Skip to main content
SpringerLink
Log in

TMJ (Temporomandibular Joint): Denervation

  • Chapter
  • First Online:
Joint Denervation

  • 912 Accesses

Abstract

The anatomy of the innervation of the temporomandibular joint (TMJ) is described. Nerve block of the auriculotemporal and masseteric nerves to the TMJ is described. The technical approaches to denervation of the TMJ are described and illustrated. The results of TMJ denervation are presented.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Change history

  • 04 July 2019

    This book was inadvertently published with the below error: In the original version of chapter ‘TMJ (Temporomandibular Joint): Denervation’, the letter ‘D’ had been missed out and it has been corrected.

Notes

  1. 1.

    Used with permission of Elsevier from Kumar et al. [24].

References

  1. Thilander B. Innervation of the temporomandibular joint capsule in man. Trans R School Dent Umea. 1961;2:1.

    Google Scholar 

  2. Griffin CJ, Harris R. Innervation of the temporomandibular joint. Austral Dent J. 1975;4:78–65.

    Article  Google Scholar 

  3. Worwick R, Williams PL. Gray’s anatomy, 36th British ed. Philadelphia: Saunders Co; 1980.

    Google Scholar 

  4. Hiatt JL, Gartner LP. Textbook of head and neck anatomy. 2nd ed. Baltimore: Williams & Wilkins; 1987. p. 213–5.

    Google Scholar 

  5. Howerton DW, Zysset M. Anatomy of the temporomandibular joint and related structures with surgical anatomic considerations. Oral Maxillofac Surg Clin North Am. 1989;1:229–47.

    Google Scholar 

  6. Davidson JA, Metzinger SE, Tufaro AP, Dellon AL. Clinical implications of the innervation of the temporomandibular joint. J Craniofac Surg. 2003;14:235–9.

    Article  Google Scholar 

  7. Henny FA, Baldridge OL. Condylotomy for the persistently painful temporomandibular joint. J Oral Surg. 1957;15:24–31.

    PubMed  Google Scholar 

  8. Green CS, Laskin DM. Long term evaluation of conservative treatment for myofascial pain-dysfunction syndrome. J Am Dent Assoc. 1974;89:1365–8.

    Article  Google Scholar 

  9. Greene CS, Laskin DM. Splint therapy for the myofascial pain dysfunction syndrome: a comparative study. J Am Dent Assoc. 1975;84:624–8.

    Article  Google Scholar 

  10. Brown WA. Internal derangement of the temporomandibular joint: review of 214 patients following meniscectomy. Can J Surg. 1980;23:30–2.

    CAS  PubMed  Google Scholar 

  11. Rasmussen OC. Description of population and progress of symptoms in a longitudinal study of temporomandibular arthropathy. Scand J Dent Res. 1981;89:196–203.

    CAS  PubMed  Google Scholar 

  12. Silver CM. Long-term results of meniscectomy of the temporomandibular joint. J Craniomandib Pract. 1984;3:46–57.

    CAS  Google Scholar 

  13. Benson BJ, Keith DA. Patient response to surgical and nonsurgical treatment for internal derangement of the temporomandibular joint. J Oral Maxillofac Surg. 1985;43:770–7.

    Article  CAS  Google Scholar 

  14. Merrill RG. Historical perspectives and comparisons of TMJ surgery for internal disk derangements and arthropathy. J Craniomandib Pract. 1986;4:74–85.

    CAS  Google Scholar 

  15. Montgomery MT, VanSickles JE, Harms SE, Thrash WJ. Arthroscopic TMJ surgery: effects on signs, symptoms, and disc position. J Oral Maxillofac Surg. 1989;47:1263–71.

    Article  CAS  Google Scholar 

  16. Nickerson JW, Veaco NS. Condylotomy in surgery of the temporomandibular joint. Oral Maxillofac Surg Clin North Am. 1989;1:303–27.

    Google Scholar 

  17. Moses JJ, Poker ID. TMJ arthroscopic surgery: an analysis of 237 patients. J Oral Maxillofac Surg. 1989;47:790–4.

    Article  CAS  Google Scholar 

  18. Wilkes CH. Surgical treatment of internal derangements of the temporomandibular joint: a long-term study. Arch Otolaryngol Head Neck Surg. 1991;117:64–72.

    Article  CAS  Google Scholar 

  19. Montgomery MT, Gordon SM, Van Sickels JE, Harms SE. Changes in signs and symptoms following temporomandibular joint disc repositioning surgery. J Oral Maxillofac Surg. 1992;50:320–8.

    Article  CAS  Google Scholar 

  20. Stegenga B, de Bont LG, Dijkstra PU, Boering G. Short-term outcome of arthroscopic surgery of temporomandibular joint osteoarthrosis and internal derangement: a randomized controlled clinical trial. Br J Oral Maxillofac Surg. 1993;31:3–14.

    Article  CAS  Google Scholar 

  21. Murakami K, Moriya Y, Goto K, Segami N. Four-year follow-up study of temporomandibular joint arthroscopic surgery for advanced stage internal derangements. J Oral Maxillofac Surg. 1996;54:285–90.

    Article  CAS  Google Scholar 

  22. Jones GP, Tripathi SS. Successful use of stellate ganglion block and a new centrally acting analgesic with dual mode of action in a resistant temporomandibular joint pain. BMJ Case Rep. 2014;2014. pii: bcr2013203308

    Google Scholar 

  23. Quek SY, Subramanian G, Patel J, Ananthan S, Zagury JG, Khan J. Efficacy of regional nerve block in management of myofascial pain of masseteric origin. Cranio. 2015;33:285–90.

    Article  Google Scholar 

  24. Kumar N, Sardana R, Kaur R, Jain A. Intraoperative mandibular nerve block with peripheral nerve stimulator for temporomandibular joint ankylosis. J Clin Anesth. 2016;35:207–9.

    Article  Google Scholar 

  25. Machado E, Machado P, Wandscher VF, Marchionatti AME, Zanatta FB, Kaizer OB. A systematic review of different substance injection and dry needling for treatment of temporomandibular myofascial pain. Int J Oral Maxillofac Surg. 2018;47(11):1420–32. pii: S0901-5027(18)30175-9

    Article  CAS  Google Scholar 

  26. Rodriguez-Lopez MJ, Fernandez-Baena M, Aldaya-Valverde C. Management of pain secondary to temporomandibular joint syndrome with peripheral nerve stimulation. Pain Physician. 2015;18:E229–36.

    PubMed  Google Scholar 

  27. Dellon AL, Maloney CT Jr. Denervation of the painful temporomandibular joint. J Craniofac Surg. 2006;17:828–32.

    Article  Google Scholar 

  28. Manktelow RT, Tomat LR, Zuker RM, Chang M. Smile reconstruction in adults with free muscle transfer innervated by the masseter motor nerve: effectiveness and cerebral adaptation. Plast Reconstr Surg. 2006;15(118):885–99.

    Article  Google Scholar 

  29. Ackland D, Robinson D, Lee PVS, Dimitroulis G. Design and clinical outcome of a novel 3D-printed prosthetic joint replacement for the human temporomandibular joint. Clin Biomech (Bristol, Avon). 2018;11(56):52–60.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic Surgery and Neurosurgery, Johns Hopkins University, Baltimore, MD, USA

    A. Lee Dellon

Authors
  1. A. Lee Dellon
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Dellon, A.L. (2019). TMJ (Temporomandibular Joint): Denervation. In: Joint Denervation. Springer, Cham. https://doi.org/10.1007/978-3-030-05538-7_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-05538-7_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05537-0

  • Online ISBN: 978-3-030-05538-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation