A review of techniques of lysis and lavage of the TMJ

Tozoglu, Sinan; Al-Belasy, Fouad A.; Dolwick, M. Franklin

doi:10.1016/j.bjoms.2010.03.008

Cited by 93 publications

(69 citation statements)

References 43 publications

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“…Subsequently, a second injection needle was inserted into the site of the articular eminence. Using the first needle, a lavage solution was then instilled under continuous flow and allowed to drain continuously through the second needle 8,9 .…”

Section: Methodsmentioning

confidence: 99%

Effect of combination therapy of arthrocentesis and occlusal splint on nonreducing temporomandibular joint disk displacement

Tvrdý¹,

Heinz²,

Zapletalová³

et al. 2015

BIOMED PAP

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Objective. Arthrocentesis of the temporomandibular joint is a minimally invasive method of treatment located at the boundary between conservative and surgical therapy. It is usually performed on an out-patient basis under local anaesthesia. These days, arthrocentesis of the temporomandibular joint is used not only in cases of acute closed lock but also in the treatment of various temporomandibular disorders. The most frequent indication is acute anterior displacement of the articular disc without reduction. Treatment using occlusal splint is one of the most frequently used methods of conservative treatment. It is used mainly in the case of discopathies and myofascial pain. Aim. The aim of the study was to confirm that simultaneous use of the occlusal splint and arthrocentesis makes the treatment more effective in the case of detected disc dislocation without reduction. Materials, Methods and Results. From 2008 to 2013, 144 patients underwent arthrocentesis simultaneously using occlusal splint in the treatment of chronic closed lock. The study group consisted of a 130 (90.3%) women and 14 (9.7%) men. After 3 months of therapy, a good treatment outcome was found in 98 (68.1%) patients, 12 (85.7%) men and 86 (66.2%) women. The treatment did not have any effect in 46 (31.9%) patients, 2 (14.3%) men and 44 (33.8%) women. Conclusion. The simultaneous use of the occlusal splint and arthrocentesis makes the treatment more effective in the case of detected joint disc dislocation without reduction.

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Section: Methodsmentioning

confidence: 99%

Effect of combination therapy of arthrocentesis and occlusal splint on nonreducing temporomandibular joint disk displacement

Tvrdý¹,

Heinz²,

Zapletalová³

et al. 2015

BIOMED PAP

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“…After the introduction of both needles, a syringe with the mentioned solution is attached to the first one, and lavage of the joint space is performed. At the same time, the second needle acts as an outflow portal and allows drainage of the joint lavage material 6 . The volume of the lavage fluid mentioned in various published studies ranges between 50 and 500 mL.…”

Section: Description Of the Proceduresmentioning

confidence: 99%

“…The volume of the lavage fluid mentioned in various published studies ranges between 50 and 500 mL. The fibrous tissue of the articular disc has a better tolerance for Ringer's solution than for an isotonic saline solution 6,7 . The amount of solution is important as well.…”

Section: Description Of the Proceduresmentioning

confidence: 99%

“…Moreover, otologic complications can be serious in connection with the close proximity of the temporomandibular joint, the middle ear, and the cartilaginous wall of the ear canal. This includes perforation of the external auditory canal, the occurrence of blood clots in the external auditory canal, tympanic membrane injuries, partial hearing loss, a feeling of a blocked ear and dizziness 6 . An increased risk of facial nerve damage exists when repeatedly attempting to introduce a needle into the joint space after an unsuccessful primary needle insertion.…”

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confidence: 99%

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Arthrocentesis of the temporomandibular joint: A review

Tvrdý¹,

Heinz²,

Pink³

2015

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background. Arthrocentesis is a very gentle method for lavage of the joint space. The principle consists in the introduction of a pair of needles into the upper joint space and subsequent lavage using physiological saline or Ringer's solution. Arthrocentesis of the temporomandibular joint is used in both cases of acute closed lock and treatment of various temporomandibular disorders. Methods. A literature search in Pubmed database, using key words: Temporomandibular joint (TMJ), Arthrocentesis, indications, technique, results. Conclusion. Arthrocentesis of the temporomandibular joint is a minimally invasive treatment method at the boundary between conservative and surgical therapy. It is usually performed on an out-patient basis under local anaesthesia. It is used both in cases of acute block caused by displacement of the articular disc and also to treat degenerative inflammatory diseases of the joints. The main objective of arthrocentesis is to wash out inflammatory mediators, release the disc, break adhesions, eliminate pain and improve joint mobility. It is a method with a minimum number of complications, it is simple and not demanding in terms of instruments, and it can be performed repeatedly. For this reason, it has become widespread and very popular in the treatment of internal disorders of the temporomandibular joint.

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“…To fulfill these aims effectively with fewer complications, different techniques are prescribed. 1 TMJ arthrocentesis for lysis and lavage was first described as a procedure performed to a patient under local anesthesia for irrigation of the superior TMJ space and release of the joint, with results showing We present our complications to contribute to the literature regarding complication rate for TMJ arthrocentesis.…”

Section: Introductionmentioning

confidence: 98%