Cases of Eminectomy for Habitual Luxation of the Temporomandibular Joint in Disabled Elderly Patients

—A Literature Review of the Effects of Anesthesia and Operation Method on Postoperative Cognitive Dysfunction （POCD） and Changes in ADL Before and After Surgery, 1st Report—

Abstract

Habitual luxation of the temporomandibular joint is often seen in elderly patients with dementia, cerebrovascular and neurological diseases. Even if it is difficult to manage with conservative treatment, surgical treatment under general anesthesia is often avoided because of underlying diseases, ADL, concern for postoperative delirium and postoperative cognitive dysfunction （POCD）.
The purpose of this study was to evaluate the efficiency of eminectomy under local anesthesia and intravenous conscious sedation in patients with habitual luxation of the temporomandibular joint, who suffered dementia, neurological and cerebral diseases, in addition to a literature review of the effects of this method on POCD and changes in ADL before and after surgery.