Journal article
Arthroscopic Treatment for Intra-Articular Adhesions of the Temporomandibular Joint
Journal of oral and maxillofacial surgery, Vol.69(8), pp.2120-2127
08/01/2011
DOI: 10.1016/j.joms.2010.12.039
PMID: 21470745
Abstract
To introduce arthroscopic surgery of intra-articulator adhesion of the temporomandibular joint (TMJ) upper compartment and evaluate its effect.
One hundred forty-two patients (159 joints) with intra-articular adhesions confirmed by arthroscope were treated with lysis of the adhesions, intra-articular cleanup surgery, or capsule radiofrequency catheter ablation. One hundred ten patients (123 joints) with disc displacement were treated with the disc repositioning and suturing technique. The follow-up index includes jaw movement, visual analog scale pain value, and patients' self-evaluation. The therapeutic effect was divided into excellent, good, and poor. Excellent and good patients were defined as effective. Jaw movement and visual analog scale pain value before and after the operation were evaluated by a paired
t test.
The average follow-up period was 10.3 months (range: 2–27 months), and 33.80% (48/142) of all joints were excellent; 56.34% (80/142) were good, and 9.86% (14/142) were poor. The total effectiveness rate was 90.14% (128/142). Of all patients, 93.66% (133/142) felt more comfortable than they had before the operation. The interincisal opening increased from a preoperative 23.14 ± 5.93 mm (range: 10–40 mm) to postoperative 37.48 ± 3.51 mm (range: 30–40 mm;
P < .01), and the pain scores were reduced from 28.94 ± 23.54 (0–80) to 4.44 ± 10.10 (0–40;
P < .05).
The effect of arthroscopic surgery on temporomandibular joint intra-articular adhesion was positive. It can increase the mouth's range of motion, improve jaw function, and reduce pain during jaw movement.
Details
- Title: Subtitle
- Arthroscopic Treatment for Intra-Articular Adhesions of the Temporomandibular Joint
- Creators
- ShanYong Zhang - Shanghai Jiao Tong UniversityDong Huang - Shanghai Ninth People's HospitalXiuMing Liu - Shanghai Jiao Tong UniversityChi Yang - Shanghai Ninth People's HospitalGerhard Undt - Medical University of ViennaS. Majd HaddadZhuoZhi Chen - Shanghai Ninth People's Hospital
- Resource Type
- Journal article
- Publication Details
- Journal of oral and maxillofacial surgery, Vol.69(8), pp.2120-2127
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.joms.2010.12.039
- PMID
- 21470745
- ISSN
- 0278-2391
- eISSN
- 1531-5053
- Language
- English
- Date published
- 08/01/2011
- Academic Unit
- Hospital Dentistry
- Record Identifier
- 9984655346002771
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