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https://www.readbyqxmd.com/read/27908573/does-the-age-of-a-patient-affect-the-outcome-of-temporomandibular-joint-arthroscopic-surgery
#1
Jungsuk Cho, Howard Israel
PURPOSE: Although temporomandibular joint (TMJ) disorders encompass all age groups, it is generally considered to affect young to middle-age adults. The aim of this investigation was to study patients who met the criteria for TMJ arthroscopy and to determine whether there was a difference in outcomes between younger and older patients. MATERIALS AND METHODS: This was a retrospective chart review of patients who underwent TMJ operative arthroscopy. The primary variable studied was patient age...
November 9, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27889535/does-temporomandibular-joint-pathology-with-or-without-surgical-management-affect-the-stability-of-counterclockwise-rotation-of-the-maxillomandibular-complex-in-orthognathic-surgery-a-systematic-review-and-meta-analysis
#2
Essam Ahmed Al-Moraissi, Larry M Wolford
PURPOSE: This study was designed to determine the stability of counterclockwise rotation (CCWR) of the maxillomandibular complex (MMC) in orthognathic surgery with or without surgical correction of coexisting temporomandibular joint (TMJ) pathology. MATERIALS AND METHODS: The authors implemented a systematic review and meta-analysis. A search of major databases through PubMed, EMBASE, and Cochrane CENTRAL was performed. Inclusion criteria were studies that analyzed CCWR of the MMC in regard to skeletal stability after orthognathic surgery in patients with or without pre-existing TMJ pathology that was or was not surgically corrected concomitantly...
November 4, 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27876531/patient-centered-quality-of-life-measures-after-alloplastic-temporomandibular-joint-replacement-surgery
#3
X Alakailly, D Schwartz, N Alwanni, C Demko, M A Altay, Y Kilinc, D A Baur, F Quereshy
The purpose of this study was to evaluate patient-reported outcome measures of quality of life (QoL) for patients with end-stage temporomandibular joint (TMJ) disease who have undergone TMJ prosthetic replacement. The records of 36 patients who had undergone alloplastic total joint replacement procedures were analyzed. Patients were treated using either TMJ Concepts or Biomet/Lorenz prosthetics. Patients were asked to complete a 12-item TMJ-S-QoL survey, which encompassed questions pertaining to pain, speech, chewing function, and various aspects of social life and mental health...
November 19, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27836550/temporomandibular-joint-tmj-arthroscopic-lysis-and-lavage-outcomes-and-rate-of-progression-to-open-surgery
#4
Omar Breik, Vishakha Devrukhkar, George Dimitroulis
PURPOSE: Arthroscopic lysis and lavage has been shown to be effective in the management of a variety of TMJ (Temporomandibular joint) diseases. The purpose of this study was to evaluate the medium to long-term outcomes of TMJ arthroscopic lysis and lavage and determine factors associated with progression to open surgery. MATERIALS AND METHODS: A retrospective cohort study of a single operator series was performed over a 6-year period from 2006 to 2012. The variables of gender, age and category (Dimitroulis classification) were compared to evaluate factors associated with success of arthroscopy and progression to open surgery...
October 5, 2016: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/27818803/eminectomy-for-habitual-luxation-of-the-temporomandibular-joint-with-sedation-and-local-anesthesia-a-case-series
#5
Joe Iwanaga, Yoshiaki Nakamura, Jingo Kusukawa, R Shane Tubbs
Eminectomy which is one of the popular and most effective treatments for habitual temporomandibular joint luxation was first described by Myrhaug in 1951. There are few reports which described eminectomy being performed under local anesthesia and conscious sedation. We present a case series of habitual luxation of the TMJ treated by eminectomy performed under local anesthesia and conscious sedation and general anesthesia. Five patients were examined and found to have recurrent luxation of the TMJ. The age of patients ranged from 18 to 93 years...
2016: Case Reports in Dentistry
https://www.readbyqxmd.com/read/27774442/the-sequential-management-of-recurrent-temporomandibular-joint-ankylosis-in-a-growing-child-a-case-report
#6
Jung-Won Cho, Jung-Hyun Park, Jin-Woo Kim, Sun-Jong Kim
BACKGROUND: Temporomandibular joint (TMJ) ankylosis in children often leads to facial deformity, functional deficit, and negative influence of the psychosocial development, which worsens with growth. The treatment of TMJ ankylosis in the pediatric patient is much more challenging than in adults because of a high incidence of recurrence and unfavorable growth of the mandible. CASE REPORT: This is a case report describing sequential management of the left TMJ ankylosis resulted from trauma in early childhood...
