Arthrocentesis: A Minimally Invasive Approach to the Temporomandibular Joint

Nitzan, Dorrit W.; Naaman, Hadas Lehman

doi:10.1007/978-3-662-54592-8_3

Cited by 3 publications

(4 citation statements)

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“…Hyaluronate can also serve as an intra-articular lubricant to improve mobility in the joint space while minimizing intra-articular damage (Guarda-Nardini, et al [8][9][10]). Due to its minimal invasive, arthroscopy is associated with minimal complications (Nishimura,et al [11,12],…”

Section: Discussionmentioning

confidence: 99%

“…Several authors in their studies point out the success and effectiveness of arthrocentesis on improving the range of mouth opening movements, reducing the degree for pain (Guarda-Nardini,et al [8,19,20]). Nitzan and colleagues [12,21] in their works state that symptoms affect the function of the joint, but on the other hand, the age of the patient does not affect the method and type of arthrocentesis performed.…”

Section: Discussionmentioning

confidence: 99%

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"Diagnostic and Therapeutic Effect of Endoscopically Assisted Arthrocentesis to Improve the Mobility of the Mandible in Internal Temporomandibular Joint Disorders"

Janickova¹

2022

BJSTR

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Objective: To compare the diagnostic and therapeutic effect of endoscopically assisted arthrocentesis with conventional arthrocentesis and arthroscopy.Material and Methods: 372 TMK examinations and treatments were performed from January 2019 to April 2021 (27 months). We monitored the pain level on the VAS scale, the extent of interincisal distance, and the value of NMR scans before and after treatment.Results: By comparing the results of clinical examination, graphical imaging and statistic evaluation of conventional arthrocentesis under local anesthesia, conventional arthroscopy under general anesthesia, and innovative endoscopic-assisted single cannula three-way arthrocentesis under local anesthesia, it can be seen that the postoperative interincisional distance and grade values for pain after surgery are better for surgical procedures under local anesthesia with the innovative endoscopicassisted single cannula three-way technique. Particularly significant are the improved values for the larger range of interincisional distance. Conclusion:By assessing the intraarticular structures based on NMR examinations and the Wilkes classification scheme, we found that all minimally invasive procedures resulted in improved pathologies. Based on clinical experience, we can conclude that the innovative endoscopically assisted single cannula three-way arthrocentesis under local Anaesthesia is superior to conventional arthroscopy under general Anaesthesia and conventional arthrocentesis under local Anaesthesia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

"Diagnostic and Therapeutic Effect of Endoscopically Assisted Arthrocentesis to Improve the Mobility of the Mandible in Internal Temporomandibular Joint Disorders"

Janickova¹

2022

BJSTR

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“…It is assumed that the movement of the needles during exercise might cause traumatization of joint heads. Some authors consider diagnostic or therapeutic intra-capsular injection as a variant of arthrocentesis (13,26,31,33). They fi ll the joint space with a solution injected with just one single needle and thereby temporarily extend the joint space.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic effects of arthrocentesis in treatment of temporomandibular joint disorders

Malachovsky¹,

Statelová²,

Staško³

et al. 2019

BLL

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OBJECTIVE: Analyse, compare and evaluate the effects of the treatment arthrocentesis with a control group of non-steroid drugs treated patients. MATERIAL AND METHODS: 1752 outpatients (1293 females, 459 males) were examined within the years 2013-2017. We evaluated the following criteria: gender, age, visual analog scale for pain (VAS), inter-incisal distance and reducing intake of orally administered analgesics. RESULTS: The pain level of the group of patients with arthrocentesis had stabilized at mark 2.5 on the pain scale, unlike in the control group after treatment with non-steroidal anti-infl ammatory drugs, pain had stabilized at mark 9 on the pain scale. The inter incisal distance amongst the fi rst group was 37 mm and in the control group only 27 mm, after completed treatment. The amount of applied analgesics in the group with arthrocentesis decreased to 100 mg daily, while in the control group, the dose was adjusted to 700 mg daily. CONCLUSION: In the observed study, arthrocentesis was effective in reducing pain, amount of analgesics per day and improving the mobility of temporomandibular joint (TMJ). The results of this study we use in the ongoing project, that focuses on progressive and innovative methodology of endoscopically assisted arthrocentesis.

