Effectiveness of disk repositioning and suturing comparing open-joint versus arthroscopic techniques: a systematic review and meta-analysis

High condylar shave with meniscorhaphy in the treatment of internal derangement of temporomandibular joint. Clinical, radiographic, and patient-based outcomes.

“…The improvement of the maximum mouth opening could be attributed to the meniscoraphy with proper disc repositioning and suturing. In line with this explanation, a recent systematic review and meta-analysis 12 reported 10mm overall increased of maximum mouth opening after TMJ surgery with discopexy. However, the authors reported that maximum mouth opening was higher after arthroscopic disc repositioning than open surgery with disc repositioning and suturing.…”

“…Several studies reported that the incidence of surgical treatment of ID ranged from 1% to 25% [8][9][10] . The patient should be treated initially by minimal invasive techniques 11 , and when severe symptoms remain after conservative treatment, Temporomandibular joint (TMJ) surgery is indicated 12 .…”

“…One principle in treating ID is to increase the joint space, thereby decompressing the joint and presumably increasing joint translation 13 . The treatment of ID may be performed using noninvasive techniques such as (medications, physiotherapy, psychotherapy, prosthetic therapy, and orthodontic therapy), minimally invasive techniques such as (arthroscopy, arthrocentesis) and invasive techniques such as (disk repair and disk repositioning procedures (discopexy, meniscorhaphy), menisectomy with or without autogenous implants, condylectomy, condylotomy, condyloplasty (high condylar shave), disc plication and eminectomy 12 . The high condylar shave and eminectomy aimed to increase the joint space without altering the position of the disc.…”

Prognostic Indicators of Yang’s Arthroscopic Technique for Management of Temporomandibular Joint Anterior Disc Displacement: Part 1- Clinical Predictors.

“…However, still a considerable proportion of patients with a predominance of degenerative ndings is refractory for such regimen after a period of non-interventional treatment, for whom, surgical procedures are being advocated including disc repositioning techniques 4,5 . Among various surgical interventions for management of ADD, the arthroscopic disc suturing and repositioning technique is now gaining more popularity due to development of new technologies and re nement of the provisional methods [6][7][8] . Since the original reports of arthroscopic disc suturing [9][10][11] , such technique has passed through different approaches with various rates of success and outcomes.…”

“…Among various surgical interventions for management of ADD, the arthroscopic disc suturing and repositioning technique is now gaining more popularity due to development of new technologies and re nement of the provisional methods [6][7][8] . Since the original reports of arthroscopic disc suturing [9][10][11] , such technique has passed through different approaches with various rates of success and outcomes.…”