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  TMJ Disorder -TemporoMandibular Joint
  Surgery Consent Form (WOW)

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Author Topic:   Surgery Consent Form (WOW) | Page views:
Elaine
Senior Veteran
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Posts: 1193
From:Montana
Registered: Nov 2000

posted 10-05-2002 01:02 AM     Click Here to See the Profile for Elaine     Edit/Delete Message   Reply w/Quote
I never signed a consent form like this, nor was I advised of all this. I do remember signing one saying the doctor was not responsible for the outcome. I guess that should have told me something.

The proposed surgery has been outlined for me in laymen's terms and possible complications and side effects have been discussed including ( but not limited to ):


___A.Objectionable scarring of the incision line, possibly requiring later revision.


___B.Postoperative swelling, discomfort, bruising of the area, bleeding, hematoma (blood clot) formation, and wound infection.


___C.Adverse or allergic reactions to medications oranesthesia causing multiple side effects, some of which may be serious.


___D.Foreign body reaction and (if used) rejection of implant materials.


___E.Malocclusion (change in bite) after surgery.


___F.Postoperative development of adhesions (scarring) within the joint space which may cause continued jaw dysfunction and decreased range of jaw movement or chewing difficulty.


___G.Facial muscle weakness, particularly of the forehead and eyelid, or inability to close the affected eye tightly, which is caused by injury to
motor nerves in the immediate surgical area. This weakness may be partial or total and is usually temporary, but may be permanent.


___H.Sensory nerve damage, numbness, or other sensory alterations which may be temporary or permanent.


___I.Ear problems, including infection of external, middle or inner ear, ringing in the ear, hearing loss or equilibrium problems.


___J.Freys Syndrome


___5.I understand that additional treatment may be necessary post operatively, including physical therapy, splint therapy, reconstructive dentistry,
orthodontics, jaw repositioning surgery, removal of certain fixation devices, or further TMJ surgery including total joint replacement, bone grafts, and
arthroscopy.


___6.I understand that this is complex surgery, and there can be no guarantee of complete resolution of my present symptoms or jaw dysfunction. Occasionally
there may be increased symptoms post operatively.


___7.I have been told of my option of a second opinion regarding this procedure from a qualified professional.
___8.Recognizing that during surgery some unforeseen condition may be discovered that might necessitate a change in approach or different procedure from those
explained above, I authorize Dr. ****o perform such
procedures as are necessary and advisable in the exercise of his professional
judgment.


___9.I understand that general anesthesia will be used for my surgery and that there is risk of serious bodily injury inherent in such anesthesia, including
death. I have been told not to have any food or drink for 8 hours prior to my anesthetic and that CONSUMING FOOD OR DRINK BEFORE INTRAVENOUS GENERAL ANESTHESIA MAY CAUSE SERIOUS COMPLICATIONS OR DEATH!


___10.I have discussed my past medical history with my doctor and have disclosed all diseases and medications, including alcohol and drug use (past or
present).


___11.I agree to cooperate with the recommendations of Dr. ****,
realizing that lack of cooperation may result in a less than optimal result. I have not been given any warranty or guarantee as to the result of the
proposed procedure.


___12.I certify that I have had an opportunity to read and fully understand the terms within the and that all the above blanks were filled in prior to my
signing this form. All my questions have been answered to my satisfaction and I am willing to undergo the proposed surgery.


I also state that I speak, read and write English.


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Cymy Sue
Senior Veteran
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Posts: 815
From: Alabama
Registered: Oct 2002

posted 08-26-2003 09:37 AM     Click Here to See the Profile for Cymy Sue     Edit/Delete Message   Reply w/Quote
Bump for Janis

[This message has been edited by Cymy Sue (edited 08-26-2003).]

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Cymy Sue
Senior Veteran
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Posts: 815
From: Alabama
Registered: Oct 2002

posted 09-10-2003 08:59 AM     Click Here to See the Profile for Cymy Sue     Edit/Delete Message   Reply w/Quote
This is a brief form of consent. The ones you have to sign now are more indepth in regard to possible complications.

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ALuv4Labs
Newbie
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Posts: 3
From:
Registered: Sep 2003

posted 09-10-2003 06:49 PM     Click Here to See the Profile for ALuv4Labs     Edit/Delete Message   Reply w/Quote
No need to worry. I don't know what kind of surgery you are having, but considering it's on a TMJ board, I'm sure it's one I have had. I have had several different jaw surgeries all beginning with a bad overbite and TMJ. The first one was to break and re-allign my jaw. I had this when I was only 14 and everything went VERY well! I will not go into details about what all I had done unless you see this and ask me to. I had to sign for all of these things that you listed, and none of those serious things happened to me. There was a great deal of swelling, a bit of numbness in some areas, and a good deal of pain. I am actually now a "patient counselor" type of person for my Oral Surgeon's office. If patients have questions about the surgery and want to talk about it with someone who has had it rather than just the doctor, my doctor gives them my number. I have never heard of anyone, out of at least hundreds of patients, having any of those serious complications. It is just there for everyone's protection because technically, it COULD happen...It's just that the chances are very, very slim. If you would like to discuss this further, feel free to post a reply to me. I am very open to talking about all of this and would love to help. Good luck!

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Elaine
Senior Veteran
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Posts: 1193
From:Montana
Registered: Nov 2000

posted 09-10-2003 08:33 PM     Click Here to See the Profile for Elaine     Edit/Delete Message   Reply w/Quote
I am "one" of those patients with serious complications. Your statement of "no need to worry" definitely would not apply to me. After having three surgeries, puking headaches to the point of vomiting for six hours at a time. Excessive weight loss(30lbs) due to not being able to chew. Hearing loss in the right ear, a bite that is so far off, not to mention an opening of 10mm. An implant that needs to be removed due to the fact the jaw joint put to much stress on it and the screws have come loose. My condyle is down to a stub from the wear & tear of the implant, plus the development of osteo-arthritis. Next step is total joint replacement, like I would agree to that after having been through this nightmare. Once I get this implant out, I hope I never have to let a oral surgeon get his hands on me again.
Elaine


This is one point that should be stressed before undergoing this surgery!!! Uggh!!
I understand that additional treatment may be necessary post operatively, including physical therapy, splint therapy, reconstructive dentistry,
orthodontics, jaw repositioning surgery, removal of certain fixation devices, or further TMJ surgery including total joint replacement, bone grafts, and
arthroscopy. One surgery "usually" leads to another and on and on it goes....

[This message has been edited by Elaine (edited 09-10-2003).]

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Marlene
Veteran
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Posts: 495
From:Ontario, Canada
Registered: Feb 2001

posted 09-10-2003 08:48 PM     Click Here to See the Profile for Marlene     Edit/Delete Message   Reply w/Quote
[QUOTE]Originally posted by ALuv4Labs:
[B]No need to worry.

I beg to differ with this statement. ANY invasive procedure is not to be taken lightly, and there are causes for concern regarding the outcome. The odds are not in favour of a total/complete success with surgery on the TMJ. (JMHO)

Marlene

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DianeTMJ
Senior Veteran
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Posts: 726
From:
Registered: Apr 2003

posted 09-10-2003 09:13 PM     Click Here to See the Profile for DianeTMJ     Edit/Delete Message   Reply w/Quote

ALuv4Labs, I am happy that you have had so much success with surgery. Perhaps taking a little bit of time and reading the many posts here of endless numbers of people that have NOT had successful surgery. The success rate of surgery on the TMJ's is extremely LOW, approximately 5% ARE successful. The remaining, well those patients, they end up with more surgery, more PT, more surgery, a terrible circle of pain.
We welcome success stories, I am a non-surgical success story, however, I HOPE that my sensitivity and caring will remain for those many on this board needing support, guidance and understanding.
Please, take the time, read the stories on this board, perhaps it will help you in your patient counseling, perhaps tempering your enthusiasm to have someone have any type of surgery.
Diane

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Bren30
Senior Member
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Posts: 121
From:Natchitoches,La.,United States
Registered: Oct 2001

posted 09-10-2003 09:26 PM     Click Here to See the Profile for Bren30     Edit/Delete Message   Reply w/Quote
Elaine..

