Complications and post-operative sequelae of temporomandibular joint arthrocentesis

Vaira, Luigi Angelo; Raho, Maria Teresa; Soma, Damiano; Salzano, Giovanni; Orabona, Giovanni Dell’Aversana; Piombino, Pasquale; Riu, Giacomo De

doi:10.1080/08869634.2017.1341138

Cited by 34 publications

(41 citation statements)

References 30 publications

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“…Fluid extravasation is a commonly seen complication of arthrocentesis. Vaira et al reported 95.1% extravasation rate in their case series, comprising of 433 procedures . In our study, extravasation rate was calculated as 17%.…”

Section: Discussionmentioning

confidence: 56%

“…Vaira et al reported 95.1% extravasation rate in their case series, comprising of 433 procedures. 12 In our study, extravasation rate was calculated as 17%. There has been no study in the literature that evaluated the relationship between extravasation and the success of the arthrocentesis.…”

Section: Discussionmentioning

confidence: 96%

“…The complication rate of TMJ arthrocentesis is relatively low. Reported complications were transient facial nerve paralysis caused by local anaesthesia and preauricular swelling due to fluid extravasation, extradural haematoma, severe bradycardia, cervicofacial oedema and vertigo . In recent years, several techniques and modifications were reported to reduce complication rate and effectiveness of the procedure .…”

Section: Introductionmentioning

confidence: 99%

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Clinical and intra‐operative factors affecting the outcome of arthrocentesis in disc displacement without reduction: A retrospective study

Baş

Yuceer

Kazan

et al. 2019

J of Oral Rehabilitation

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Background Temporomandibular disorder (TMD) is a group of disease which affects the temporomandibular joint (TMJ) and supporting tissues of the musculoskeletal structures. Arthrocentesis is an effective treatment modality for TMD, especially in patients who suffer from pain and limited mouth opening. Objective The aim of this study was to investigate the effects of pre‐operative and intra‐operative variables on the clinical outcome of arthrocentesis therapy. Methods The records of 83 patients diagnosed as disc displacement (DD) without reduction according to DC/TMD, and treated with arthrocentesis were selected. Sex, age, bruxism history, pain intensity and maximum mouth opening (MMO) were recorded as pre‐operative variables. Extravasation and the amount of irrigation were recorded as intra‐operative variables. The success of the arthrocentesis procedure was determined as MMO <35 mm and pain intensity lower than 3, at third‐month follow‐up. Results At 3‐month follow‐up, clinical evaluation showed a significant reduction in TMJ pain and an increase in MMO (P < 0.05). It was found that patients with an unsuccessful outcome are those who had a more restricted MMO and severe pain before the procedure. Extravasation was found to be a significant factor that affects the success of the procedure. Conclusion The success of arthrocentesis in TMJ DD without reduction is adversely affected by the severity of the pre‐operative clinical symptoms. Extravasation is also a factor that has a negative effect on the success of the procedure.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Clinical and intra‐operative factors affecting the outcome of arthrocentesis in disc displacement without reduction: A retrospective study

Baş

Yuceer

Kazan

et al. 2019

J of Oral Rehabilitation

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“…The main disadvantages in relation to the arthroscopy is that: it is not possible to visualise the intra-joint pathology; there are limitations for performing biopsies; and it is more difficult to eliminate adherences or adhesions in more advanced stages [7, 10]. Although there was no complication associated to the arthrocentesis in this study, the literature has reported some risks, such as: extravasation of liquid to the surrounding tissue, lesion of the facial nerve, optical lesion, pre-auricular haematoma, arteriovenous fistula, trans articular perforation, intracranial perforation, extradural haematoma and intra-articular problems [36].…”

Section: Discussionmentioning

confidence: 98%

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

et al. 2019

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The aim of this study was to evaluate the efficacy of the use of the arthrocentesis in patients with disc displacement without reduction (DDWOR). Two hundred and thirty-four (234) patients with DDWOR were evaluated and the following data collected: gender; affected side; age (years); duration of the pain (months); patient's perception of pain (measured by Visual Analogue Scale [VAS 0–10]); maximal interincisal distance (MID) (mm); and joint disc position, determined by magnetic resonance imaging. Data were obtained in two different moments: before the arthrocentesis (M1) and three or four months later (M2). Paired t-Student Test, Scores Test and Wilcoxon Test showed a statistical significant difference (p<0.0001) between the M1 and M2 for the variables VAS and MID. There was an alteration in the joint disc position in 93.88% of the cases after arthrocentesis. There was no association between the general characteristics of the patients on the M1 and the results of the arthrocentesis (p>0.05). It can be concluded that the arthrocentesis is efficient in reducing the pain, in increasing interincisal distance, and altering the joint disc position in patients with DDWOR regardless gender, age side and pain duration.

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“…Although arthrocentesis is considered a reliable and minimally invasive procedure, complications may occur during and/or after the procedure due to the operation site's proximity to important anatomical structures. These complications include facial paralysis, hematoma, vertigo, tinnitus, dizziness, arterial injury, and cranial injury [567]. Ocular and ear structures, found on the anterior and posterior regions of the TMJ, respectively, are frequently affected.…”

Section: Introductionmentioning

confidence: 99%

Investigation of the effects of temporomandibular joint arthrocentesis on blood volume of the retinal structures

Keskinruzgar

Çankal

Koparal

et al. 2019

J Dent Anesth Pain Med

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Objective Arthrocentesis is a minimally invasive surgical procedure that is used to alleviate the symptoms of temporomandibular joint (TMJ) disorders. The aim of this study was to investigate the effect of arthrocentesis on the blood supply to the retinal structures. Materials and Methods Arthrocentesis was performed on 20 patients with TMJ disorders, and choroidal thickness (CT) in patients was measured to evaluate retinal blood circulation. The blood volume of the retinal structures was evaluated ipsilaterally before and after arthrocentesis, and these measurements were then compared with measurements obtained from the contralateral side. Results Before arthrocentesis, there were no differences in retinal blood volumes between the ipsilateral and contralateral sides (P = 0.96). When ipsilateral CT measurements taken before and after arthrocentesis were compared, retinal blood supply was found to have significantly decreased after arthrocentesis (P = 0.04). When contralateral CT measurements taken before and after arthrocentesis were compared, retinal blood supply was also found to have decreased after arthrocentesis, but not significantly (P = 0.19). Conclusion The solution of local anesthesia with epinephrine applied before the arthrocentesis procedure was found to reduce the blood volume of the retinal structures. To the best of our knowledge, this is the first study that has investigated the blood volume of the retinal structures following arthrocentesis.

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Complications and post-operative sequelae of temporomandibular joint arthrocentesis

Cited by 34 publications

References 30 publications

Clinical and intra‐operative factors affecting the outcome of arthrocentesis in disc displacement without reduction: A retrospective study

Clinical and intra‐operative factors affecting the outcome of arthrocentesis in disc displacement without reduction: A retrospective study

The use of arthrocentesis in patients with temporomandibular joint disc displacement without reduction

Investigation of the effects of temporomandibular joint arthrocentesis on blood volume of the retinal structures

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