J Korean Assoc Maxillofac Plast Reconstr Surg.  1998 Feb;20(1):86-90.

CHANGES OF HEADACHE FOLLOWING SURGICAL TREATMENT IN PATIENTS DIAGNOSED AS TMJ INTERNAL DERANGEMENT

• Huh JK
• Kim KY
• Park KH
• Kim HG

Abstract

Headache can be characterized as symptoms of various organic and inorganic disorder affeting the craniofacial areas, and may be a pain in various parts of head, not confined to the area of distribution of any nerve. Temporomandibular joint internal derangement has been defined as an abnormal relationship between the meniscus and the mandibular condyle, the fossa, and the articular eminence, and it also involves inflammation, changes in the articular surfaces, alteration in joint pressures and synovial fluid, production of a variety of biochemical substances. TMJ internal derangement has been associated with pain in the TMJ, clinking and/or crepitus, headaches, and limitations of jaw opening. The present study focused headache and evaluated the incidence of headaches and changes in its improvement following surgery in 86 patients who had TMJ internal derangement and received TMJ surgery. The results were as follows ; 1. The incidence of headache among the surgically treated TMD patients was 74.4%.. 2. The clearance rate of severe headache (88.9%) group following TMJ surgery is the highest among the subgroups in postsurgical evaluation. But slight relapse was found at the 6-month follow-up period in this group. 3. Improvement of headache symptoms among the surgically treated TMD patients may be influenced by decompression of intracapsular pressure, repositioning of meniscus, compositional changes of synovial fluids.

MeSH Terms

Decompression
Follow-Up Studies
Head
Headache*
Humans
Incidence
Inflammation
Jaw
Joints
Mandibular Condyle
Recurrence
Synovial Fluid
Temporomandibular Joint*