Brielle Bowyer

 Temporalmandibular Joint  The articulation between the mandible and the temporal bone. Located just anterior to each ear.

 A video tower  Monitor  VCR  Color Printer  Camera  Light sourch  Bipolar and Regular ESU  Arthroscopic shaver control unit  Fluid infusion system  Suction

 TMJ instrument set  Small joint shaver  Light Cord  Camera  0, 30, and 70 degree lenses.

 Basic pack  Basin  #11 blade  suture  Adhesive bandages  Suction  Head and neck drapes with fluid collection pouch.  Gauze Sponges  Assorted Syringes and 18 gauge needle  Lactated Ringer’s solution.

 Anesthesia  General Oral or nasal intubation  Position  Supine Head turned to expose operative side. Arms tucked at sides to protect ulnar nerves.  Prep  Hair Removed or restrained.  Skin Face, chin, and neck are prepped with mild antiseptic.  Draping  Bar drape and U-drapes

 Time-out  Irrigation solution is injected into the joint space to distend the capsule.  Small stab wound incision is made.  Trochar is inserted and arthroscope inserted.  Irrigation is infused into the joint, which is then examined.  If functional surgery is required, a second stab wound is made.  Final visual inspection performed.  Trochar cannulas are removed and excess fluid is removed.  Wound is closed and dressing is placed.  Procedure may be repeated on contralateral side.  2 Counts

 Post-op care  Range of motion of jaw may be limited.  Extubation may be difficult.  Suction and emergency airway supplies should be available.  Application of ice may help prevent pain and swelling.  Patient may be placed on a soft food, or liquid diet for several days post-op.  Prognosis  Good outcome is expected.  Recurrence is possible if contributing behavior is not resolved.  Complications  Hemorrhage  Infection  recurrence