mm preoperative and 28 mm postoperative in patients with neuromas, compared with 27.75 mm and 31.25 mm, respectively, in patients without neuromas.
Department of Oral and Maxillofacial Surgery, University of Pennsylvania, Hospital, University of Pennsylvania, PA 19104, USA. Eric.granquist@uphs.upenn.edu
E J
EJ
Granquist
J C
JC
Chou
H
H
Giannakopoulos
V A
VA
Livolsi
P D
PD
Quinn
D019643:Arthroplasty, Replacement / Q000009:adverse effects*; D002921:Cicatrix / Q000601:surgery; D015331:Cohort Studies; D005157:Facial Pain / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D009463:Neuroma / Q000209:etiology / Q000601:surgery*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology / Q000601:surgery; D016059:Range of Motion, Articular; D012086:Reoperation; D012189:Retrospective Studies; D013704:Temporomandibular Joint / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome