Surgical Treatment of Temporomandibular Joint Derangement

Bjørnland, Tore; Mork-Knutsen, Peer

doi:10.1016/j.cden.2022.07.002

Cited by 3 publications

(1 citation statement)

References 49 publications

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“…About 5% of patients require a second surgery to achieve the desired results [20]. Few studies have addressed outcomes at 10-30 years after surgery [22][23][24][25], however, and there is a need for greater understanding of long-term outcomes after TMJ discectomies.…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular joint discectomy. A long-term retrospective follow-up on the patient perspective.

Bäckström,

Wänman,

Sjöström

2024

Preprint

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Purpose To retrospectively evaluate long-term outcomes after temporomandibular joint (TMJ) discectomy. Methods Included patients (n = 64) had undergone discectomy during 1989–1998 at Umeå University Hospital. A questionnaire was used to evaluate pre- and postoperative symptoms, postoperative complications, general pain, and subjective opinion about the outcome of the surgery. Results The results are based on responses from 47 patients (40 women/7 men), including 36 (30 women/6 men) who completed the questionnaire and 11 (10 women/1 man) who were contacted by telephone and answered selected questions. Seventeen patients were excluded because of death, a move abroad, declining to participate, or no available patient information. Among the respondents, 41 (87%) were satisfied with the results, five (11%) were unsatisfied, and one (2%) patient did not answer the question. The results showed a significant long-term improvement in locking, clicking/crepitation, and pain when chewing or opening the jaw (p = 0.001). The prevalence of headaches had decreased significantly at follow-up (p = 0.001). Reported impaired jaw-opening capacity showed no significant improvement (p = 0.08). Of the 47 respondents, 19 (40%) had asked for additional treatment after the discectomy, and six of the 19 patients (13%) had undergone more surgery of the joint. Conclusion The results of this retrospective long-term follow-up study indicate that TMJ discectomy has a high success rate, as most patients were satisfied with the postoperative results. Discectomy is thus an effective surgical intervention for patients with disabling TMJ pain and dysfunction when conservative interventions have been unsuccessful.

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Section: Introductionmentioning

confidence: 99%

Temporomandibular joint discectomy. A long-term retrospective follow-up on the patient perspective.

Bäckström,

Wänman,

Sjöström

2024

Preprint

View full text Add to dashboard Cite

show abstract

The majority of patients report satisfaction more than 24 years after temporomandibular joint discectomy

Bäckström,

Wänman,

Sjöström

2024

Oral Maxillofac Surg

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Purpose To retrospectively evaluate long-term outcomes after temporomandibular joint (TMJ) discectomy. Methods Included patients (n = 64) had undergone discectomy during 1989-1998 at Umeå University Hospital. A questionnaire was used to evaluate pre- and postoperative symptoms, postoperative complications, general pain, and subjective opinion about the outcome of the surgery. Results The results are based on responses from 47 patients (40 women/7 men), including 36 (30 women/6 men) who completed the questionnaire and 11 (10 women/1 man) who were contacted by telephone and answered selected questions. Seventeen patients were excluded because of death, a move abroad, declining to participate, or no available patient information. Among the respondents, 41 (87%) were satisfied with the results, five (11%) were unsatisfied, and one (2%) patient did not answer the question. The results showed a significant long-term improvement in locking, clicking/crepitation, and pain when chewing or opening the jaw (p = 0.001). The prevalence of headaches had decreased significantly at follow-up (p = 0.001). Reported impaired jaw-opening capacity showed no significant improvement (p = 0.08). Of the 47 respondents, 19 (40%) had asked for additional treatment after the discectomy, and six of the 19 patients (13%) had undergone more surgery of the joint. Conclusion The results of this retrospective long-term follow-up study indicate that TMJ discectomy has a high success rate, as most patients were satisfied with the postoperative results. Discectomy is thus an effective surgical intervention for patients with disabling TMJ pain and dysfunction when conservative interventions have been unsuccessful.

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