Arthrocentesis of temporomandibular joint- Bridging the gap between non-surgical and surgical treatment

Soni, Abhishek

doi:10.4103/ams.ams_160_17

Cited by 47 publications

(30 citation statements)

References 89 publications

(182 reference statements)

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“…Our study excluded those patients who had received any of these therapies during the three months preceding the study, except for "adhoc" analgesic pharmacotherapy without anti-inflammatory components. We have also excluded from this study the patients with local contraindications to intra-articular injections, according to the results of the review by Soni et al [12]. These are abscess, inflammation or tumor of the skin, connective tissue or bone of the puncture site, bleeding diathesis or acquired coagulopathies, blood infections, and malignant tumors.…”

Section: Methodsmentioning

confidence: 99%

Short-Term Effects of Intra-Articular Hyaluronic Acid Administration in Patients with Temporomandibular Joint Disorders

Sikora

Czerwińska-Niezabitowska²,

Chęciński

et al. 2020

JCM

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The study described in this paper was conducted to assess the short-term outcomes of intra-articular administration of hyaluronic acid in patients with symptoms of temporomandibular joint disorders. A group of 40 patients suffering from temporomandibular joint disorders underwent a series of hyaluronic acid intra-articular injections. Questionnaires and clinical examinations were conducted to assess stress exposure of the subjects and to evaluate short-term treatment outcomes, i.e., reducing joint and muscle pain and increasing the mobility of the mandible. A weak positive correlation between stress exposure and pain was observed. As a result of treatment, 61% of subjects revealed a total reduction of muscle pain, while joint pain completely resolved in 88% of patients. Mandibular mobility increased by 11%, 31%, 9%, and 11% regarding opening, protrusive, and lateral right and left movements, respectively. The study confirms the short-term effectiveness of intra-articular administration of hyaluronic acid on reducing joint and muscle pain in patients with articular disc displacement. The treatment positively affected the mobility of the mandible in all directions. The verification of late treatment effects of hyaluronic acid viscosupplementation requires the continuation of the research.

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Section: Methodsmentioning

confidence: 99%

Short-Term Effects of Intra-Articular Hyaluronic Acid Administration in Patients with Temporomandibular Joint Disorders

Sikora

Czerwińska-Niezabitowska²,

Chęciński

et al. 2020

JCM

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“…Several approaches are described in the literature for MITMJ surgery. The major drawbacks of the common anterior approaches are potential complications such as facial nerve injury or otic injury [ 10 ]. A solution to this problem was suggested by Moses et al and their endaural approach to the TMJ [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Improved access in minimally invasive temporomandibular joint surgery through a novel endaural template

et al. 2021

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Background Digitally designed surgical templates for minimally invasive temporomandibular joint (TMJ) surgery (MITMJS) are a promising tool for improving the safety of these procedures. Given the TMJ anatomy, the template fitting and intraoperative overview are the most important issues for a safe surgery. This article is a technical advance article that aims to describe an endaural surgical template based on the Moses approach as a possible solution in TMJ surgery. Methods Three patients with internal derangement were treated with the guidance of a MITMJS template based on cone beam computed tomography (CBCT) and a surface imprint of the periauricular region. None of the patients needed an additional open surgical procedure. Fitting of the templates was judged in terms of position and rotational stability. Surgical side effects and complications were recorded for each patient. Results The template design and clinical use were satisfactory for MITMJS. The templates showed satisfying fit and good visibility. In the study cohort, no bleeding, facial nerve injury, or other complications occurred after the procedure, and no visible scars were noted postoperatively. Conclusion Our feasibility report on template-guided MITMJS shows a promising new application of templates. It points to improved access in arthroscopy or arthrocentesis of TMJ surgery through endaural access with an increased level of safety during surgery.

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“…Several approaches are described in literature for minimal invasive temporomandibular joint (MITMJ) surgery. The major drawback of the common approaches from anterior are potential complications such as facial nerve injury or otic injury [10]. A solution to this problem was suggested by Moses et al and their endaural approach to the TMJ [5].…”

Section: Discussionmentioning

confidence: 99%

Improved Access in Minimally Invasive Temporomandibular Joint Surgery via A Novel Endaural Template

Krause

Kamal

Kruber

et al. 2020

Preprint

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Background: Digitally designed surgical templates for minimally invasive temporomandibular joint (TMJ) surgery (MITMJS) are a promising tool for improving the safety in these procedures. Given the anatomy of the TMJ, the fitting of the template and intraoperative overview are the most important issues to conduct the surgery safely. This article describes an endaural surgical template based on the Moses approach as a possible solution.Material and Methods: Three patients with internal derangement were treated with guidance of a MITMJS- template based on cone beam computed tomography (CBCT) and a surface imprint of the periauraural region. None of the patients needed an additional open surgical procedure. Fitting of the templates was judged in terms of position and rotational stability. Surgical side effects and complications were recorded for each patient.Results: The template design and clinical use performed the MITMJS satisfactory. The templates showed satisfying fit and good visibility. In the study cohort, no bleeding, facial nerve injury, or other complications occurred after the procedure, and no visible scars were noted postoperatively.Conclusion: Our feasibility report on template-guided MITMJS shows a promising new application of templates. It points an improved access in arthroscopy or arthrocentesis of TMJ- surgery via an endaural access with increased level of safety during surgery.

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Arthrocentesis of temporomandibular joint- Bridging the gap between non-surgical and surgical treatment

Cited by 47 publications

References 89 publications

Short-Term Effects of Intra-Articular Hyaluronic Acid Administration in Patients with Temporomandibular Joint Disorders

Short-Term Effects of Intra-Articular Hyaluronic Acid Administration in Patients with Temporomandibular Joint Disorders

Improved access in minimally invasive temporomandibular joint surgery through a novel endaural template

Improved Access in Minimally Invasive Temporomandibular Joint Surgery via A Novel Endaural Template

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