[Long-term follow-up of 37 patients with retrofixation of the temporomandibular joint disk 1987-1995].
Between January 1986 and December 1995 64 patients with anterior disc displacement were operated on, the technique being disc retrofixation. Follow-up of 37 patients was possible. Successful treatment was determined using the following criteria: one single operation, the clinical examination and the patient's opinion. The operative treatment was considered as unsuccessful if the patient had to undergo more than one operation or if, postoperatively, the clinical symptoms remained unchanged or even increased. 6 out of 37 patients were operated on twice or three times, another four patients postoperatively complained of unchanged or increased clinical symptoms. Using these criteria, disc retrofixation was ineffective in 30%. Using the correct anatomic position as an additional criterion of effective treatment, unsuccessful retrofixation would be even more than 30%. As a consequence we no longer recommend this technique.
Jaquiéry
C
C
Klinik für Wiederherstellende Chirurgie, Abteilung für Kiefer- und Gesichtschirurgie, Universitätskliniken Kantonsspital Basel. c_jaquiery@hotmail.com
Kunz
C
C
Rohner
D
D
Bornstein
M
M
Geissmann
A
A
Hammer
B
B
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery; D012086:Reoperation; D019224:Temporomandibular Joint Disc / Q000473:pathology / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome