A prospective study of 138 arthroscopies of the temporomandibular joint

Detalhes bibliográficos
Autor(a) principal: Silva,Paulo Alexandre da
Data de Publicação: 2015
Outros Autores: Lopes,Maria Teresa de Fatima Fernandes, Freire,Fernando Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Otorhinolaryngology
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942015000400352
Resumo: INTRODUCTION: Internal derangements (ID) of the temporomandibular joint (TMJ) have a multifactorial etiology and are most often treated conservatively by splints, physical therapy and medications. Only in 2-5% of cases are the treatment surgical, either by arthroscopy or arthrotomy.OBJECTIVE: To evaluate improvement of mouth opening, pain relief during function, position of the articular disk and complications following Arthroscopic Lyse and Lavage (ALL).METHODS: A prospective study of 78 patients (138 TMJs) with TMJ ID, 5 males and 73 females, mean age 29.7 years, treated between January 2010 and April 2013, who were refractory to conservative treatment, had limited mouth opening and pain localized to the TMJ during function, and who were submitted to TMJ ALL and followed for a period of 12 months, with periodic reviews.RESULTS: ALL was effective in 93.6% of cases, with 85.3% experiencing improvement in mouth opening and 91.2% in pain reduction during function, 63% improvement in disk position and a rate of complications of 6.2%.CONCLUSION: In this study the ALL exhibited a high rate of success with low morbidity in internal derangements of the TMJ.
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spelling A prospective study of 138 arthroscopies of the temporomandibular jointArthroscopyTemporomandibular jointTemporomandibular joint disordersTemporomandibular joint dysfunction syndromeTemporomandibular articular diskINTRODUCTION: Internal derangements (ID) of the temporomandibular joint (TMJ) have a multifactorial etiology and are most often treated conservatively by splints, physical therapy and medications. Only in 2-5% of cases are the treatment surgical, either by arthroscopy or arthrotomy.OBJECTIVE: To evaluate improvement of mouth opening, pain relief during function, position of the articular disk and complications following Arthroscopic Lyse and Lavage (ALL).METHODS: A prospective study of 78 patients (138 TMJs) with TMJ ID, 5 males and 73 females, mean age 29.7 years, treated between January 2010 and April 2013, who were refractory to conservative treatment, had limited mouth opening and pain localized to the TMJ during function, and who were submitted to TMJ ALL and followed for a period of 12 months, with periodic reviews.RESULTS: ALL was effective in 93.6% of cases, with 85.3% experiencing improvement in mouth opening and 91.2% in pain reduction during function, 63% improvement in disk position and a rate of complications of 6.2%.CONCLUSION: In this study the ALL exhibited a high rate of success with low morbidity in internal derangements of the TMJ.Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.2015-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942015000400352Brazilian Journal of Otorhinolaryngology v.81 n.4 2015reponame:Brazilian Journal of Otorhinolaryngologyinstname:Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)instacron:ABORL-CCF10.1016/j.bjorl.2014.08.021info:eu-repo/semantics/openAccessSilva,Paulo Alexandre daLopes,Maria Teresa de Fatima FernandesFreire,Fernando Silvaeng2015-09-02T00:00:00Zoai:scielo:S1808-86942015000400352Revistahttp://www.bjorl.org.br/https://old.scielo.br/oai/scielo-oai.phprevista@aborlccf.org.br||revista@aborlccf.org.br1808-86861808-8686opendoar:2015-09-02T00:00Brazilian Journal of Otorhinolaryngology - Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)false
dc.title.none.fl_str_mv A prospective study of 138 arthroscopies of the temporomandibular joint
title A prospective study of 138 arthroscopies of the temporomandibular joint
spellingShingle A prospective study of 138 arthroscopies of the temporomandibular joint
Silva,Paulo Alexandre da
Arthroscopy
Temporomandibular joint
Temporomandibular joint disorders
Temporomandibular joint dysfunction syndrome
Temporomandibular articular disk
title_short A prospective study of 138 arthroscopies of the temporomandibular joint
title_full A prospective study of 138 arthroscopies of the temporomandibular joint
title_fullStr A prospective study of 138 arthroscopies of the temporomandibular joint
title_full_unstemmed A prospective study of 138 arthroscopies of the temporomandibular joint
title_sort A prospective study of 138 arthroscopies of the temporomandibular joint
author Silva,Paulo Alexandre da
author_facet Silva,Paulo Alexandre da
Lopes,Maria Teresa de Fatima Fernandes
Freire,Fernando Silva
author_role author
author2 Lopes,Maria Teresa de Fatima Fernandes
Freire,Fernando Silva
author2_role author
author
dc.contributor.author.fl_str_mv Silva,Paulo Alexandre da
Lopes,Maria Teresa de Fatima Fernandes
Freire,Fernando Silva
dc.subject.por.fl_str_mv Arthroscopy
Temporomandibular joint
Temporomandibular joint disorders
Temporomandibular joint dysfunction syndrome
Temporomandibular articular disk
topic Arthroscopy
Temporomandibular joint
Temporomandibular joint disorders
Temporomandibular joint dysfunction syndrome
Temporomandibular articular disk
description INTRODUCTION: Internal derangements (ID) of the temporomandibular joint (TMJ) have a multifactorial etiology and are most often treated conservatively by splints, physical therapy and medications. Only in 2-5% of cases are the treatment surgical, either by arthroscopy or arthrotomy.OBJECTIVE: To evaluate improvement of mouth opening, pain relief during function, position of the articular disk and complications following Arthroscopic Lyse and Lavage (ALL).METHODS: A prospective study of 78 patients (138 TMJs) with TMJ ID, 5 males and 73 females, mean age 29.7 years, treated between January 2010 and April 2013, who were refractory to conservative treatment, had limited mouth opening and pain localized to the TMJ during function, and who were submitted to TMJ ALL and followed for a period of 12 months, with periodic reviews.RESULTS: ALL was effective in 93.6% of cases, with 85.3% experiencing improvement in mouth opening and 91.2% in pain reduction during function, 63% improvement in disk position and a rate of complications of 6.2%.CONCLUSION: In this study the ALL exhibited a high rate of success with low morbidity in internal derangements of the TMJ.
publishDate 2015
dc.date.none.fl_str_mv 2015-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942015000400352
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942015000400352
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.bjorl.2014.08.021
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
publisher.none.fl_str_mv Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
dc.source.none.fl_str_mv Brazilian Journal of Otorhinolaryngology v.81 n.4 2015
reponame:Brazilian Journal of Otorhinolaryngology
instname:Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
instacron:ABORL-CCF
instname_str Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
instacron_str ABORL-CCF
institution ABORL-CCF
reponame_str Brazilian Journal of Otorhinolaryngology
collection Brazilian Journal of Otorhinolaryngology
repository.name.fl_str_mv Brazilian Journal of Otorhinolaryngology - Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
repository.mail.fl_str_mv revista@aborlccf.org.br||revista@aborlccf.org.br
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