Correlation of arthroscopic findings with clinical–radiological signs and symptoms of temporomandibular joint dysfunction: retrospective study of 829 joints
“…This could be explained by the repetition of the infiltrative procedures over time [30][31][32][33][34][35][36]. The recommended procedures comprise synovectomy via coblation or laser, the subsynovial infiltration of PRP or CS, biopsies, and the resection of adhesions and pseudowalls [5,[37][38][39][40][41][42][43][44][45][46]. Although there are not enough quality studies, the current evidence recommends conservative management as first line treatment in the late stages (stages IV and V of the Wilkes classification) of TMJID.…”
Section: Are There Differences Between Infiltrations Of the Tmj With ...mentioning
confidence: 99%
“…The recommended procedures comprise synovectomy via coblation or laser, the subsynovial infiltration of PRP or CS, biopsies, and the resection of adhesions and pseudowalls [ 5 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ].…”
Section: Minimally Invasive Surgery In Late-stage Id Of the Temporoma...mentioning
Introduction: This report investigates late-stage internal derangement (ID) of the temporomandibular joint (TMJ) with the aim of establishing a more effective and personalized treatment protocol to improve patients’ quality of life (QoL). Material and methods: A consensus was reached among maxillofacial surgeons specializing in LSID, based on a literature research and collective expert experience following the Delphi method. Consensus was considered to be achieved when a response received at least 80% of votes. Results: Four expert groups were established, respectively, focusing on diagnosis, minimally invasive surgery (MIS), open surgery and joint replacement. A comprehensive approach to late-stage ID of the TMJ requires a consensus report. This underscores the need for a personalized treatment plan, considering the variability in clinical presentations and progression of this pathology. Our recommendations aim to optimize clinical outcomes and enhance patient QoL.
“…This could be explained by the repetition of the infiltrative procedures over time [30][31][32][33][34][35][36]. The recommended procedures comprise synovectomy via coblation or laser, the subsynovial infiltration of PRP or CS, biopsies, and the resection of adhesions and pseudowalls [5,[37][38][39][40][41][42][43][44][45][46]. Although there are not enough quality studies, the current evidence recommends conservative management as first line treatment in the late stages (stages IV and V of the Wilkes classification) of TMJID.…”
Section: Are There Differences Between Infiltrations Of the Tmj With ...mentioning
confidence: 99%
“…The recommended procedures comprise synovectomy via coblation or laser, the subsynovial infiltration of PRP or CS, biopsies, and the resection of adhesions and pseudowalls [ 5 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ].…”
Section: Minimally Invasive Surgery In Late-stage Id Of the Temporoma...mentioning
Introduction: This report investigates late-stage internal derangement (ID) of the temporomandibular joint (TMJ) with the aim of establishing a more effective and personalized treatment protocol to improve patients’ quality of life (QoL). Material and methods: A consensus was reached among maxillofacial surgeons specializing in LSID, based on a literature research and collective expert experience following the Delphi method. Consensus was considered to be achieved when a response received at least 80% of votes. Results: Four expert groups were established, respectively, focusing on diagnosis, minimally invasive surgery (MIS), open surgery and joint replacement. A comprehensive approach to late-stage ID of the TMJ requires a consensus report. This underscores the need for a personalized treatment plan, considering the variability in clinical presentations and progression of this pathology. Our recommendations aim to optimize clinical outcomes and enhance patient QoL.
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