December 2016: Maxillofacial Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27770969/a-current-overview-of-materials-and-strategies-for-potential-use-in-maxillofacial-tissue-regeneration
#7
Hossein E Jazayeri, Mohammadreza Tahriri, Mehdi Razavi, Kimia Khoshroo, Farahnaz Fahimipour, Erfan Dashtimoghadam, Luis Almeida, Lobat Tayebi
Tissue regeneration is rapidly evolving to treat anomalies in the entire human body. The production of biodegradable, customizable scaffolds to achieve this clinical aim is dependent on the interdisciplinary collaboration among clinicians, bioengineers and materials scientists. While bone grafts and varying reconstructive procedures have been traditionally used for maxillofacial defects, the goal of this review is to provide insight on all materials involved in the progressing utilization of the tissue engineering approach to yield successful treatment outcomes for both hard and soft tissues...
January 1, 2017: Materials Science & Engineering. C, Materials for Biological Applications
https://www.readbyqxmd.com/read/27769739/open-surgery-assisted-with-arthroscopy-to-treat-synovial-chondromatosis-of-the-temporomandibular-joint
#8
G Bai, C Yang, Y Qiu, M Chen
Open surgery and arthroscopy for the treatment of synovial chondromatosis (SC) of the temporomandibular joint (TMJ) have their advantages and disadvantages. The aim of this study was to report the application and results of the combined use of these two methods in the treatment of SC and the indications for use. A total of 36 patients with magnetic resonance imaging (MRI) confirmation of SC, treated from 2010 to 2015, were included. Patients with tumours in the upper articular cavity and with the extended margin of the medial groove still in-between the medial crest of the condyle and infratemporal space on coronal MRI were selected to undergo open surgery with the assistance of arthroscopy to clear the loose bodies and affected synovium...
October 18, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27694782/temporomandibular-chronic-dislocation-the-long-standing-condition
#9
M Marqués-Mateo, M Puche-Torres, M-E Iglesias-Gimilio
BACKGROUND: The temporomandibular joint (TMJ) dislocation can be categorised into three groups: acute, habitual or recurrent and long-standing. The long-standing or protracted lower jaw dislocation refers to a condition that persists for more than one month without reduction. There are a great variety of methods for its treatment, from the manual or non-surgical, to surgical ones like the indirect approach (conservative surgical approach) and direct approach (open joint). Additional procedures in unsuccessful cases may include extra-articular orthognathic techniques to correct a malocclusion until joint replacement...
November 1, 2016: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/27694778/lubricin-in-synovial-fluid-of-mild-and-severe-temporomandibular-joint-internal-derangements
#10
R Leonardi, R-E Perrotta, L-E Almeida, C Loreto, G Musumeci
BACKGROUND: To understand the molecular basis of temporomandibular joint (TMJ) pathologies, we aimed to investigate the lubricin levels in the TMJ synovial fluid (SF) of patients with mild to severe internal derangements (IDs). MATERIAL AND METHODS: A total, 34 joints were the study group. Only patients, with a Wilkes stage of III, IV and V were included, in this sample. Control group consisted of SF from eight joints, from patients undergoing to orthognatic surgery...
November 1, 2016: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/27687056/training-in-surgery-of-the-temporomandibular-joint-the-uk-trainers-perspective
#11
Ross Elledge, Jason Green, Alan Attard
Surgery of the temporomandibular joint (TMJ) is increasingly recognised as a subspecialist area of interest within our specialty and many procedures such as arthroscopy, arthroplasty, and replacement of the TMJ are becoming increasingly centralised and restricted to certain regions. We previously made a national survey of trainees and have sought to augment this with a survey of trainers to find out the nature of practice and patterns of referral nationally. We have also examined the consultants' expectations of competent final-year trainees...
September 26, 2016: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/27649719/management-of-maxillofacial-fractures-within-three-years-of-empirical-findings
#12
Marijus Leketas, Evelina Vedlugaitė, Ričardas Kubilius
OBJECTIVES: To investigate which treatment of maxillofacial fractures is more effective and what type of complications is the most common after observed treatment. The second aim is to explore relationship between treated facial bone fractures and temporomandibular joint (TMJ) pathology. MATERIAL AND METHODS: Cases with TMJ pathology in Lithuanian University of Health Sciences (LUHS) in the Department of Maxillofacial Surgery (MS) during 2012-2014 were analysed to research the occurrence of TMJ disorders after facial bone fracture treatment...
2016: Stomatologija
https://www.readbyqxmd.com/read/27634689/reduction-in-maximum-pain-after-surgery-in-temporomandibular-joint-patients-is-associated-with-decreased-beta-endorphin-levels-a-pilot-study
#13
A Feldreich, M Ernberg, A Rosén
The mechanisms of relief from persistent pain after temporomandibular joint (TMJ) surgery are not well studied. It was hypothesized that if persistent pain is relieved by TMJ surgery, up-regulated parts of the central nervous system will be desensitized and the neuroendocrine opioid release will decrease back to normal levels. Eleven female patients with a mean age of 47.4±19.4 years and with TMJ pain due to chronic closed lock were examined before and 6-24 months after TMJ discectomy. The effects on plasma β-endorphin levels, pain intensity, and pain thresholds were analyzed...
