Arthrocentesis of the temporomandibular joint: A review

Abstract

Background. Arthrocentesis is a very gentle method for lavage of the joint space. The principle consists in the introduction of a pair of needles into the upper joint space and subsequent lavage using physiological saline or Ringer's solution. Arthrocentesis of the temporomandibular joint is used in both cases of acute closed lock and treatment of various temporomandibular disorders. Methods. A literature search in Pubmed database, using key words: Temporomandibular joint (TMJ), Arthrocentesis, indications, technique, results. Conclusion. Arthrocentesis of the temporomandibular joint is a minimally invasive treatment method at the boundary between conservative and surgical therapy. It is usually performed on an out-patient basis under local anaesthesia. It is used both in cases of acute block caused by displacement of the articular disc and also to treat degenerative inflammatory diseases of the joints. The main objective of arthrocentesis is to wash out inflammatory mediators, release the disc, break adhesions, eliminate pain and improve joint mobility. It is a method with a minimum number of complications, it is simple and not demanding in terms of instruments, and it can be performed repeatedly. For this reason, it has become widespread and very popular in the treatment of internal disorders of the temporomandibular joint.

Operasyon Esnasinda Ve Sonrasinda Görülen Temporomandi̇buler Eklem (Tme) Artrosentez Kompli̇kasyonlari

“…This includes perforation of the external auditory canal, the occurrence of blood clots in the external auditory canal, tympanic membrane injuries, partial hearing loss, a feeling of a blocked ear and dizziness. 1,12 In this study facial paralysis were observed in 8, fluid extravasation in 7, dizziness in 2, bleeding due to temporalis superficial artery injury in 5 cases. In conclusion TMJ arthrocentesis is a method that is less invasive compared to other surgical methods and arthroscopy.…”

“…The frequency of these complications mentioned in the literature rangesbetween 2% and 10%. 12 The potential complications of arthrocentesis are infection, external auditory canal perforation, fluid extravasation into the soft tissues, bite change, skuffing of the cartilage of the TMJ, and hematoma. 13 Temporary facial paresis or paralysis caused by the use of a local anesthetic, or swelling of the neighboring tissues caused by perfusion of Ringer's solution may occur during arthrocentesis.…”

“…9,12,14-17. In addition, an acute inflammation of the joint may occur, which may be accompanied by preauricular oedema, redness, pain, and restricted mouthopening. 12 Moreover, otologic complications can be serious in connection with the close proximity of the temporomandibular joint, the middle ear, and the cartilaginous wall of the ear canal. This includes perforation of the external auditory canal, the occurrence of blood clots in the external auditory canal, tympanic membrane injuries, partial hearing loss, a feeling of a blocked ear and dizziness.…”

Evaluation Of The Efficacy Of Temporomandibular Joint Arthrocentesis With Clinical And Radiological Findings

“…TMB başta çene eklemi olmak üzere, çiğneme kaslarını ve pek çok anatomik yapıyı etkiler. TMB karakteristik semptomları ağrı, çene hareketlerinde bozulma ve bu hareketler sırasında ortaya çıkan klik sesidir (2,12,13) . TMB hastalıklarında birçok faktör suç-lansa da ciddi olgularda etiyoloji kompleks ve multifaktöriyeldir (8) .…”

Minimally invasive surgical treatment for temporomandibular joint in patients with various rheumatic diseases

“…В течение последних 15 лет в челюстно-лицевой хирургии и стоматологии получили бурное развитие как консерватив-ные, так и хирургические методы лечения ВНЧС, в том чис-ле с использованием малоинвазивных вмешательств [5][6][7]. Особый интерес представляет хирургическое лечение бо-лезней ВНЧС у пациентов с ревматическими заболевания-ми (РЗ).…”