Temporomandibular Joint Arthroscopy versus Arthrotomy

Leibur, Edvitar; Jagur, Oksana; Voog-Oras, Ülle

doi:10.5772/55011

Cited by 3 publications

(3 citation statements)

References 58 publications

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“…TMJ arthroscopy is chosen over open joint surgical procedures to treat ID because of its unique advantages as being minimally invasive, shorter post‐operative hospitalisation period and lower morbidity 2 . Additionally, this technique provides direct visual inspection of internal joint structures, joint lavage, biopsy and other advanced surgical procedures like disc repositioning and suturing 5 …”

Section: Introductionmentioning

confidence: 99%

“…and other advanced surgical procedures like disc repositioning and suturing. 5 In most centres worldwide, all forms of TMJ arthroscopic procedures including diagnosis, lysis and lavage or advanced surgical procedures are commonly performed under general anaesthesia (GA) on an inpatient basis. On the contrary, TMJ arthroscopies performed under LA are currently not regarded as the standard practice.…”

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confidence: 99%

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The hue of temporomandibular joint arthroscopy under local versus general anaesthesia

Sah,

Abdelrehem,

Nie

et al. 2023

J of Oral Rehabilitation

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BackgroundTemporomandibular joint arthroscopy (TMJA) is often performed under general anaesthesia (GA) worldwide on an inpatient basis, whereas local anaesthesia (LA) is not equally considered as the standard procedure.ObjectivesTo compare the efficacy between LA and GA when performing TMJA.MethodsThis study retrospectively reviewed a total of 182 patients in LA group and 91 patients in GA group who underwent TMJA for the management of disc displacement. Patients were divided into two groups based on type of anaesthesia used for surgery; LA group and GA group. Comparisons were made based on operative time, intubation and extubation time (for GA only), hospital stay duration, total cost and post‐operative clinical and radiological outcomes.ResultsThe demographics and pre‐operative clinical assessments were matched in both groups. No post‐operative significant difference was found in outcomes when performing TMJA under LA compared to GA in terms of pain reduction (p = .016) and improvement in mouth opening (p = .866). The median operative time and hospital stay duration for LA group were significantly less compared to GA group (p < .001). GA group required an additional intubation and extubation time, whereas LA group patients were waived from it. TMJA for LA group was performed in the minor procedure setup, which reduced the costs for surgery (p < .001). Post‐operative disc position was excellent and good with an overall success rate of 95%.ConclusionThe use of LA performing TMJA reduces operating time, costs, hospital stay and recovery room time than GA group. Furthermore, TMJA performed under LA shared similar post‐operative clinical and radiological outcomes with those performed under GA.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

The hue of temporomandibular joint arthroscopy under local versus general anaesthesia

Sah,

Abdelrehem,

Nie

et al. 2023

J of Oral Rehabilitation

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“…Morethan700of6000knownhereditarysyndromesinvolvedentalorcraniofacialdisorders; temporomandibular disorders (TMDs) are one subgroup [1]. TMDs are a class of musculoskeletaldisordersrelatedtomouthopeningandclosing,chewingandothermandibularprocesses necessitating the involvement of the temporomandibular joint (TMJ) and any of its associated structures [2].Currently,oneofthemostwidelyuseddiagnosticcriteriaremains tobetheRDC/TMJcriteria,axis1diagnosesbyManfredinietal.whichclassifiesTMJcases intooneofthreecategories:musculoskeletalissues [3],TMJdiscdisplacementsandjointpain (arthralgia).TherearealsootherclassificationsofTMDswhichfocusoninflammation,injury and systemic conditions (Table 1) [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular Joint Pathology and Its Indication in Clinical Orthodontics

Rabie¹,

Ho²,

Li³

2018

Temporomandibular Joint Pathology - Current Approaches and Understanding

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Temporomandibular joint (TMJ) pathology has been an area of study in dentistry specificallyaresearchinterestinclinicalorthodonticsinwhichtreatmentoptionhasbeen adilemmaforpractitioners.Discussionbetween'dos'and'don'ts'ingrowthmodificationhasdrawnspreadhoweveroppositeopinionsfromdifferentschoolsofthoughtsin whethergrowthmodificationitselfisworking.Toprovideabetterillustrationofbiologi-calprocesswithinTMJ,thischapterdiscussedaspectsincludingoverallcondylargrowth; the histological structure of endochondral bone of condyle; extracellular factors that regulate proliferation, differentiation, hypertrophy, terminal maturation and apoptosis ofchondrocytes;andmolecularregulationoftheentireprocess.Anunderstandingofthe pathology,histology,cellularandmoleculareventsrelatedtothemorphologyandgrowth ofTMJformsthroughreadingoverthischapter;theemphasisofthemechanotransductionmediatorsandtheinfluenceofmechanicalstrainonthelevelofexpressionofgenes werepresentedindetails.Novelstudiesusingvirusvectorstimulatingcondylargrowth throughenhancingangiogenesiswithinatimelimitwerediscussed;alsoclinicalimplicationsintreatmentoptionsinrelationtomandibularadvancementwerebrieflycompared.

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Temporomandibular joint dysfunction in some rheumatological diseases (case–control study)

Ahmed

Zaghloul

Abutaleb

et al. 2021

Tanta Medical Journal

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Background The incidence of temporomandibular joint (TMJ) involvement in inflammatory arthritis, such as rheumatoid arthritis, is often underestimated. Noninvasive imaging modalities such as musculoskeletal ultrasound (MSUS) are used to evaluate the TMJ. Aim This study was conducted to determine the affection of TMJ in some rheumatological diseases using MSUS. Patients and methods The study included 50 participants divided into two groups: group I included 40 patients (80 TMJ joints) with four rheumatological diseases, and group II included 10 apparently healthy persons (20 TMJ joints) matched in age and sex with the patients, chosen as a control group. All patients were diagnosed clinically and through laboratory investigations. Thereafter, they were assessed for pain degree by visual analog scale (VAS); disease activity using disease activity score-28, systemic lupus erythematosus disease activity index, and Western Ontario and McMaster Universities Arthritis Index; functionally using Modified Health Assessment Questionnaire, and Fonseca questionnaire; and underwent imaging assessment using panoramic radiography and musculoskeletal ultrasonography. Results Erosions were detected in 12.5% of the examined TMJs by panoramic radiography, whereas they were detected in 32.5% by MSUS. TMJ effusion and disc displacement could not be detected by panoramic radiography, whereas effusion was detected by MSUS in 23.8% of the examined TMJs and disc displacement was detected in 27.5%. Conclusion MSUS is more sensitive in detection of TMJ affection than panorama x-ray. Radiographic pathological findings by MSUS and panorama x-rays were more in temporomandibular joint disorders of patients with rheumatoid arthritis followed by systemic lupus erythematosus and then osteoarthritis, and finally, psoriatic arthritis.

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Temporomandibular Joint Arthroscopy versus Arthrotomy

Cited by 3 publications

References 58 publications

The hue of temporomandibular joint arthroscopy under local versus general anaesthesia

The hue of temporomandibular joint arthroscopy under local versus general anaesthesia

Temporomandibular Joint Pathology and Its Indication in Clinical Orthodontics

Temporomandibular joint dysfunction in some rheumatological diseases (case–control study)

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