Ankylosis of the temporo-mandibular joint after temporal craniotomy: a cause of difficult intubation

T. J. Coonan; C. E. Hope; W. J. Howes; R. O. Holness; E. L. Maclnnis

doi:10.1007/BF03010042

Ankylosis of the temporo-mandibular joint after temporal craniotomy: a cause of difficult intubation

T. J. Coonan, C. E. Hope, W. J. Howes, R. O. Holness, E. L. Maclnnis

Medicine

Medicine

Research output: Contribution to journal › Article › peer-review

23 Citations (Scopus)

Abstract

It is not generally appreciated that surgery in the region of the temporal fossa commonly produces, within a few weeks, a contracture of the temporalis muscle with "pseudo" ankylosis of the jaw. This usually, but not always, resolves within six months. The aetiotogical possibilities include, singly or in combination: 1. Postincisional scar formation within the muscle. 2. A Volkman's contracture due to devascularization of the muscle. 3. Organization of haematoma. It is recommended that active and passive jaw exercises be started early after surgery in the temporal fossa and that such postcraniectomy patients be carefully assessed for jaw ankylosis prior to undertaking anaesthesia.

Original language	English
Pages (from-to)	158-160
Number of pages	3
Journal	Canadian Journal of Anaesthesia
Volume	32
Issue number	2
DOIs	https://doi.org/10.1007/BF03010042
Publication status	Published - Mar 1985

ASJC Scopus Subject Areas

Anesthesiology and Pain Medicine

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10.1007/BF03010042

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AU - Howes, W. J.

AU - Holness, R. O.

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AB - It is not generally appreciated that surgery in the region of the temporal fossa commonly produces, within a few weeks, a contracture of the temporalis muscle with "pseudo" ankylosis of the jaw. This usually, but not always, resolves within six months. The aetiotogical possibilities include, singly or in combination: 1. Postincisional scar formation within the muscle. 2. A Volkman's contracture due to devascularization of the muscle. 3. Organization of haematoma. It is recommended that active and passive jaw exercises be started early after surgery in the temporal fossa and that such postcraniectomy patients be carefully assessed for jaw ankylosis prior to undertaking anaesthesia.

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Ankylosis of the temporo-mandibular joint after temporal craniotomy: a cause of difficult intubation

Abstract

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