An International Survey on Temporomandibular Joint Surgeon’s Implementation and Management of Discectomy in Treating Temporomandibular Joint Internal Derangement

Werkman, Douglas F.; Mercuri, Louis G.; Troost, Jonathan P.; Aronovich, Sharon

doi:10.1016/j.joms.2021.01.002

Cited by 6 publications

(4 citation statements)

References 40 publications

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“…A prior study on the outcomes of discectomy and fat graft indicated that progressive pain and degenerative changes post-discectomy were observed in nearly 25% of subjects, while nearly 12% of their cohort of 129 subjects went on to require TJR (42). These outcomes might also be related to responses to a survey by Werkman et al of experienced TMJ surgeons regarding discectomy (43). In this study, 59 surgeons (nearly 34% response rate) did not endorse the use of discectomy as initial treatment for internal derangement, but more often for cases involving disc perforation or those cases refractory to initial minimally invasive treatment.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of temporomandibular joint ankylosis with total prosthetic joint reconstruction: a case series and scoping review of the literature

Ahmed¹,

Hassett²,

Fillmore³

2023

Front Oral Maxillofac Med

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Background: Temporomandibular joint (TMJ) ankylosis affects children and adults throughout the world and causes dramatic loss of jaw function and poses problems for safe airway management. Treatment may represent a challenge due to risks of recurrence of ankylosis or morbidity of surgery. Alloplastic joint reconstruction presents a solution that eliminates donor site morbidity and provides predictable outcomes.Various reports and studies of alloplastic reconstruction have been published, but relatively few have focused specifically on the treatment of patients with ankylosis of the TMJ. The objective of this study is to review literature specifically addressing outcomes for treatment of TMJ ankylosis with total alloplastic reconstruction. Methods:The authors conducted a comprehensive search of several databases from 1990 to January 2022 to identify trends and general outcomes in the treatment of TMJ ankylosis via alloplastic joint reconstruction. There were no language restrictions. Only human studies were included. Evaluations included the type of study, outcomes reported in terms of improved function, and surgical complications.In addition, the authors conducted a retrospective review of Mayo Clinic patients undergoing alloplastic total TMJ joint reconstruction for treatment of TMJ ankylosis to determine outcomes at our institution and ascertain whether or not they are comparable to the world literature.Results: Thirty studies met inclusion criteria, reporting on 398 joint reconstructions. The most common etiologies were trauma and infection. Treatment resulted in improved range of motion, with means ranging from 9.3 to 40.8 mm. Adverse events were relatively uncommon, and only one case of re-ankylosis was reported. The authors' case series found 10 subjects meeting criteria for inclusion. The most common precipitating factor was prior discectomy. Mean improvement in MIO was 22 mm, with no cases of reankylosis.Conclusions: Alloplastic total TMJ reconstruction with FDA-approved devices is a safe and predictable treatment with a very low risk of re-ankylosis.

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Section: Discussionmentioning

confidence: 99%

“…This was consistent with our findings in the Mayo Clinic cohort. However, it should be emphasized that the survey data is based on opinions and estimates of experienced surgeons, and the studies by Ellis et al (42), Werkman et al (43), and the Mayo Clinic cohort do not represent prospectively-collected data on patients undergoing discectomy.…”

Section: Discussionmentioning

confidence: 99%

Treatment of temporomandibular joint ankylosis with total prosthetic joint reconstruction: a case series and scoping review of the literature

Ahmed¹,

Hassett²,

Fillmore³

2023

Front Oral Maxillofac Med

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“…There is no evidence in the literature of differences in the outcomes between discectomy with or without disc interpositioning, though it is estimated that almost one-half of all surgeons currently perform disc replacement. The interpositioned material must be safe, predictable and available in sufficient quality and volume, or be easy to produce [ 54 , 55 ].…”

Section: Open Surgery In the Late Stages Of Id Of Tmj: Research And G...mentioning

confidence: 99%

Consensus Report and Recommendations on the Management of Late-stage Internal Derangement of the Temporomandibular Joint

Monje Gil,

Martínez Artal,

Cuevas Queipo de Llano

et al. 2024

JCM

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Introduction: This report investigates late-stage internal derangement (ID) of the temporomandibular joint (TMJ) with the aim of establishing a more effective and personalized treatment protocol to improve patients’ quality of life (QoL). Material and methods: A consensus was reached among maxillofacial surgeons specializing in LSID, based on a literature research and collective expert experience following the Delphi method. Consensus was considered to be achieved when a response received at least 80% of votes. Results: Four expert groups were established, respectively, focusing on diagnosis, minimally invasive surgery (MIS), open surgery and joint replacement. A comprehensive approach to late-stage ID of the TMJ requires a consensus report. This underscores the need for a personalized treatment plan, considering the variability in clinical presentations and progression of this pathology. Our recommendations aim to optimize clinical outcomes and enhance patient QoL.

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“…Tal procedimento é bastante comum para o tratamento de distúrbios internos da ATM, visto que, apresenta resultados eficazes na erradicação de sinais e sintomas a curto e longo prazo. (Nogueira et al, 2019) No entanto, a aplicação desta técnica pode acarretar no desenvolvimento de osteoartrose, causando ruídos articulares, dor, anquilose, má oclusão, mobilidade articular diminuída e possível necessidade de realizar uma nova cirurgia (Werkman et al, 2021). A abordagem cirúrgica através da discectomia é realizada em casos de discos danificados como perfurações discais extensas ou luxação recorrente após falha de outras técnicas cirúrgicas.…”

Section: Discectomiaunclassified

Intervenções cirúrgicas para o tratamento do deslocamento anterior do disco da articulação temporomandibular (ATM): Revisão de literatura

Gomes,

Pereira,

Tartaroti

et al. 2023

RSD

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A articulação temporomandibular (ATM) constitui uma das articulações mais complexas do corpo humano e pode ser acometida por disfunções (DTMs) entre os músculos, ligamentos e estruturas anexas que, se em condições não fisiológicas, podem causar ao paciente intensa sintomatologia dolorosa além de comprometimento funcional. Para o diagnóstico de disfunções articulares, são utilizados dados coletados durante a anamnese, exame físico intra e extra oral e exames de imagem que direcionam o tratamento necessário para cada paciente. O deslocamento anterior do disco articular constitui um desarranjo interno que, quando apresenta sintomatologia dolorosa associada e impacto na funcionalidade do sistema estomatognático, necessita de intervenção. As intervenções inicialmente podem ser realizadas por meio de tratamentos conservadores, e somente quando estes não demonstrarem resultados analgésicos eficazes e pleno reestabelecimento funcional, deve-se optar pelas intervenções cirúrgicas. O objetivo deste trabalho é relatar as principais abordagens cirúrgicas descritas na literatura para o tratamento do deslocamento anterior do disco da ATM e suas principais implicações clínicas.

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An International Survey on Temporomandibular Joint Surgeon’s Implementation and Management of Discectomy in Treating Temporomandibular Joint Internal Derangement

Cited by 6 publications

References 40 publications

Treatment of temporomandibular joint ankylosis with total prosthetic joint reconstruction: a case series and scoping review of the literature

Treatment of temporomandibular joint ankylosis with total prosthetic joint reconstruction: a case series and scoping review of the literature

Consensus Report and Recommendations on the Management of Late-stage Internal Derangement of the Temporomandibular Joint

Intervenções cirúrgicas para o tratamento do deslocamento anterior do disco da articulação temporomandibular (ATM): Revisão de literatura

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