keyword
https://read.qxmd.com/read/38453560/current-thinking-in-open-temporomandibular-joint-surgery-is-this-still-indicated-in-the-management-of-articular-temporomandibular-joint-disorder
#1
JOURNAL ARTICLE
Andrew J Sidebottom
Management of temporomandibular disorders (TMD) follows a stepwise approach of conservative management, minimally invasive surgery (arthrocentesis and arthroscopy), open surgery and alloplastic replacement. The majority of patients treated in primary care and managed initially in secondary care have myofascial pain and can be managed conservatively with rest, topical NSAIDs, muscle massage, and a bite orthosis. Those who fail to improve and have articular related pain with limitation of function should initially undergo arthroscopic investigation and arthrocentesis, which is effective at resolving symptoms in 80% of patients...
January 22, 2024: British Journal of Oral & Maxillofacial Surgery
https://read.qxmd.com/read/38423358/categorizing-temporomandibular-joint-arthroscopic-procedures-for-a-better-clinical-practice-and-teaching
#2
JOURNAL ARTICLE
Raúl González-García
OBJECTIVE: To provide some clarity to the confusion in the terminology used to classify arthroscopic procedures for the treatment of temporomandibular joint (TMJ) internal derangement (ID) and osteoarthrosis (OA). MATERIAL AND METHODS: The author introduce a new method for categorizing TMJ arthroscopic procedures more accurately, intending to establish a reference point from which further clinical series may built their analyses. RESULTS: Six categories are proposed for establishing a clear distinction among performed arthroscopic procedures: Level Ia, arthroscopic lavage (AL); Level Ib, arthroscopic lysis and lavage (ALL); Level Ic, ALL "needle-therapy"; Level IIa, simple operative arthroscopy (OA); Level IIb, advanced OA; and Level III, OA with discopexy...
February 27, 2024: Journal of Stomatology, Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38400536/evidence-for-minimally-invasive-treatment-a-systematic-review-on-surgical-management-of-disc-displacement
#3
REVIEW
Mattias Ulmner, Tore Bjørnland, Annika Rosén, Trond Inge Berge, Heming Olsen-Bergem, Bodil Lund
BACKGROUND: Surgical treatment of temporomandibular joint (TMJ) disc displacement (DD) has been established in different forms since over a century. Ther is a consensus to perform minimal invasive interventions as first-line surgical treatment since there are no evidence on best surgical practice yet. OBJECTIVE: The aim was to perform a complex systematic review (SR) on the topic-is there evidence for surgical treatment of TMJ DD? METHODS: The PICO was defined as DD patients (population), treated with different surgical interventions including arthrocentesis (intervention), compared with other or no treatment (control) regarding the outcome variables mandibular function, mouth opening capacity, TMJ pain, etcetera (outcome)...
February 23, 2024: Journal of Oral Rehabilitation
https://read.qxmd.com/read/38399626/virtual-surgical-planning-for-temporomandibular-joint-reconstruction-with-stock-tmj-prostheses-pilot-study
#4
JOURNAL ARTICLE
José Luis Del Castillo Pardo de Vera, José Luis Cebrián Carretero, Íñigo Aragón Niño, Marta María Pampín Martínez, José Tadeo Borjas Gómez, Ignacio Navarro Cuéllar, Ana María López López, Estela Gómez Larren, Carlos Navarro Vila, Pablo Montes Fernández-Micheltorena, Álvaro Pérez Sala, Carlos Navarro Cuéllar
The temporomandibular joint (TMJ) is one of the most complex joints in the human anatomy. In advanced degenerative stages, conservative or minimally invasive surgical therapies have failed to restore joint function, and joint replacement with prostheses has been required. Stock prostheses, compared to custom-made prostheses, are much less expensive and require less pre-operative preparation time. Four patients followed for years for temporomandibular dysfunction and previously operated on by arthroscopy or open joint surgery that have been reconstructed with stock TMJ prostheses (STMJP) through virtual surgical planning (VSP) and an STL model with surgical and positioning guides were included...
