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

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale
Candan EfeogluEsra Yuksel

Abstract

Internal 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. This 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 movement...Continue Reading

Associated Clinical Trials

References

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Citations

May 28, 2021·Journal of Family Medicine and Primary Care·Khalid ArabMichel Alain Danino
Jul 3, 2021·American Journal of Otolaryngology·Esther LeePhilip E Zapanta

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Methods Mentioned

BETA
lavage

Software Mentioned

AAOMS
SPSS

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