Eminectomy and meniscorhaphy for internal derangements of the temporomandibular joint. Rationale and operative technique.
To date, most reports of surgical procedures to correct anterior meniscal displacement have focused on excision and repair of redundant posterior attachment tissue in conjunction with some form of arthroplasty. A procedure involving direct plication of the fibrous disk to the articular capsule (meniscorhaphy) and excision of the articular eminence (eminectomy) has yielded good results in most of the thirty-three patients with internal TMJ derangements on whom this operation has been performed within the past 44 months. The procedure is uncomplicated and physiologically sound, and it satisfies the concept of intracapsular decompression which is developed and described in this article. When surgical intervention is indicated for patients with internal TMJ derangements, eminectomy and meniscorhaphy should be given strong consideration.
D001178:Arthroplasty / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008335:Mandibular Condyle / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D013701:Temporal Bone / Q000601:surgery*; D013704:Temporomandibular Joint / Q000601:surgery*; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000601:surgery*