A 30-year follow-up study of temporomandibular joint meniscectomies: A report on five patients

Tolvanen, Mimmi; Oikarinen, Valle J.; Wolf, Juhani

doi:10.1016/0266-4356(88)90049-6

Cited by 59 publications

(21 citation statements)

References 4 publications

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“…The lack of a thorough understanding of TMJ pathophysiology coupled to the scarce radiological resources available at the time frequently led to patients with orofacial pain being submitted to uni-or bilateral meniscectomy. Particularly, the reports by Eriksson and Westesson and Tolvanen et al, among others, pointed out good clinical and radiological results (6)(7)(8). A few other specific indications for meniscectomy also existed, including the failure of surgical procedures such as condylectomies and arthroscopies (1,2).…”

Section: Introductionmentioning

confidence: 99%

“…Only a few groups still defended meniscectomy, arguing that widespread criticism about this surgical option was premature and based on poorly-designed, non-randomized or retrospective clinical studies. Particularly, the reports by Eriksson and Westesson and Tolvanen et al, among others, pointed out good clinical and radiological results (6)(7)(8). Even though no prospective, randomized clinical trials have ever been conducted regarding meniscectomy and other surgical procedures, it is widely accepted today that this procedure should be abandoned or indicated only in exceptional cases.…”

Section: Introductionmentioning

confidence: 99%

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Ultrastructural study of the temporomandibular joint after unilateral meniscectomy in Wistar rats

Martini¹,

Boldrini²,

Fontes³

et al. 2006

J of Oral Rehabilitation

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Meniscectomy of the temporomandibular joint (TMJ) was frequently performed until a few years ago but now is seldom employed. This procedure induces important articular modifications but the complete extent of ultrastructural changes is still unknown. Twenty-one Wistar rats were submitted to unilateral meniscectomy. Animals were randomly divided into three groups and followed for 15, 35 or 60 days. After killing both meniscectomized and contralateral TMJ specimens were sectioned sagittally and prepared for light and scanning electron microscopy studies. Normal TMJs are characterized by glenoid fossa and condylar process with distinct conjunctive layers in which regularly arranged type 1 collagen fibres predominate. Meniscectomized animals initially exhibit a different tissue covering the eroded articular surface of the condyle with the prevalence of type 3 collagen fibres but type 1 fibres predominate in the late postoperative period. Subchondral cysts are clearly visible. A complex remodelling process of the TMJ after meniscectomy is evident with important ultrastructural modifications that may correlate to unsatisfactory clinical results. The dynamic nature of this process is also observed when specimens from different postoperative periods are compared. Surgeons should always bear in mind these alterations when indicating this procedure.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ultrastructural study of the temporomandibular joint after unilateral meniscectomy in Wistar rats

Martini¹,

Boldrini²,

Fontes³

et al. 2006

J of Oral Rehabilitation

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“…One procedure which has become the mainstay in the treatment of severe TMJ internal derangement is the discectomy, 23–25 or complete removal of the disc. Discectomy is one of the few TMJ surgical procedures which have >20 year follow‐up data to show the long‐term effectiveness 26–30 . While TMJ discectomy has worked well, the problems encountered are mainly centred on the remodelling effects on the condyle which radiologically appears as osteoarthrosis 31–33 .…”

Section: Introductionmentioning

confidence: 99%

Temporomandibular joint surgery: what does it mean to the dental practitioner?

Dimitroulis

2011

Australian Dental Journal

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A poor appreciation of the role of surgery in the management of temporomandibular disorders (TMD) may result in some patients being denied access to appropriate care. While surgery is often considered as an option of last resort, there are instances where surgery is the definitive and sometimes the only treatment option. The aim of this paper was to review the role of temporomandibular joint (TMJ) surgery and its place in the treatment armamentarium of temporomandibular disorders. Indications, rationale for surgery, risks vs. benefits are discussed and complemented with examples of clinical cases treated by the author. All dental practitioners should be aware of the benefits of TMJ surgery so that patients do not suffer unnecessarily from ongoing non-surgical treatments that ultimately prove to be ineffective in the management of their condition.

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“…Among the conservative treatments are: physiotherapy, different kinds of splints, and drugs [2]. Open operation involves plication of the disc, menisectomy with or without replacement, and condylotomy [2Á7, 9,10].…”

Section: Discussionmentioning

confidence: 99%

Resection of the disc and suspension of the lateral wall with the temporal fascia in advanced internal derangement of the temporomandibular joint

Calikapan

Akan

Misirlioğlu

et al. 2007

Scandinavian Journal of Plastic and Reconstructive Surgery and

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The abnormal relation between the disc, the condyle, and the temporal bone indicates internal derangement of the temporomandibular joint. The primary symptoms and findings are: limited and painful opening of the jaw, preauricular pain, and clicking sounds or crepitus. We operated on 11 patients admitting for advanced temporomandibular dysfunction. The abnormally stretched disc was tightened by resection of a wedge of tissue from the posterior of the disc and suturing of the edges. A pedicled flap of temporal fascia was turned on to the joint and its surroundings to mimic a lateral joint capsule. All patients were satisfied with the results as they had less pain and improved mouth opening. The procedures provided satisfactory symptomatic relief and supportive findings.

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A 30-year follow-up study of temporomandibular joint meniscectomies: A report on five patients

Cited by 59 publications

References 4 publications

Ultrastructural study of the temporomandibular joint after unilateral meniscectomy in Wistar rats

Ultrastructural study of the temporomandibular joint after unilateral meniscectomy in Wistar rats

Temporomandibular joint surgery: what does it mean to the dental practitioner?

Resection of the disc and suspension of the lateral wall with the temporal fascia in advanced internal derangement of the temporomandibular joint

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