February 19, 2024: Medicina
https://read.qxmd.com/read/38368209/feasibility-of-simultaneous-tmj-arthroscopy-in-addwor-patients-undergoing-orthognathic-surgery-for-jaw-deformity
#5
JOURNAL ARTICLE
Qianyang Xie, Peilun Li, Chi Yang, Minjie Chen, Hui Li, Guo Bai, Zhigui Ma, Pei Shen, Zhiyang Liu
This study evaluated the feasibility of simultaneous temporomandibular joint (TMJ) arthroscopy and orthognathic surgery as a new treatment strategy for anterior disc displacement without reduction (ADDwoR) patients with severe jaw deformities. Twelve ADDwoR patients with facial deformities who underwent arthroscopy and orthognathic surgery between September 2015 and December 2019 were retrospectively evaluated. Pre- and postoperative maximum incisal opening (MIO) and joint pain were recorded. Computed tomography (CT) and three-dimensional cephalometric analysis were performed at 3 (T1) and ≥6 (T2) months postoperatively...
January 19, 2024: Journal of Cranio-maxillo-facial Surgery
https://read.qxmd.com/read/38337365/temporomandibular-joint-minimally-invasive-procedures-in-the-pediatric-population-a-prospective-study
#6
JOURNAL ARTICLE
David Faustino Ângelo, Cláudia Sacramento Lopes, David Sanz, Maria Cristina Faria-Teixeira, Rute Marques, Francesco Maffia, Henrique José Cardoso
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...
January 24, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38286713/arthroscopy-versus-arthrocentesis-and-versus-conservative-treatments-for-temporomandibular-joint-disorders-a-systematic-review-with-meta-analysis-and-trial-sequential-analysis
#7
REVIEW
Y H Tang, N B van Bakelen, B Gareb, F K L Spijkervet
The aim of this systematic review was to assess the efficacy of arthroscopy compared to arthrocentesis and to conservative treatments for temporomandibular joint disorders. Thirteen controlled studies on various patient outcomes were included after a systematic search in seven electronic databases. Meta-analyses were conducted separately for arthroscopic surgery (AS) and arthroscopic lysis and lavage (ALL), and short-term (<6 months), intermediate-term (6 months to 5 years), and long-term (≥5 years) follow-up periods were considered...
January 28, 2024: International Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38280727/the-contemporary-management-of-temporomandibular-joint-intra-articular-pain-and-dysfunction
#8
JOURNAL ARTICLE
Gary F Bouloux, Joli Chou, Vince DiFabio, Greg Ness, Daniel Perez, Louis Mercuri, William Chung
The understanding of the causes of temporomandibular joint pain and dysfunction has evolved over 50 years. Historically, the term internal derangement has been used to describe the abnormal relationship between the articular disc, condyle, and glenoid fossa, which was thought to correlate with patient symptoms. It is now known that the pathophysiology of intra-articular pain and dysfunction (IPD) involves synovitis, capsular impingement, symptomatic disc displacement, or a combination of these. Symptomatic disc displacement should only be considered to be a potential source of IPD after synovitis and capsular impingement have been treated...
January 6, 2024: Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/38182478/predictable-arthroscopic-inferior-joint-space-injection-using-inverted-portal-technique-a-novel-technical-note
#9
JOURNAL ARTICLE
Thiago Martins Magalhães Ramos, Luciano Mauro Del Santo, Mateus Barros Cavalcante, Omar Mohamed Khan Mahboob Nasim, Otacílio Luiz Chagas-Júnior
No abstract text is available yet for this article.
December 1, 2023: British Journal of Oral & Maxillofacial Surgery
https://read.qxmd.com/read/38149208/general-joint-hypermobility-in-temporomandibular-joint-disease-clinical-characteristics-biomarkers-and-surgical-aspects
#10
JOURNAL ARTICLE
Mattias Ulmner, Rachael Sugars, Aron Naimi-Akbar, Janne Elin Reseland, Bodil Lund
OBJECTIVES: This study aimed at identifying biomarkers in the temporomandibular joint (TMJ) synovial tissue analysing 28 extra cellular matrix proteins in TMJ diseased patients, classified with either general joint hypermobility (GJH) or normal joint mobility (NJM), and to compile clinical and protein characterisation to reveal potential surgical predictive factors. STUDY DESIGN: A prospective observational cohort study including 97 consecutive patients scheduled for TMJ surgery was performed...
