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November 1954

MENISCECTOMY: A New Approach to the Temporomandibular Joint

Author Affiliations

From the Head and Neck Service of the Surgical Department of St. Vincent's Hospital.

AMA Arch Otolaryngol. 1954;60(5):566-572. doi:10.1001/archotol.1954.00720010581005

THE TEMPOROMANDIBULAR joint has been a neglected area in the hands of the otolaryngologist. When he is confronted with the patient who is complaining of pain in this site, his main concern is the exclusion of the ear as a cause of this pain. In the course of his examination he finally indicts the temporomandibular joint and is relieved to be able to properly refer the patient to a dentist for correction of the bite. In the great majority of cases, and in competent hands, dental restoration, balancing of occlusion in the natural teeth, or orthodontia is effective.1 However, there are those patients in whom there may be a major meniscus disturbance which will not be so benefited and who will be helped only by removal of the temporomandibular disc.

It is not within the scope of this paper to debate the ramifications of the syndrome which has been