Temporomandibular Joint Surgery

Koslin, Michael G.; Indresano, A. Thomas; Mercuri, Louis G.

doi:10.1016/j.joms.2012.07.036

Cited by 19 publications

(5 citation statements)

References 197 publications

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“…We are not aware of any similar reported complications during arthrocentesis. On the other hand brutal manipulation of the thoracars during TMJ arthroscopy may lead to temporary weakness of the Vth and VIIth cranial nerves [ 30 ]. Accordingly one of our arthroscopy patients had temporary weakness of her eyelid with complete recovery at the end of 3 weeks.…”

Section: Discussionmentioning

confidence: 99%

A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint

Efeoğlu

Çalış

Koca

et al. 2018

Journal of Otolaryngology - Head & Neck Surgery

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BackgroundInternal derangement is the clinical and pathological condition of disc displacement of the temporomandibular joint. Management of these cases involve conservative and surgical treatment options. Minimally invasive surgical procedures namely arthrocentesis and arthroscopy are promising techniques in the management of internal derangement. However patient selection algorithms, indications for minimally invasive procedures and details of the techniques should be further studied for safe and cost effective management of these cases.This manuscript aims to retrospectively analyze the significance of a stepped surgical treatment approach (arthrocentesis under local anaesthesia as the first line of treatment, followed by arthroscopic lysis and lavage under general anaesthesia in unresolving cases) of internal derangement with or without osteoarthritis.MethodsThis is a retrospective cohort study. Case notes of 1414 patients that were managed with a standard protocol were reviewed. Appropriate inclusion and exclusion criteria were set. Thirty-three patients were eligible for inclusion. Parameters recorded were pain-free inter-incisal opening, spontaneous pain, pain on function, difficulty on chewing, and perceived disability on jaw movements. Pre-operative and post-operative (at the end of the follow up period) pain free maximum interincisal opening values were compared with paired t test and the subjective parameters were evaluated with Chisquare analysis. Treatment outcome and success rate according to American Association of Oral and Maxillofacial Surgeons were descriptively shown.ResultsInterincisal opening values increased, and the number of patients with severe or medium rated subjective parameters were reduced at discharge. These improvements were found to be statistically significant. Clinical (Wilkes) staging of internal derangement pre-operatively and at discharge remained either unchanged or was lower. Treatment outcome and success according to American Association of Oral and Maxillofacial Surgeons criteria was 94%.ConclusionThe stepped approach for the management of symptomatic internal derangement with or without osteoarthritis is a successful treatment strategy with favourable therapeutic outcomes.

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Section: Discussionmentioning

confidence: 99%

A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint

Efeoğlu

Çalış

Koca

et al. 2018

Journal of Otolaryngology - Head & Neck Surgery

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“…While many of the therapeutic procedures specifically aim to prevent surgery on the TMJ, there are some relative and absolute indications for surgical intervention [5,6]. The goals of surgical interventions range from the removal or shaping of diseased and altered tissues to the complete removal of joint structures, followed by insertion of disc, cartilage or condyle replacement prostheses [7]. These procedures require the selective treatment of specific articular structures.…”

Section: Introductionmentioning

confidence: 99%

Laser induced breakdown spectroscopy for bone and cartilage differentiation - ex vivo study as a prospect for a laser surgery feedback mechanism

Mehari¹,

Rohde²,

Knipfer³

et al. 2014

Biomed. Opt. Express

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Laser surgery enables for very accurate, fast and clean modeling of tissue. The specific and controlled cutting and ablation of tissue, however, remains a central challenge in the field of clinical laser applications. The lack of information on what kind of tissue is being ablated at the bottom of the cut may lead to iatrogenic damage of structures that were meant to be preserved. One such example is the shaping or removal of diseased cartilaginous and bone tissue in the temporomandibular joint (TMJ). Diseases of the TMJ can induce deformation and perforation of the cartilaginous discus articularis, as well as alterations to the cartilaginous surface of the condyle or even the bone itself. This may result in restrictions of movement and pain. The aim of a surgical intervention ranges from specific ablation and shaping of diseased cartilage, bone or synovial tissues to extensive removal of TMJ structures. One approach to differentiate between these tissues is to use Laser Induced Breakdown Spectroscopy (LIBS). The ultimate goal is a LIBS guided feedback control system for surgical laser systems that enables real-time tissue identification for tissue specific ablation. In the presented study, the authors focused on the LIBS based differentiation between cartilage tissue and cortical bone tissue using an ex-vivo pig model. 31(2), 155-156 (1978). 12. M. S. Strong, C. W. Vaughan, G. B. Healy, S. M. Shapshay, and G. J. Jako, "Transoral management of localized carcinoma of the oral cavity using the CO2 laser," Laryngoscope 89(6 Pt 1), 897-905 (1979). 13. J. A. Carruth, "Resection of the tongue with the carbon dioxide laser," J. Laryngol. Otol. 96(6), 529-543 (1982). 14. L. Gáspár, "The use of high-power lasers in oral surgery," J. Clin. Laser Med. Surg. 12(5), 281-285 (1994). 15. M. L. Schoelch, N. Sekandari, J. A. Regezi, and S. Silverman, Jr., "Laser management of oral leukoplakias: a follow-up study of 70 patients," Laryngoscope 109(6), 949-953 (1999). 16. J. A. Carruth, "Lasers in medicine and surgery," J. Med. Eng. Technol. 8(4), 161-167 (1984). 17. M. K. Basu, J. W. Frame, and P. H. Rhys Evans, "Wound healing following partial glossectomy using the CO2 laser, diathermy and scalpel: a histological study in rats," J. Laryngol. Otol. 102(4), 322-327 (1988). 18. M. Luomanen, "A comparative study of healing of laser and scalpel incision wounds in rat oral mucosa," Scand. ©2014 Optical Society of America

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“…11,12 When aiming to restore the joint's asymptomatic and adaptive status with minimal intervention, nonsurgical management of TMJ osteoarthritis provides a good and stable prognosis. 5,13 However, when it fails, invasive surgical intervention (gap arthroplasty with partial meniscectomy, when required) is recommended. As many as 20% of patients with TMJ DJD eventually will require an invasive procedure for altering the bone's morphology, repositioning of the disc, or partial or total removal of the disc.…”

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confidence: 99%

Effect of Arthrocentesis on Symptomatic Osteoarthritis of the Temporomandibular Joint and Analysis of the Effect of Preoperative Clinical and Radiologic Features

Nitzan

Svidovsky

Zini

et al. 2017

Journal of Oral and Maxillofacial Surgery

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Temporomandibular Joint Surgery

Cited by 19 publications

References 197 publications

A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint

A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint

Laser induced breakdown spectroscopy for bone and cartilage differentiation - ex vivo study as a prospect for a laser surgery feedback mechanism

Effect of Arthrocentesis on Symptomatic Osteoarthritis of the Temporomandibular Joint and Analysis of the Effect of Preoperative Clinical and Radiologic Features

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