Surgical complications related to temporomandibular joint arthroscopy: a prospective analysis of 39 single-portal versus 43 double-portal procedures

Ângelo, David Faustino; Araújo, R. A. D.; Sanz, David Rodríguez

doi:10.1016/j.ijom.2020.07.020

Cited by 11 publications

(15 citation statements)

References 16 publications

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“…Five days later, TMJ arthroscopy was performed using a 1.9-mm arthroscope, including a video system (Stryker, San Jose, CA, USA), with a 2.8-mm outer protective cannula. Additional equipment included a surgical scalpel (#11 blade), infusion tube, three-way pipe, 21-G needle, and ringer solution as part of the armamentarium [ 5 ]. All the procedures were Level 2 (double portal) TMJ arthroscopies.…”

Section: Methodsmentioning

confidence: 99%

“…Due to the complex nature and clinical presentation, TMDs require a multidisciplinary approach and an accurate diagnosis obtained with proper clinical examination and radiological imaging such as magnetic resonance imaging (MRI) and/or computer tomography (CT) scans [ 4 ]. Depending on the type and stage of the pathology affecting the TMJ, the treatment can range from less invasive procedures such as TMJ arthrocentesis and TMJ arthroscopy to TMJ open surgery [ 5 ]. TMJ arthroscopy is a minimally invasive surgical technique effective in reducing pain and restoring mandibular function with minimal morbidity [ 1 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Depending on the type and stage of the pathology affecting the TMJ, the treatment can range from less invasive procedures such as TMJ arthrocentesis and TMJ arthroscopy to TMJ open surgery [ 5 ]. TMJ arthroscopy is a minimally invasive surgical technique effective in reducing pain and restoring mandibular function with minimal morbidity [ 1 , 5 ]. TMJ arthroscopy is classified into three different levels depending on the operative procedure: Level 1 is considered basic diagnostic arthroscopy with lysis and lavage, level 2 is defined as operative arthroscopy with intra-articular coblation or other surgical techniques, and level 3 arthroscopy implicates a disc suture.…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of IncobotulinumtoxinA Injection on Myalgia and Arthralgia in Patients Undergoing Temporomandibular Joint Arthroscopy: A Randomized Controlled Trial

Ângelo

Sanz

Maffìa

et al. 2023

Toxins

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Background: Several studies have considered Botulinum Neurotoxin Type A injections effective in treating temporomandibular joint disorder (TMD) symptoms. A double-blind, randomized, controlled clinical trial investigated the benefit of complementary incobotulinumtoxinA (inco-BoNT/A) injections in the masticatory muscles of patients submitted to bilateral temporomandibular joint (TMJ) arthroscopy. Methods: Fifteen patients with TMD and an indication for bilateral TMJ arthroscopy were randomized into inco-BoNT/A (Xeomin, 100 U) or placebo groups (saline solution). Injections were carried out five days before TMJ arthroscopy. The primary outcome variable was a Visual Analogue Scale for TMJ arthralgia, and secondary outcomes were the myalgia degree, maximum mouth opening, and joint clicks. All outcome variables were assessed preoperatively (T0) and postoperatively (T1—week 5; T2—6-month follow-up). Results: At T1, the outcomes in the inco-BoNT/A group were improved, but not significantly more than in the placebo group. At T2, significant improvements in the TMJ arthralgia and myalgia scores were observed in the inco-BoNT/A group compared to the placebo. A higher number of postoperative reinterventions with further TMJ treatments were observed in the placebo group compared to inco-BoNT/A (63% vs. 14%). Conclusions: In patients submitted to TMJ arthroscopy, statistically significant long-term differences were observed between the placebo and inco-BoNT/A groups.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Outcomes of IncobotulinumtoxinA Injection on Myalgia and Arthralgia in Patients Undergoing Temporomandibular Joint Arthroscopy: A Randomized Controlled Trial

Ângelo

Sanz

Maffìa

et al. 2023

Toxins

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“…Over recent years, temporomandibular joint (TMJ) minimally invasive procedures have been appointed as an alternative for conservative treatment failure in cases of severe acute pain or chronic pain, inflammation, and/or degeneration disease, namely in arthrogenous temporomandibular disorders (TMD) [1]. The main advantages of these techniques are: minimal distress and reduced invasiveness to the patient, reduced risk of complications [2,3], faster recovery, faster results, minimal cosmetic deformity, low emotional impact, improved quality of life [4], and high satisfaction. Although they present more risks/complications associated with operator errors and anesthetic effects, TMJ arthrocentesis and arthroscopy are generally safe procedures with low incidence of major complications [2,[5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study

