Long-term evaluation of arthroscopic surgery with lysis and lavage of temporomandibular joint disorders

Temporomandibular Joint Arthroscopy

“…Injurie of superficial branches of facial nerve resulting to paraesthesia in the preauricular region was observed in two cases. These symptoms disappeared during one month (Leibur et al 2010). …”

“…Inflammation mainly affects the posterior disc attachement (Holmlund & Axelsson, 1996;Leibur et al, 2010). Several inflammatory mediators play an important role in the pathogenesis of TMJ diseases as tumor necrosis factor (TNF ), interleukin-1 (IL-1 ), prostaglandin E 2 (PGE 2 ) , leukotrien B 4 (LkB 4 ), matrix metalloproteinases (MMP s ), serotonin-5-hydroxytryptamine (5-HT), (Alstergren et al, 1999;Voog et al, 2003b).…”

“…The alterations in the constituents of the synovial fluid affect lubrication of the joint causing stickness and decreased mobility. Synovial chondromatosis has been found in the joint space (Mercuri, 2008;Leibur et al 2010;González-Pérez et al, 2011). Synovial chondromatosis of the TMJ in both the superior and inferior joint compartments have found due to osteoarthritis during long period ~ 10 years (Sato et al, 2002).…”

“…The progress in research and applications of TMJ arthroscopy in joint disease have led to the acceptance of small operative procedures as a safe, minimally invasive means of effectively treating a number of intra-articular and degenerative TMJ problems (McCain, 1992;Holmlund &Axelsson, 1996;Holmlund et al, 2001). Arthroscopic surgery has been an effective treatment for TMJ disorders refractory to nonsurgical treatments ( Ohnuki et al, 2003;Gonzalez-Garcia et al, 2008, Leibur et al, 2010. TMJ arthroscopy has been variously reported as successful in up to 80% of cases where outcome of arthroscopic surgery to the TMJ correlates with the stage of internal derangement (K. Murakami et al, 2000;Sanroman, 2004).…”

Internal Derangement of Temporomandibular Joint - A Review

“…[8,15] Several inflammatory mediators play an important role in the pathogenesis of TMJ disorders like tumor necrosis factor alpha (TNFalpha), interleukin-1beta (IL-1beta) , prostaglandin E2 (PGE2), leukotriene B4 (LkB4 ), matrix metalloproteinases (MMPs), serotonin-5-hydroxytryptamine (5-HT). [10,16] MMPs are the early marker or detector to determine temporo mandibular joint arthritis.…”