Letters to the Editor / British Journal of Oral and Maxillofacial Surgery 52 (2014) 870–873
871
3. Zhang S, Yang C, Cai X, et al. Prevention and treatment for the rare complications of arthroscopic surgery in the temporomandibular joint. J Oral Maxillofac Surg 2011;69:e347–53.
Bernard Bonte ∗ Maxillofacial surgeon Maxillofacial unit AZ Sint Jan Campus Serruys Kairostraat 84 B 8400 Oostende Belgium ∗ Corresponding author. Tel.: +32 59 555052; fax: +32 59 555204. E-mail address: [email protected] (B. Bonte) 10 March 2014 Available online 10 June 2014 http://dx.doi.org/10.1016/j.bjoms.2014.03.027
Should we be giving bilateral inferior alveolar and lingual nerve blocks for third molar surgery? Fig. 1. Axial high resolution computed tomographic sections of the temporal bone at the inferior portion of the external acoustic canal in a woman with thin tympanic bone and perforation of the tympanic membrane.
of arthroscopy of the TMJ, damage to the external acoustic canal, tympanic membrane, or auditory ossicles of the middle ear, can occur and will result in partial or complete hearing loss. In a large, retrospective, multicentre study of 4,831 TMJ after arthroscopic procedures,2 24 patients developed auditory complications. Zhang et al., 3 mentioned 2 cases of perforation of the external acoustic canal in a study of 2034 TMJ treated arthroscopically. In my experience of treating patients with arthroscopic lysis and lavage of the TMJ, I have encountered one incident of iatrogenic perforation of the tympanic membrane in an 80-year-old lady with
871
3. Zhang S, Yang C, Cai X, et al. Prevention and treatment for the rare complications of arthroscopic surgery in the temporomandibular joint. J Oral Maxillofac Surg 2011;69:e347–53.
Bernard Bonte ∗ Maxillofacial surgeon Maxillofacial unit AZ Sint Jan Campus Serruys Kairostraat 84 B 8400 Oostende Belgium ∗ Corresponding author. Tel.: +32 59 555052; fax: +32 59 555204. E-mail address: [email protected] (B. Bonte) 10 March 2014 Available online 10 June 2014 http://dx.doi.org/10.1016/j.bjoms.2014.03.027
Should we be giving bilateral inferior alveolar and lingual nerve blocks for third molar surgery? Fig. 1. Axial high resolution computed tomographic sections of the temporal bone at the inferior portion of the external acoustic canal in a woman with thin tympanic bone and perforation of the tympanic membrane.
of arthroscopy of the TMJ, damage to the external acoustic canal, tympanic membrane, or auditory ossicles of the middle ear, can occur and will result in partial or complete hearing loss. In a large, retrospective, multicentre study of 4,831 TMJ after arthroscopic procedures,2 24 patients developed auditory complications. Zhang et al., 3 mentioned 2 cases of perforation of the external acoustic canal in a study of 2034 TMJ treated arthroscopically. In my experience of treating patients with arthroscopic lysis and lavage of the TMJ, I have encountered one incident of iatrogenic perforation of the tympanic membrane in an 80-year-old lady with
