title: Tomographic changes in the temporomandibular joint following arthroscopic surgery with lysis and lavage and eminentia release.
abstract: Seventy-one patients (128 joints) who underwent temporomandibular arthroscopies with lysis and lavage, capsular stretch, and release of adhesions and lateral capsular fibrosis were followed for an average of 24 months. Prearthroscopic and postarthroscopic temporomandibular joint tomograms were compared; 77.3% of the temporomandibular joints showed no postoperative changes, and 22.7% of the temporomandibular joints studied showed changes. The majority of these tomographic changes involved increase in condylar flattening and beaking. However, postoperative painful symptoms significantly decreased regardless of the radiographic findings.
authors.affiliation: Pacific Clinical Research Foundation, Encinitas, California 92024, USA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Moses
authors.forename: H H
authors.initials: HH
authors.lastname: Lo
authors.forename: J
authors.initials: J
authors.lastname: Lee
authors.forename: D C
authors.initials: DC
authors.lastname: Topper
mesh_terms: D001182:Arthroscopy / Q000379:methods; D016723:Bone Remodeling; D002358:Cartilage, Articular / Q000601:surgery; D005157:Facial Pain / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000473:pathology; D010147:Pain Measurement; D010149:Postoperative Pain; D011184:Postoperative Period; D012189:Retrospective Studies; D013704:Temporomandibular Joint / Q000000981:diagnostic imaging* / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000000981:diagnostic imaging* / Q000601:surgery*; D007507:Therapeutic Irrigation; D014056:Tomography, X-Ray; D016896:Treatment Outcome