Bilateral arthroscopy of the temporomandibular joint: clinical outcomes and the role of a second intervention—a prospective study

Ângelo, David Faustino; Sanz, David; Cardoso, Henrique José

doi:10.1007/s00784-023-05233-6

Cited by 4 publications

(4 citation statements)

References 33 publications

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“…Equally, in a retrospective study including 23 pediatric patients who underwent arthroscopy, the VAS scores improved 25-26% in the short and long term [32]. Similarly, we demonstrated a reduction of pain in 86% of adult patients submitted to TMJ arthrocentesis and arthroscopy [3,16]. Also, in a sample of 50 adults (78 joints) submitted to arthroscopy, Indresano et al [33] verified a reduction in pain in 70% of patients.…”

Section: Discussionsupporting

confidence: 74%

“…The overall success of these minimally invasive surgeries in pediatrics is similar to adults. Recently, in two studies carried out by our research group, demonstrated a success rate of 76% for arthrocentesis and 69% for arthroscopy in adult patients (one single intervention) [3,16]. Also, several studies have shown a success rate for TMJ arthrocentesis and arthroscopy around 70% and 90% [28,29].…”

Section: Discussionmentioning

confidence: 82%

“…For the TMJ arthroscopy procedure, a 1.9 mm arthroscope was utilized with a video system (Stryker, San Jose, CA, USA) and a 2.8 mm outer protective cannula, as previously outlined [16]. Following the principles of the Holmlund-Hellsing (H-H) line, the authors implemented a traditional puncture at a point situated 10 mm anterior and 2 mm below for TMJ arthroscopy level 1.…”

Section: Tmj Arthroscopymentioning

confidence: 99%

“…It is recognized to be effective in reducing pain and restoring mandibular function, with minimal morbidity. The use of these techniques in adults is well-validated in the literature [3,9,15,16]. However, data on the effectiveness and safety of minimally invasive TMJ surgery in pediatric patients are limited.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study

Ângelo,

Lopes,

Sanz

et al. 2024

JCM

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Over recent years, temporomandibular joint (TMJ) minimally invasive procedures, such as arthrocentesis and arthroscopy, have been appointed as an initial TMJ intra-articular treatment. Both procedures present safe and effective clinical results in managing temporomandibular disorders (TMD) by reducing pain and improving mouth opening. The use of these techniques in adults is validated in the literature. However, data on the safety and effectiveness of minimally invasive TMJ interventions in pediatric patients are scarce. This study aims to investigate the effectiveness of TMJ arthrocentesis and arthroscopy in the pediatric population. A prospective study was conducted at Instituto Português da Face (IPF) in Lisbon, Portugal, including patients treated for TMD from 1 June 2019 to 30 June 2023. In the present study, 26 patients (17 female and 9 male) were included, representing a total of 48 joints operated. A statistically significant reduction was observed in the primary outcome, TMJ pain, from 3.93 ± 2.80 preoperatively (mean ± SD) to 0.50 ± 1.53 (mean ± SD) postoperatively (p < 0.05). An improvement in the secondary outcome, maximum mouth opening, from 36.92 ± 8.79 preoperatively to 42.96 ± 5.07 postoperatively, was observed (p < 0.05). The overall success rate was 84.62%. This prospective study showed that TMJ arthrocentesis and arthroscopy appear to benefit pediatric patients with TMD, significantly lowering pain and improving MMO without relevant postoperative complications.

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