Concentric-Needle Cannula Method for Single-Puncture Arthrocentesis in Temporomandibular Joint Disease: An Inexpensive and Feasible Technique

Öreroğlu, Ali Rıza; Özkaya, Ozan; Öztürk, Mesut; Bingöl, Derya; Akan, Mi̇that

doi:10.1016/j.joms.2011.03.004

Cited by 23 publications

(14 citation statements)

References 17 publications

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“…Accumulation of fluid in the periarticular tissues can occur, if fluid is continuously pumped in with a blocked outflow from the joint. The second needle may require frequent manipulations during the procedure to place it back in the joint, thus traumatising the area further . To overcome these limitations, in 2008, Guarda‐Nardini et al proposed the single puncture arthrocentesis technique for TMJ.…”

Section: Discussionmentioning

confidence: 99%

“…This in turn would reduce post‐operative pain and discomfort of the patient. The risk of facial nerve injury would also be reduced as the second needle which is closer to the path of the nerve is no longer needed …”

Section: Discussionmentioning

confidence: 99%

“…These include the Shepard cannula and the McCain cannula described by Rehman et al and Alkan et al respectively. Other techniques of this type described by various authors include 2 needles soldered in a Y shape manner, use of 2 concentric needles of different gauges, use of an intra‐venous catheter and utilising parts of 2 different intra‐venous catheters . Thus, a wide variety of techniques for single puncture arthrocentesis are available, with no technique universally accepted.…”

Section: Discussionmentioning

confidence: 99%

“…However, due to frequent needle dislodgements and difficulty in triangulation during the standard double needle technique, single puncture techniques were developed . The authors of single puncture techniques report less operating time and ease of arthrocentesis as compared to double needle technique . However, it is not clearly understood if single puncture techniques are equally effective clinically.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Single puncture versus standard double needle arthrocentesis for the management of temporomandibular joint disorders: A systematic review

Nagori¹,

Chowdhury

Thukral³

et al. 2018

J of Oral Rehabilitation

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The aim of this systematic review was to investigate the current evidence in order to assess the efficacy of single puncture arthrocentesis vs standard double needle arthrocentesis in the management of temporomandibular joint(TMJ) disorders. An electronic search of the PubMed, Scopus, Cochrane CENTRAL and Google Scholar databases was performed to identify English studies published up until October 2017. Eligible studies were selected based on inclusion criteria and included randomised controlled trials(RCTs) comparing single puncture arthrocentesis and standard double needle arthrocentesis for the management TMJ disorders. The initial screening identified 984 records, of which only 5 fulfilled the inclusion criteria. A high degree of heterogeneity was found in the 5 studies with each reporting different sample selection and arthrocentesis protocol. All 5 studies reported no difference in reduction in pain intensity and improvement in maximal mouth opening between the single puncture technique and standard double needle technique. This review provides some evidence that single puncture arthrocentesis is clinically as efficacious as standard double needle arthrocentesis. There is a need of well-designed RCT with standard protocol of arthrocentesis comparing different single puncture techniques and standard double needle technique for the management of TMJ disorders.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Single puncture versus standard double needle arthrocentesis for the management of temporomandibular joint disorders: A systematic review

Nagori¹,

Chowdhury

Thukral³

et al. 2018

J of Oral Rehabilitation

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show abstract

“…Apart from the technique described by Nitzan et al, 1 nine other arthrocentesis methods for lysis and lavage of the TMJ have been published in the literature. [2][3][4] Each of these methods has a different name or stated description. If additional techniques are reported, this will become even more complex.…”

Section: Dear Editormentioning

confidence: 99%