My heart goes out to you ..
I think of you and what you go through and wonder where you get your strenght?
God bless you and good luck getting that implant out
(or whats left of it).

I'm still here and doing ok I guess.

Bren

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CherylLynn24
Senior Veteran
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Posts: 1225
From:
Registered: Apr 2003

posted 09-10-2003 10:13 PM     Click Here to See the Profile for CherylLynn24     Edit/Delete Message   Reply w/Quote
ALuv4labs,

I mean no disrespect here but how would you counsel members here such as: Cymy Sue, Elaine, Sharbear, Luigi, etc.....that are surgical messes??
Cheryl

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Cymy Sue
Senior Veteran
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Posts: 815
From: Alabama
Registered: Oct 2002

posted 09-11-2003 04:17 AM     Click Here to See the Profile for Cymy Sue     Edit/Delete Message   Reply w/Quote
Hi ALuv4Labs,

I'm glad your surgeries went well. I'm told these procedures do work for some people.

If your reply is to me since I pulled up the form, I'm not having anymore surgeries, 7 was enough. I would be extremely worried if there was anything else surgically that I could have done. In a moment of pain and weakness, I might be tempted to try something else. I did ask last fall, when the pain became unbearable (I've been in Pain Management for the last 6 years, since my discectomy) if I could have Implants or a Total Prosthesis. I was told I had too much bone loss, nerve damage and muscle problems from prior surgeries, to have anything else done. I was told my only option was to stay medicated the rest of my life. To be honest, staying medicated the rest of my life was not the kind of "Life" I wanted and I considered another "Option" for a while. Thankfully, I did not entertain those thoughts too long. During that time is when I found this board and found people who understood my pain, frustration, and hopelessness.

Sadly, there are many who, have been so badly damaged from these surgeries and their lives so completely destroyed, reach that point of hopelessness and "they" don't make it.

I have to disagree with your statement regarding the chances of having complications is very, very slim. In my experience, very few people have any of these procedures without some type of "problems" or "complications" they did not expect. During the last 26 years, those "Standard Surgical Release Forms" for TMJ Surgeries have gotten longer and longer and more indepth. I wonder why that is? I realize all "Surgical Release Forms" have increased in their coverage of possible problems, but for Oral Surgery, particularly for TMJ problems, it's like reading an Encyclopedia.

If these problems and complications do not occur with any regularity, why are these extensive consent forms needed?

Also, just out of curiosity, at 14 were your parents not required to sign these forms for you?


Please read "Orthognathic means.. Straight Jaws" if you haven't. This is just a brief report of the problems in surgery and after, that I had with 2 surgeries. (2 Bilateral Sagittal Splits within 3 months.) In the last 16 years, I've had 4 more.
One for bone grafts, 2 bilateral arthroplasties (the first, disc replacements, the second, a discectomy) and the last surgery, not on the joints, but a nasal procedure for problems caused by the nerve damage from these TMJD surgeries. After 26 years, with my diagnosis coming from having my wisdom teeth surgically extracted (#1) , 3 ortho's, 5 surgeons, countless other professionals and every kind of treatment possible, this consent form barely touches on the problems that can occur. I have 2 others from my last surgeons office that does cover almost everything. (With all of these surgeries, I had the "Best Surgeons". They are all very well known in their field)

I am glad your Doctor has been so successful.
Hundreds of surgeries and no serious complications or problems?????? Having someone like you, who has had successful surgeries to talk to patients, is an extremely good idea. However, it does seem to me that this would give them a little bit of a one-sided view of the procedures. Do you show them the Consent Forms prior to the surgery and answer any questions they may have about all of the possible complications, future treatments and other surgeries that might be needed later?
Do you mention to them that if they have severe muscular problems, these surgeries will not help and there is the possibility that if the surgery is a success, they may have better function, but could be left with more pain?

Possibly, the determination of how serious the problems or complications are, depends on which end of the scapel you're on.

Also, it's been my experience you're handed the forms right before surgery, sometimes after being sedated a little. I've signed those papers when I could barely see, much less read.

I've been around the block several times in regard to this issue, I know the stats on completely successful TMJD Surgeries with absolutely no problems afterwards.

