Clinical outcomes of the discopexy using suture anchors for repositioning disc displacement in temporomandibular joints: Systematic review and meta-analysis

Marlière, Daniel Amaral Alves; Vicentin Calori, Maria Júlia Assis; Medeiros, Yuri de Lima; Santiago, Rodrigo César; Strujak, Guilherme; Asprino, Luciana

doi:10.1016/j.jcms.2023.06.007

Cited by 5 publications

(2 citation statements)

References 49 publications

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“…In this study, we mainly focused on the radiologic evaluation of disc position stability and condylar bone status after successful disc repositioning during 1-year follow-up, which was not mentioned in the systematic review and meta-analysis before 38 . A brief analysis of long-term outcomes showed that the disc relapse rate was higher but the bone resorption rate was similar as 1-year follow-up.…”

Section: Discussionmentioning

confidence: 99%

Comparison of disc position stability and condylar bone remodelling between two open disc repositioning surgeries: a retrospective single-centre cohort study

Lu,

Zhao,

Zhang

et al. 2024

International Journal of Surgery

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Background and Objective: Open suturing (OSu) and Mini-screw Anchor (MsA) are two commonly used open disc repositioning surgeries for anterior disc displacement (ADD) of the temporomandibular joint (TMJ). This study assesses the differences in disc position stability (DPS) and condylar bone remodeling (CBR) between these two surgical procedures in a single center. Methods: A retrospective cohort study using magnetic resonance imaging (MRI) scans (preoperation, 1 week and 12 mo postoperation) of all patients who had open TMJ disc repositioning surgery from January 2016 to June 2021 at one center through two surgical techniques (OSu and MsA) was performed. The predictor variable was technique (OSu and MsA). Outcome variables were DPS and CBR. During follow-up, DPS was rated as good, acceptable and poor, and CBR was graded as improved, unchanged, and degenerated. Multivariate analysis was used to compare the DPS and CBR at 12 months after adjusting 5 factors including age, sex, Wilkes stage, preoperative bone status (normal, mild/moderate abnormal) and the degree of disc repositioning (normal, overcorrected, and posteriorly repositioned). Relative risk (RR) for DPS and CBR was calculated by multivariate logistic regression. Results: 385 patients with 583 joints were included in the study. MRIs at 12 months showed that 514 joints (93.5%) had good DPS, and 344 joints (62.5%) had improved CBR. Multivariate analysis revealed that OSu had higher DPS (RR=2.95; 95% confidence interval [CI], 1.27 to 6.85) and better CBR (RR=1.58; 95%CI, 1.02 to 2.46) than MsA. Among the factors affecting DPS, females had better results than males (RR=2.63; 95%CI, 1.11 to 6.26) and overcorrected or posteriorly repositioned discs were more stable than normally-repositioned discs (RR=5.84; 95%CI, 2.58 to 13.20). The improvement in CBR decreased with age increasing (RR=0.91; 95%CI, 0.89 to 0.93). Preoperative mild/moderate abnormal bone status had a higher probability of improved CBR compared to normal preoperative bone status (RR=2.60; 95%CI, 1.76 to 3.83). Conclusion: OSu had better DPS and CBR than MsA. Sex and the degree of disc repositioning impacted DPS, while age and preoperative bone status affected CBR.

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Section: Discussionmentioning

confidence: 99%

Comparison of disc position stability and condylar bone remodelling between two open disc repositioning surgeries: a retrospective single-centre cohort study

Lu,

Zhao,

Zhang

et al. 2024

International Journal of Surgery

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“…Displacements of the articular disc are included as arthrogenous TMD or internal derangement of temporomandibular joint (TMJ), whereas patients may complain of TMJ pain, joint sounds during mandibular function. Treatment of TMD patients (in particular, those who are symptomatic with disc displacement) aims to reduce pain and recover normal mandibular movements in order to improve quality of life [1]. Clinicians have recognized that a sequential strategy or stepwise management has been recommended considering the patients' progression from episodic signs and symptoms to refractory history of pain and dysfunction of TMJ in order to implement conservative treatment (patient education and psychological support, medication, occlusal splint, physiotherapy, and low-level laser therapy), minimally invasive procedures (intraarticular injection, arthrocentesis, arthroscopy), or invasive open surgery procedures (disc plication or discopexy, arthroplasty, and discectomy) [2].…”

Section: Introductionmentioning

confidence: 99%

Use of Post-Auricular Approach to Removal Anchors after Discopexy – Clinical Case Report

Perdigão,

Sato,

Leal

et al. 2024

JAMMR

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The mandibular temporomandibular joint (TMJ) is two diarthrodial ginglymus joints joined by a single bone, the mandible. Multiple approaches to TMJ are described in the literature due to the complexity of their exposure without damaging the noble structures in the region (facial nerve, temporal artery, and parotid gland) and causing aesthetic damage. This article will present a case report of a 21-year-old female patient. The post-auricular approach removed loose anchors in the right TMJ due to a fistula in the pre-auricular approach region. The post-auricular approach efficiently exposed TMJ and the healing, presenting superior aesthetic results compared to other TMJ approaches.

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Arthroscopic reduction and rigid fixation of the anteriorly displaced temporomandibular joint disc without reduction using titanium screw: a case series

Liu,

Wang,

Telha

et al. 2024

Clin Oral Invest

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Clinical outcomes of the discopexy using suture anchors for repositioning disc displacement in temporomandibular joints: Systematic review and meta-analysis

Cited by 5 publications

References 49 publications

Comparison of disc position stability and condylar bone remodelling between two open disc repositioning surgeries: a retrospective single-centre cohort study

Comparison of disc position stability and condylar bone remodelling between two open disc repositioning surgeries: a retrospective single-centre cohort study

Use of Post-Auricular Approach to Removal Anchors after Discopexy – Clinical Case Report

Arthroscopic reduction and rigid fixation of the anteriorly displaced temporomandibular joint disc without reduction using titanium screw: a case series

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