December 2023: Heliyon
https://read.qxmd.com/read/38135637/temporomandibular-joint-surgery-the-past-present-and-future
#11
REVIEW
M F Dolwick, C G Widmer
Temporomandibular joint surgery for various pathological conditions and diseases affecting the integrity, mobility, and function of the joint has a long history. However, the greatest explosion of knowledge regarding the diagnosis and management of temporomandibular joint pain, pathology, and rehabilitation has occurred in the last 50 years. This review focuses on the incremental expansion of knowledge over time that led to the development of concepts that support our current surgical decisions and techniques, with the aim of identifying gaps in knowledge that require well-designed studies to move the field forward...
December 21, 2023: International Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/37981521/an-exchange-technique-in-temporomandibular-joint-tmj-arthroscopy-to-insert-a-larger-operative-cannula-to-facilitate-advanced-procedures
#12
JOURNAL ARTICLE
Imanol Zubiate Illarramendi, Almudena Cabello, Ángel Martínez-Sahuquillo Rico, Paolo Cariati, Blas Garcia Medina
The paper describes a modification of the surgical technique for temporomandibular joint arthroscopy, using an exchange guide to replace the 2.2 mm cannula with one of 2.9 mm to better facilitate osteoplasty of the medial wall. The procedure is a simple and safe manoeuvre that reduces complications such as fluid extravasation into soft tissues, damage to the articular eminence, and bleeding into the superior joint space. Every oral and maxillofacial surgeon could benefit from this novel method, which reduces the chances of failure when exchanging the working cannulas, the potential morbidity of re-entry, and the duration of surgery...
October 24, 2023: British Journal of Oral & Maxillofacial Surgery
https://read.qxmd.com/read/37941602/allogenic-umbilical-cord-tissue-for-temporomandibular-joint-injuries
#13
REVIEW
Adarsh Aratikatla, Samir Ghandour, Nicola Maffulli, Manu Gupta, Ashim Gupta
The temporomandibular joint (TMJ) is crucial for functions of daily living such as mastication and articulation. Common TMJ issues include osteoarthritis, internal derangement, and myofascial pain dysfunction. Conservative methods such as physical therapy and medications are used, with surgical options such as arthroscopy and replacement for severe cases. Emerging regenerative medicine explores non-surgical treatments using human stem cells from umbilical cord derivatives, showing potential for tissue regeneration in TMJ disorders...
2023: Front Pain Res (Lausanne)
https://read.qxmd.com/read/37925338/effect-of-arthroscopic-discopexy-on-condylar-growth-in-adolescents-with-temporomandibular-joint-disc-displacement-without-reduction-a-retrospective-self-controlled-case-series-study
#14
JOURNAL ARTICLE
Dahe Zhang, Ahmed Abdelrehem, Yi Luo, Pei Shen, Chi Yang
This study was a retrospective self-controlled study that aimed to evaluate the effect of arthroscopic discopexy on condylar height and mandibular position in adolescents with temporomandibular joint (TMJ) anterior disc displacement without reduction (ADDwoR). Patients between 10 and 20 years of age and diagnosed with bilateral TMJ ADDwoR by magnetic resonance image (MRI) were included in this study. All patients underwent a period of natural course before arthroscopic surgery and then a follow-up period postoperatively...
July 8, 2023: Journal of Cranio-maxillo-facial Surgery
https://read.qxmd.com/read/37923577/ethoxysclerol-injection-into-the-posterior-ligament-under-single-puncture-arthroscopy-for-the-treatment-of-recurrent-temporomandibular-joint-dislocation-a-novel-technique
#15
JOURNAL ARTICLE
M de Las Fuentes Monreal, R L Carrillo, V E Hernández, M F M Guerra
The pathogenesis of recurrent chronic dislocation of the temporomandibular joint has been attributed to multiple factors, such as hyperlaxity of the soft tissues or alterations in the size of the temporal eminence. When there are no bone alterations, the injection of sclerosing solutions is an effective treatment that can be performed using a blind technique or with arthroscopy. This study presents an innovative technique for injecting ethoxysclerol into the posterior ligament through single puncture arthroscopy...
