Clinical results of therapeutic temporomandibular joint arthroscopy: a prospective study of 34 arthroscopies with prediscal section and retrodiscal coagulation.
Thirty-four therapeutic temporomandibular arthroscopies were done during a 24-month period for patients with debilitating joint disorders (mainly disc displacements with or without reduction) who had not responded to non-invasive treatment. Lysis and lavage with prediscal section and retrodiscal coagulation were the techniques used. Analysis of the results indicated subjective improvement of pain in 71% of cases, noise in 78%, jaw opening in 88% and diet in 97% and objective evidence of disappearance of noise in 29% and improvement of jaw opening in 94% (mean 9.24 mm). In jaw opening, improvement was highly significant, compared with the preoperative results, P < 0.01. We conclude that temporomandibular arthroscopy is safe and indicated in disc displacements and joint luxation if medical treatment has failed.
Chossegros
C
C
Department of Oral and Maxillofacial Surgery, Centre Hospitalier et Universitaire Timone, Marseille, France.
Cheynet
F
F
Gola
R
R
Pauzié
F
F
Arnaud
R
R
Blanc
J L
JL
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D004435:Eating / Q000502:physiology; D004564:Electrocoagulation; D004724:Endoscopy; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008334:Mandible / Q000503:physiopathology; D008875:Middle Aged; D010146:Pain / Q000601:surgery; D011446:Prospective Studies; D013016:Sound; D013585:Synovitis / Q000503:physiopathology / Q000601:surgery; D013704:Temporomandibular Joint / Q000503:physiopathology / Q000601:surgery*; D019224:Temporomandibular Joint Disc / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology / Q000601:surgery; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000503:physiopathology / Q000601:surgery; D007507:Therapeutic Irrigation; D014313:Trismus / Q000503:physiopathology / Q000601:surgery