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“…Эффективность этого метода достаточно высока и не требует больших финансовых затрат [ 6,7 ] . Артроцентез можно выполнять под местной анестезией в амбулаторных условиях, проведение этой процедуры не требует большого количества времени [ 8 ] . Показаниями к проведению артроцентеза служат внутрисуставные нарушения ВНЧС, в 70% случаев сопровождающиеся репозицией суставного диска [ 9 ] .…”

Section: Introductionunclassified

Current approaches to guided arthrocentesis of the temporomandibular joint: A review

Казарян,

Бекреев,

Труфанов

et al. 2023

Clinical Dentistry (Russia)

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Артроцентез — один из наиболее часто применяемых малоинвазивных методов лечения при внутренних нарушениях височно-нижнечелюстного сустава (ВНЧС). Однако особенности его анатомического строения, а также близость к нему поверхностной височной артерии и ветвей лицевого нерва могут привести к развитию местных и общих осложнений при манипуляциях в суставе. Для снижения рисков возникновения общих и местных осложнений во время проведения артроцентеза необходимо использовать современные методы навигации. Цель исследования — на основании современных научных публикаций оценить эффективность артроцентеза ВНЧС с использованием различных навигационных систем. Для поиска информации использовались платформы PubMed и eLibrary. При поиске на платформе eLibrary по запросу «артроцентез ВНЧС под контролем» было найдено 32 публикации, из них 2 соответствовали искомому смыслу, причем одна за 2022 г. При поиске на платформе PubMed по запросу «guided arthrocentesis TMJ» было найдено 124 публикации, из них 34 соответствовали искомому смыслу. Проведен поиск любой доступной информации об управляемых системах, используемых при артроцентезе ВНЧС, на русском и английском языках. Настоящее исследование также включает отчеты о конкретных случаях. Выбранные статьи и отчеты о клинических случаях, удовлетворяющие включенным критериям поиска, тщательно изучены и проанализированы. В настоящее время описаны клинические случаи использования МРТ, КЛКТ, УЗИ, систем интраоперационного 3D-контроля, а также индивидуальных 3D-шаблонов с направляющими отверстиями при артроцентезе ВНЧС. Современный уровень знаний и доступность диагностических методов исследования (МРТ, УЗИ, КЛКТ) позволяет в полной мере использовать их в качестве управляемых систем для артроцентеза ВНЧС. Управляемый артроцентез предназначен для предотвращения ряда возможных осложнений, а также для уменьшения травмы внутрисуставных тканей и сокращения времени вмешательства. Использование индивидуально напечатанных накожных 3D-шаблонов может стать одним из самых многообещающих, простых в планировании и применении методов, которые значительно упростят проведение артроцентеза ВНЧС, особенно для начинающих врачей. Arthrocentesis is one of the most frequently used minimally invasive treatments for internal disorders of the temporomandibular joint (TMJ). However, the peculiarities of the anatomical structure of this joint, as well as the proximity of the superficial temporal artery and facial nerve branches to it may lead to the development of local and general complications during manipulations in the joint. To reduce the risks of general and local complications during arthrocentesis, modern navigation techniques should be used. The aim of the study: Based on a literature search, evaluate the effectiveness of TMJ arthrocentesis using various navigation systems. . Google Academy, PubMed, Science, and eLibrary (Russia) were used to find the necessary information. Any available information on guided systems used in TMJ arthrocentesis was searched in Russian and English. The present study also includes case reports. . Selected articles and clinical case reports meeting the included search criteria were carefully reviewed and analyzed. Clinical cases using MRI, CBCT, ultrasound, intraoperative 3D control systems, and individually printed 3D guided hole templates for TMJ arthrocentesis are now described. . The current level of knowledge and availability of diagnostic modalities (MRI, ultrasound, and CBCT) allows their full use as guided systems for TMJ arthrocentesis. Managed arthrocentesis is designed to prevent a number of possible complications, as well as to reduce intraarticular tissue trauma and reduce intervention time. The use of individually printed 3D cutaneous templates may be one of the most promising, easy to plan and apply methods that greatly simplify TMJ arthrocentesis, especially for novice practitioners.

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Arthrocentesis: A Minimally Invasive Approach to the Temporomandibular Joint

Cited by 3 publications

References 140 publications

"Diagnostic and Therapeutic Effect of Endoscopically Assisted Arthrocentesis to Improve the Mobility of the Mandible in Internal Temporomandibular Joint Disorders"

"Diagnostic and Therapeutic Effect of Endoscopically Assisted Arthrocentesis to Improve the Mobility of the Mandible in Internal Temporomandibular Joint Disorders"

Therapeutic effects of arthrocentesis in treatment of temporomandibular joint disorders

Current approaches to guided arthrocentesis of the temporomandibular joint: A review

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