November 1, 2023: International Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/37920142/the-hue-of-temporomandibular-joint-arthroscopy-under-local-versus-general-anaesthesia
#16
JOURNAL ARTICLE
Manoj Kumar Sah, Ahmed Abdelrehem, Xin Nie, Chi Yang
BACKGROUND: Temporomandibular 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. OBJECTIVES: To compare the efficacy between LA and GA when performing TMJA. METHODS: This 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...
November 2, 2023: Journal of Oral Rehabilitation
https://read.qxmd.com/read/37833163/use-of-a-smartphone-platform-for-temporomandibular-joint-arthroscopy
#17
JOURNAL ARTICLE
R C M de Barros, B K Kato, A L G Sgarbi, H Tonelli, F C Hojaij
Temporomandibular joint (TMJ) arthroscopy, a diagnostic and therapeutic procedure involving the introduction of a small-calibre optical scope into the joint compartments for the treatment of internal derangement, has been gaining prominence and is now being recommended as the first therapeutic option due to the good results obtained and minimal invasiveness. However, the technical difficulty, high cost, need for specific instruments, and video tower system remain limiting factors for the implementation of TMJ arthroscopy by practicing professionals...
October 11, 2023: International Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/37685375/the-role-of-temporomandibular-joint-arthroscopy-for-diagnosis-and-surgical-management-of-synovial-chondromatosis
#18
JOURNAL ARTICLE
Salvatore Sembronio, Luca Raccampo, Alessandro Tel, Michele Di Cosola, Stefania Troise, Giovanni Dell'Aversana Orabona, Massimo Robiony
OBJECTIVE: We report the experience of our maxillo-facial surgery unit into the diagnostic and the therapeutic role of arthroscopy of temporomandibular joint (TMJ) synovial chondromatosis (SC). MATERIALS AND METHODS: A series of sixteen patients with an imaging, arthroscopical, and histological diagnosis of SC treated with arthroscopy was selected. The surgeries were conducted in the Department of Maxillo-facial surgery, Academic hospital of Udine, from January 2016 to December 2022...
September 1, 2023: Diagnostics
https://read.qxmd.com/read/37654296/assessment-of-the-efficacy-of-tmj-arthroscopy-assisted-masseter-nerve-avulsion-on-hemimasticatory-spasm-an-original-research
#19
JOURNAL ARTICLE
A Rashmi Pillai, G Jeevan Kumar, Praveen Kumar, Sarin A Nizar, Siva Kumar Pendyala, Fawaz Abdul Hamid Baig
The goal of this study is to find a cure for the masticatory muscle disease known as hemimasticatory spasm (HMS). This retrospective investigation intends to find a more efficient therapeutic approach for HMS patients by examining the clinical effectiveness of masseteric nerve avulsion performed on HMS using a temporomandibular arthroscope. A clinical study was piloted where the subjects were treated for masseter nerve avulsion by TMJ arthroscopy. The follow-up was done till 2 years, and the subjects were evaluated for the various characteristics like difficulties, masticatory abilities, and various sounds at the joint for the various functions of the joint...
July 2023: Journal of Pharmacy & Bioallied Sciences
https://read.qxmd.com/read/37632580/bilateral-arthroscopy-of-the-temporomandibular-joint-clinical-outcomes-and-the-role-of-a-second-intervention-a-prospective-study
#20
JOURNAL ARTICLE
David Faustino Ângelo, David Sanz, Henrique José Cardoso
OBJECTIVE: Evaluate the efficacy of bilateral temporomandibular joint (TMJ) arthroscopy in patients with different categories of severity based on Dimitroulis classification (categories 2-4) and the role of a second TMJ intervention in primary failure. METHODS: A 3-year prospective study was designed, including patients submitted to bilateral TMJ arthroscopy. The primary outcome was TMJ pain (VAS, 0-10) and the secondary outcomes were the maximum mouth opening (MMO) and masticatory myalgia degree (0-3)...
October 2023: Clinical Oral Investigations
keyword
keyword
108193
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.