A Decade of Complications Following Total Temporomandibular Joint Reconstruction (TJR) in a Patient with Ehlers-Danlos Syndrome. Another Surgical Misadventure or An Absolute Contraindication for TJR?

Rechtin, Michael; Krishnan, Deepak G.

doi:10.1016/j.joms.2021.05.016

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Total TMJ replacement was carried out on a female EDS patient experiencing refractory TMD symptoms that failed to improve under conservative and invasive therapy. 51 The decision to opt for total joint replacement was made in the final stages of the degenerative joint disease. A double-sided total joint replacement was performed.…”

Section: Minimally-invasive Therapymentioning

confidence: 99%

Temporomandibular disorders among Ehlers-Danlos syndromes: a narrative review

Oelerich,

Daume,

Yekkalam

et al. 2024

J Int Med Res

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This narrative review aims to demonstrate and summarize the complex relationship between Ehlers-Danlos syndromes (EDS) and temporomandibular disorders (TMD) by reviewing the results of observational studies and case reports. EDS are a set of hereditary connective tissue disorders, where generalized joint hypermobility (GJH), especially in the hypermobile subtype (hEDS), is a key symptom. Mutations have been identified in genes that impact the production or assembly of collagen for all subtypes except hEDS. While the correlation between GJH and TMD has been analysed in various studies, fewer studies have examined TMD in patients with EDS, with most showing an increased prevalence of TMD. In case–control studies, an elevated prevalence of myalgia, arthralgia and disc-related disorders was found in individuals with EDS. Various therapeutic interventions have been reported within the literature in the form of case reports and observational studies, but there are no long-term clinical trials with results on the efficacy of different therapeutic approaches to date. This review demonstrates the high prevalence of different TMDs in different subtypes of EDS, but also shows that little is known about the success of treatment thus far. Further clinical research is necessary to provide adequate guidance on targeted treatment.

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Section: Minimally-invasive Therapymentioning

confidence: 99%

Temporomandibular disorders among Ehlers-Danlos syndromes: a narrative review

Oelerich,

Daume,

Yekkalam

et al. 2024

J Int Med Res

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“…TMJ pain shares similarities with cervical neuralgia and other conditions [15]. Diagnostic methods include X-ray radiography, arthroscopy, CT, and 3D modeling, offering varying degrees of efficacy [16]. Orthopantomography is commonly used despite limitations in image distortion and accuracy [17].…”

Section: Instruments and Proceduresmentioning

confidence: 99%

Surgical treatment of intracapsular temporomandibular disorders

Chen,

2024

AOS

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Objective: Temporomandibular joint (TMJ) pathologies are prevalent, affecting approximately 40% of the worldwide population, with nearly 80% involving intracapsular disorders. Despite this, standardized treatment protocols are lacking. This study aimed to compare the efficacy of conservative and surgical approaches in managing intracapsular TMJ disorders. Methods: Eighty-six patients diagnosed with intracapsular TMJ disorders were included in the study, with 40 males and 46 females, averaging 52.4 ± 4.7 years. Patients were recruited from polyclinics in Beijing, China (n = 36), and Kyiv, Ukraine (n = 50). A comprehensive examination protocol was conducted, including assessment of patient complaints, medical history, jaw mobility measurements, TMJ palpation, and magnetic resonance imaging (MRI) screening. Results: The main outcomes of our study revealed significant improvements in patients undergoing surgical intervention for intracapsular TMJ disorders, particularly in cases of disc displacement. Conservative mouth guard/occlusal splint treatment showed limited effectiveness, primarily improving joint effusion and disc displacement. Surgical intervention led to notable enhancements in various TMJ parameters, with significant improvements observed in joint function and pain reduction. Based on these findings, orthodontic rehabilitation was recommended to ensure long-term efficacy, focusing on optimizing occlusion and restoring TMJ function. These results highlight the importance of tailored treatment approaches for managing intracapsular TMJ disorders, emphasizing the role of surgical intervention coupled with comprehensive rehabilitation strategies. Conclusions: Future research should consider demographic factors and explore innovative examination methods, such as optical systems, to enhance understanding and management of intracapsular TMJ disorders.

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