title: Vertiginous crisis following temporomandibular joint athrocentesis: a case report.
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.
authors.affiliation: Operative Unit of Maxillofacial Surgery, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy. luigi.vaira@gmail.com.|Operative Unit of Maxillofacial Surgery, University of Sassari, Viale San Pietro 43B, 07100, Sassari, Italy. luigi.vaira@gmail.com.
authors.forename: Luigi Angelo
authors.identifier: http://orcid.org/0000-0002-7789-145X
authors.initials: LA
authors.lastname: Vaira
authors.affiliation: Operative Unit of Maxillofacial Surgery, University of Sassari, Viale San Pietro 43B, 07100, Sassari, Italy.
authors.forename: Damiano
authors.initials: D
authors.lastname: Soma
authors.affiliation: Dental School, University of Sassari, Viale San Pietro 43B, 07100, Sassari, Italy.
authors.forename: Silvio Mario
authors.initials: SM
authors.lastname: Meloni
authors.affiliation: Operative Unit of Maxillofacial Surgery, University of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Dellàversana Orabona
authors.affiliation: ENT Operative Unit, Second University of Naples, Via Pansini 5, 80131, Naples, Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Piombino
authors.affiliation: Operative Unit of Maxillofacial Surgery, University of Sassari, Viale San Pietro 43B, 07100, Sassari, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: De Riu
mesh_terms: D000772:Anesthesia, Local; D000069237:Arthrocentesis / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008575:Meniere Disease / Q000209:etiology*; D008619:Mepivacaine; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D013705:Temporomandibular Joint Disorders / Q000628:therapy*
chemical_list: D008619:Mepivacaine
keywords: Temporomandibular arthrocentesis; Temporomandibular arthrocentesis complications; Temporomandibular disorders; Temporomandibular joint