[The contribution of arthroscopic treatment in temporomandibular disk-condyle displacements].
We report a prospective study of thirty four therapeutic temporomandibular arthroscopies that were done during a 24 months period for patients with debilitating joint disorders (mainly disc displacements with or without reduction) who had not responded to no-invasive treatment. The technics used were lysis and lavage with prediscal section and retrodiscal coagulation. Analysis of the results indicated subjective lessening of pain in 71% of cases, noise in 78% (with objective evidence of disappearance of noise in 29%), jaw opening in 94% (mean 9.4 mm) and diet in 97% (mean 9.4 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.
Bellot
V
V
Service de Chirurgie Maxillo-Faciale et Stomatologie, Centre Hospitalier et Universitaire de la Timone, Marseille.
Chossegros
C
C
Cheynet
F
F
Pauzie
F
F
Aldegheri
A
A
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D004032:Diet; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008335:Mandibular Condyle / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D009068:Movement; D011446:Prospective Studies; D013704:Temporomandibular Joint / Q000503:physiopathology; D019224:Temporomandibular Joint Disc / Q000503:physiopathology / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology / Q000601:surgery*; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000503:physiopathology / Q000601:surgery