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Procedure: Complete joint replacement bilateral TMJ with prosthetic replacement. Skin graft to anterior mandible.
Surgery December 1992
I originally came to you during the last part of November 1992 complaining of pain, discomfort and lack of movement of my right and left temporomandibular joints.
I was injured on August 17, 1990 when the driver of car made an illegal left hand turn in the intersection of 5400 South & Redwood. The driver of the car did not see me in the intersection pulled out in front of me. I was unable to steer clear and directly struck the vehicle in the right passenger door.
As a result of this accident, I sustained multiple injuries to my right hand, left scapula, right and left shoulders, multiple contusions and scraps on both legs and impact injuries to both knees. I had a life threatening fracture at the base of my skull, multiple fractures throughout the orbit and nasal areas, and additional injuries to my face, and nose. I had sustained deep wounds, embedded with glass, in my left elbow, and my lower jaw (chin) was completely broken in half No one was sure where my left and right condyles where or even if they had survived the impact of my face with the asphalt. Since the accident I have developed severe arthritic degeneration of most of my cervical spine.
I'm sure that when I came to your office I must have looked a little strange having lost all my teeth except the top and bottom canine teeth. I was told that I resembled Dracula .
Initially, I was treated at Cottonwood hospital where my jaw was set and wired closed. Over the next year I was treated by different doctors and specialists. After my more serious injuries were stabilized, I came to you seeking a second opinion on what options were available to repair my jaw. I had previously spoken with another surgeon about my jaw and was not comfortable with the options as presented by him and a peer group he had submitted my case to. Their suggestion was to do nothing after removing the wiring and to hope for the best.
Although you leaned on the conservative side, you supported me and my strong feelings that something had to be done. After further discussion and a thorough review of my medical records, you agreed to operate. Your initial plan was to find out where the condyles were and then you would decide whether to use a "total" TMJ replacement or "partial" on one or both sides. I had complete unwavering trust in you and complete faith in God.
It was obvious the next morning, that I had found the right doctor, when you excitedly came into my hospital room confirmed that my feeling had been right and that this surgery had not been an elective surgery but was essential to my recovery and that to have waited, as others had recommended, would have been catastrophic.
After 19 years, I think I am still your "poster" patient, Thank you so much for what you gave back to me and thank you for fighting it out with the insurance company and making sure I got the best care possible, God Bless you.
R. Smith
Age: 50
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