Appropriate pain management is critical. Most patients appear to respond well to NSAID therapy, but protracted treatment may be necessary; however, some clinicians prefer to treat with anti-inflammatory doses of glucocorticoids.6 Coadministration of NSAIDs and glucocorticoids must be avoided. Supportive care can include a gruel or softened diet, although hand-feeding may be required.
Prognosis typically depends on the bones affected and temporomandibular joint(s) involvement. In addition, the patient’s ability to open and close the mouth, prehend food, and sustain themselves throughout supportive care can affect prognosis. For instances in which there is limited range of motion because of temporomandibular joint(s) involvement, prognosis for survival is dependent on the patient’s ability to maintain appropriate dietary intake.3 In such cases, although temporomandibular joint arthroplasty and excision have been recommended, deleterious effects following surgical intervention have been reported; thus, the majority of cases can be treated medically. Most patients respond to medical management and supportive care.7