Testemunho - Ana Costa

JOÃO

CONHEÇA O CASO DO JOÃO MONTEIRO

João

MEET THE CASE OF João Monteiro

CLINICAL CASE OF TEMPOROMANDIBULAR DISFUNCTION

Summary of the Patient's History

The patient began experiencing popping sounds in the temporomandibular joints (TMJ) over 5 years ago. This was the first sign he detected. Following this, he experienced bilateral pain and episodes of a locked jaw. He decided to seek help from the rheumatology department of a hospital, where the colleague quickly realized he might be facing a case of temporomandibular dysfunction and referred him to the Portuguese Institute of the Face.


The patient reports having to turn his head to open his mouth.

MAIN COMPLAINTS

> Douleur aux ATM (douleur de 8/10 à l'ATM droite et douleur de 6/10 à l'ATM gauche) 

> Crépitements 

> Limitation de l'ouverture de la bouche 

> Céphalées 

> Articulation bloquée 

> Tension des muscles mastication 

> Tension des muscles cervicaux 

SUMMARY OF THE OBJECTIVE EXAM

> Arthralgia, popping, and crepitus of the right TMJ 

> Popping of the left TMJ 

> Maximum oral opening of 31mm, without deviations

DIAGNOSTIC

RIGHT ATM

> Displacement of the disc with reduction, Osteoarthritis, and Arthralgia (confirmed by MRI and CT) 

> Without myalgias or headaches.

 RIGHT ATM

> Disc detachment without reduction, Osteoarthritis, and Arthralgia (confirmed by MRI and CT)

> Without myalgias or headaches.

PLAN

> Arthroscopy of the right and left TMJ N2, with disc repositioning + infiltration of Ropivacaine + Super PRP


> Physical therapy protocol from the Portuguese Institute of the Face

EVOLUTION

"AMO pre-op 31 mm >> 6M post-op >> AMO 44 mm 

ATM pain pre-op 7/10 >> 6M post-op >> 0/10 

Left ATM pain pre-op 7/10 >> 6M post-op >> 0/10"

BEFORE AND AFTER

"I can now open my mouth normally."

João Monteiro

Testemunho - Ana Costa

RESPONSIBLE TEAM

Prof. Doutor David Ângelo
Dr. David Sanz

SEE OTHER CLINICAL CASES OF TEMPOROMANDIBULAR DYSFUNCTION

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