My story is on this board in several places and it's pretty bad, but there are those in much worse condition, due to surgeries for TMJD.

You have joined a Forum of very mature, educated and experienced people in regard to Surgeries for TMJD and all other Treatments available. Most are mature adults who have severe TMJD problems. The majority of our members are here due to Inappropriate Treatments for TMJD or they are unable to find Appropriate Treatment. Many are here due to Complications and Problems caused by Surgeries for TMJD. Others are new to TMJD and looking for help.

We would like to hear some good reports. We have very few in regard to surgery and there are those who are now considering different procedures.

Telling your story and the types of surgeries you've had would be a good idea, so everyone can get a different perspective.

Welcome to our Forum,

Cymy Sue


[This message has been edited by Cymy Sue (edited 09-18-2003).]

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donschik
Junior Member
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Posts: 10
From:Montana
Registered: Oct 2002

posted 09-13-2003 11:51 PM     Click Here to See the Profile for donschik     Edit/Delete Message   Reply w/Quote
This consent form was interesting to me. I have had at least 10 surgeries over the last 17 years and have have a good share of the complications. One surgery has led to another and another ....... I have Christensen implants that were the second biggest mistake I made (having surgery at all was the first). I am now in an active phase of a degenerative joint disease that is destroying my joints and no way to stop it. Anyone that is thinking of TMJ surgery had better think again b/c once the cycle starts you never get out of it. Mine is so bad now that my chin is receding from lack of bone and they want to do the total joint replacement. Please be careful in your choices. Good luck!

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Cymy Sue
Senior Veteran
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Posts: 815
From: Alabama
Registered: Oct 2002

posted 10-01-2003 11:18 AM     Click Here to See the Profile for Cymy Sue     Edit/Delete Message   Reply w/Quote

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Cymy Sue
Senior Veteran
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Posts: 815
From: Alabama
Registered: Oct 2002

posted 10-07-2003 05:28 AM     Click Here to See the Profile for Cymy Sue     Edit/Delete Message   Reply w/Quote
for Zach

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Goofyboy84
Junior Member
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Posts: 9
From:Tulsa, OK USA
Registered: Sep 2003

posted 10-07-2003 10:55 AM     Click Here to See the Profile for Goofyboy84     Edit/Delete Message   Reply w/Quote
The consent forms are kinda scarry considering if the surgery IS botched up by accident the doctors are free and clear I assume? Aluv4labs: What all did you have done? I am planning on having my top jaw moved cfoward and my nasal passages cleared out a bit, and if the jaws aren't aligned after the toop one is pulled foward, they will then shove the bottom jaw back. Thanks for the info frome everyone...I am greatful to run into this board and an excellent bunch of people..thanks...Zach

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Djin
Senior Member
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Posts: 184
From:
Registered: Jul 2003

posted 10-08-2003 12:11 PM     Click Here to See the Profile for Djin     Edit/Delete Message   Reply w/Quote
I, too, would like to hear more details of your experience ALuv4Labs. As someone who is faced with the choice of "to have orthodontics and orthognathic surgery or not," I'd appreciate hearing the good as well as the bad.

I keep hoping that my situation (if I have the surgery) will turn out fine, since it turns out my joints are okay. I first went to the doctor a few months ago because I was having all the classic symptoms of tmj. Turns out, I don't have tmj, but the muscles in my jaw are all freaky because of malocclusion and bruxism. That's what my surgery would be correcting, not anything to do with the joint itself.

In fact, yesterday my dentist told me that if I did, indeed, have joint issues, he'd send me to a specialist and not try to treat me himself. Comforting that he knows when to back off.

I am still very wary of the procedure and I'm definitely going to get more info before I agree to any of it. But after four doctors have agreed that surgery is what will fix me, I'm inclined to trust them.

I guess we'll see.

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Elaine
Senior Veteran
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Posts: 1193
From:Montana
Registered: Nov 2000

posted 10-14-2003 01:33 PM     Click Here to See the Profile for Elaine     Edit/Delete Message   Reply w/Quote
Putting out an APB for ALuv4Labs. I would like further details!!!
Elaine

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