September 13, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27614813/surgical-correction-without-bone-grafts-of-maxillofacial-asymmetric-deformities-in-patients-treated-for-unilateral-temporomandibular-joint-ankylosis
#14
Yao Liu, Wen Du, Jing Hu, Chuhang Liao, Wei Fei, En Luo
OBJECTIVE: With the inclusion criteria of patients confirmed and the therapeutic effects and stability evaluated, this article presents the clinical value of bimaxillary orthognathic surgery without bone graft of maxillofacial asymmetric deformities in patients treated for unilateral temporomandibular joint (TMJ) ankylosis. STUDY DESIGN: From 2008 to 2012, 12 patients with dentomaxillofacial asymmetric deformities secondary to unilateral TMJ ankylosis who had undergone TMJ reconstruction as the primary surgery were included in the study...
November 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://www.readbyqxmd.com/read/27567190/-temporomandibular-joint-tmj-condyle-hyperplasia-and-condylectomy
#15
J Ferri, G Raoul, J Potier, R Nicot
The mandibular condyle is a special structure. Its embryology and physiology provide to the TMJ a particular behavior that explains the occurrence of specific diseases. Condyle hyperplasia is one of these disorders. It can be explained by a dysregulation of the prechondroblast cell layer within the cartilage cap providing an increase in volume first of the condyle, then of the ramus and finally of the entire affected hemiface. Mandible deformation affects the basal bone, leading to dento-alveolar deformations related to compensation attempts...
September 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
https://www.readbyqxmd.com/read/27563611/distraction-osteogenesis-in-the-treatment-of-temporomandibular-joint-ankylosis-with-mandibular-micrognathia
#16
Girish B Giraddi, Kirti Arora, A J Sai Anusha
AIMS: The aims of the study were to evaluate the efficacy of simultaneous interpositional arthroplasty with distraction osteogenesis (DO) as a single procedure and to give the patient acceptable functional rehabilitation with correction of the gross facial asymmetry. MATERIALS AND METHODS: Nine patients of temporomandibular joint (TMJ) ankylosis with micrognathia were treated with interpositional arthroplasty and simultaneous DO and followed for a period of minimum 3 years...
January 2016: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/27547067/the-contribution-of-computerized-axiography-to-the-functional-evaluation-of-the-temporomandibular-joint-a-case-report
#17
Alexandra Maria Botos, Anca Stefania Mesaros, Adela Ioana Zimbran
The aim of this case report is to give comprehensive information on the clinical use of computerized axiography (CA) in the evaluation of temporomandibular joint (TMJ) mobility in a patient who undergoes orthognatic surgery. A 20-year-old female patient with class III skeletal anomaly and who underwent orthognatic surgery is presented. Pre- and postsurgical CA recordings for the patient are compared in order to evaluate the functional modifications that appear. The CA is a functional investigation of the TMJ and records the border movements of the mandible: protrusion, lateral movements and open/close...
2016: Clujul Medical (1957)
https://www.readbyqxmd.com/read/27544817/-temporomandibular-joint-disc-surgery
#18
J Potier, J-M Maes, R Nicot, T Dumousseau, M Cotelle, J Ferri
Temporomandibular joint (TMJ) disorders are a common disease and may be responsible for major functional and painful repercussions. Treatment is not consensual. The literature highlights the role of conservative treatments (physiotherapy, analgesics, splints) in a first attempt. Minimally invasive surgical techniques (arthroscopy, arthrocentesis) have developed rapidly in recent decades. They have proven effective and reliable, especially in patients suffering from irreducible or reducible anterior disc dislocation or presenting with arthopathies...
September 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
https://www.readbyqxmd.com/read/27531415/-chondromatose-of-the-temporomandibular-joint-multicentric-study-and-clarification-from-14%C3%A2-cases
#19
E Massereau, F Cheynet, H Bénateau, A Veyssière, Y Bencheman, A Gallucci, S Hammoutène, C Chossegros
INTRODUCTION: The aim of our study was to analyse a series of patients suffering from temporomandibular joint (TMJ) chondromatosis treated in 2 departments of stomatology and maxillofacial surgery (University hospitals of the Conception in Marseille and of Caen) and to make a general review of this disease. MATERIAL AND METHODS: We conducted a retrospective study including all the patients treated for a TMJ chondromatosis in one of these 2 departments. Following parameters were analyzed: sex, ages at discovery and at surgery, symptoms, side, imaging, histology, recurrence and any other events considered as relevant...
September 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
https://www.readbyqxmd.com/read/27523442/-tmj-arthroscopy-a-review
#20
J M Foletti, F Cheynet, N Graillon, L Guyot, C Chossegros
INTRODUCTION: Temporomandibular joint (TMJ) dysfunction associates pain, limited mouth opening and joint noise. Failures of conservative treatments may lead to arthroscopy. The aim of our study was to evaluate the current interest of arthroscopy in the treatment of TMJ dysfunction. MATERIAL AND METHODS: Using the keywords "TMJ" and "Arthroscopy", 1668 articles were found in the Sciencedirect database. We selected 17 papers published between September 2012 and May 2016...
September 2016: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
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