Ângelo,

Lopes,

Sanz

et al. 2024

JCM

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Over recent years, temporomandibular joint (TMJ) minimally invasive procedures, such as arthrocentesis and arthroscopy, have been appointed as an initial TMJ intra-articular treatment. Both procedures present safe and effective clinical results in managing temporomandibular disorders (TMD) by reducing pain and improving mouth opening. The use of these techniques in adults is validated in the literature. However, data on the safety and effectiveness of minimally invasive TMJ interventions in pediatric patients are scarce. This study aims to investigate the effectiveness of TMJ arthrocentesis and arthroscopy in the pediatric population. A prospective study was conducted at Instituto Português da Face (IPF) in Lisbon, Portugal, including patients treated for TMD from 1 June 2019 to 30 June 2023. In the present study, 26 patients (17 female and 9 male) were included, representing a total of 48 joints operated. A statistically significant reduction was observed in the primary outcome, TMJ pain, from 3.93 ± 2.80 preoperatively (mean ± SD) to 0.50 ± 1.53 (mean ± SD) postoperatively (p < 0.05). An improvement in the secondary outcome, maximum mouth opening, from 36.92 ± 8.79 preoperatively to 42.96 ± 5.07 postoperatively, was observed (p < 0.05). The overall success rate was 84.62%. This prospective study showed that TMJ arthrocentesis and arthroscopy appear to benefit pediatric patients with TMD, significantly lowering pain and improving MMO without relevant postoperative complications.

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“…Angelo y cols. 6 abordaron esta diferenciación entre artroscopia de nivel 1 y nivel 2 al tratar de dilucidar si había alguna diferencia específica en la tasa de complicaciones observada. Cuando se trató de complicaciones postoperatorias, informaron hasta un 5 % de daño temporal en el nervio facial, que es algo superior al de otros informes anteriores, pero quizás bastante cercano a lo que sucede en los pasos iniciales de la curva de aprendizaje.…”

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Complicaciones de la artroscopia de la articulación temporomandibular

González‐García¹

2023

j.maxilo

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celebró su reunión anual en Oxford (Reino Unido) con el tema "Complicaciones en la cirugía de la ATM" (Complications in TMJ Surgery). El objetivo principal fue establecer las tasas de complicaciones para: 1) cirugía mínimamente invasiva de la ATM; 2) cirugía abierta de la ATM; y 3) cirugía de reemplazo de la ATM por medio de prótesis aloplásticas; y, de ese modo, clasificar las complicaciones en cuatro categorías principales para ayudar al cirujano de la ATM a informar a los pacientes que se someten a cirugía de la ATM sobre los riesgos quirúrgicos inherentes a la misma.Estas categorías fueron: 1) complicaciones comunes que se deben advertir a todos los pacientes: generalmente se presentan en > 5 % de los casos; 2) complicaciones raras que se deben advertir a todos los pacientes: generalmente tienen lugar en > 1 % hasta el 5 % de los casos; 3) complicaciones raras que el cirujano considere advertir de forma discrecional en cada caso: generalmente referidas en > 0,1 % hasta el 1 % de los casos; y 4) complicaciones extremadamente raras que no deben ser advertidas al paciente: generalmente referidas en < 0,1 % de los casos. El grupo español fue el encargado de abordar la tasa de complicaciones asociada con la cirugía mínimamente invasiva, fundamentalmente referida a la artroscopia de la ATM.En cuanto a los artículos más relevantes que tratan sobre las complicaciones asociadas con la artroscopia de la ATM, no se han realizado esfuerzos significativos para tratar de diferenciar entre las aquellas que aparecen de forma intraoperatoria y las acaecidas durante el postoperatorio.Mientras que el aspecto más exiguamente tratado es el establecimiento de una distinción clara en relación con las complicaciones en función del grado de complejidad del procedimiento artroscópico realizado, se han informado tasas de complicaciones generales entre 1,8 y 10,3%, en

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Surgical complications related to temporomandibular joint arthroscopy: a prospective analysis of 39 single-portal versus 43 double-portal procedures

Cited by 11 publications

References 16 publications

Outcomes of IncobotulinumtoxinA Injection on Myalgia and Arthralgia in Patients Undergoing Temporomandibular Joint Arthroscopy: A Randomized Controlled Trial

Outcomes of IncobotulinumtoxinA Injection on Myalgia and Arthralgia in Patients Undergoing Temporomandibular Joint Arthroscopy: A Randomized Controlled Trial

Temporomandibular Joint Minimally Invasive Procedures in the Pediatric Population: A Prospective Study

Complicaciones de la artroscopia de la articulación temporomandibular

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