title: Comparison of local and general anaesthesia for arthrocentesis of the temporomandibular joint.
abstract: Arthrocentesis of the temporomandibular joint is an effective treatment for some disorders, and is usually done under local anaesthesia. We know of few studies that have compared the ease of arthrocentesis and its outcomes under local or general anaesthesia, so we studied 32 patients (n=16 in each group). Postoperative oedema and pain, maximum mouth opening, duration of arthrocentesis, and ease of operation were assessed to compare the relative effectiveness of the two types of anaesthetic. Scores for duration of arthrocentesis (p=0.003) and ease of procedure (0.004) differed significantly, while the other results were similar in the two groups. We noticed some superior outcomes when the procedure was done under general anaesthesia, but because of its limitations, selection of patients becomes more important.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Hacettepe University Fac. of Dentistry, Altindag, Ankara, Turkey.
authors.forename: H H
authors.initials: HH
authors.lastname: Tuz
authors.affiliation: Department of Oral and Maxillofacial Surgery, Hacettepe University Fac. of Dentistry, Altindag, Ankara, Turkey. Electronic address: ozgurbaslarli@gmail.com.
authors.forename: O
authors.initials: O
authors.lastname: Baslarli
authors.affiliation: Department of Oral and Maxillofacial Surgery, Hacettepe University Fac. of Dentistry, Altindag, Ankara, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Adiloglu
authors.affiliation: Department of Oral and Maxillofacial Surgery, Hacettepe University Fac. of Dentistry, Altindag, Ankara, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Gokturk
authors.affiliation: Department of Oral and Maxillofacial Surgery, Hacettepe University Fac. of Dentistry, Altindag, Ankara, Turkey.
authors.forename: S E
authors.initials: SE
authors.lastname: Meral
mesh_terms: D000768:Anesthesia, General; D000772:Anesthesia, Local; D000069237:Arthrocentesis; D006801:Humans; D004204:Joint Dislocations; D019152:Paracentesis; D016059:Range of Motion, Articular; D013704:Temporomandibular Joint; D013705:Temporomandibular Joint Disorders / Q000601:surgery*; D016896:Treatment Outcome
keywords: TMJ arthrocentesis; general anaesthesia; local anaesthesia