The different effects of orthognathic surgery on the temporomandibular joint system may be due to several possible factors, such as postoperative follow-up time, preoperative relationship of the patient's jaws, surgical technique, surgeon's skills, postoperative intermaxillary fixation, methods and criteria for evaluating arthralgia, and others.
Sebastiani AM, Baratto-Filho F, Bonotto D, Kluppel LE, Rebellato NLB, da Costa DJ, et al. Infl uence of or thognathic surgery for symptoms of temporomandibular dysfunction. Oral Surg Oral Med Oral Pathol Oral Radiol 2016;121(2):119–25.
Lindenmeyer A, Sutcliffe P, Eghtessad M, Goulden R, Speculand B, Harris M. Oral and maxillofacial surgery and chronic painful temporomandibular disorders--a systematic review. J Oral Maxillofac Surg 2010;68(11):2755–64.
Patients with pre-existing temporomandibular joint disorders (TMD) can become better or worse after surgery. Patients without pre-existing TMJ problems can also develop postoperative TMJ-related symptoms and even condylar resorption