Discectomy for the treatment of internal derangements of the temporomandibular joint

The prevalence of osteoarthrosis in cases of advanced internal derangement of the Temporomandibular Joint: a clinical, surgical and histological study

“…TMJ arthrotomy involving disk removal (i.e., diskectomy) has been widely used with impressive results for the management of more advanced and recalcitrant forms of TMJ internal derangement 4,14 .…”

TMJ inferior compartment arthroplasty procedure through a 25-year follow-up (functional arthroplasty)

“…Moreover, there are not adequate comparative studies (19) and an unique classification is not widely recognized. Many surgical strategies, such as discectomy or articular prosthesis, mainly deal with patient referred pain and don't take into account the anatomical and morphological issues (20)(21)(22). Other strategies aimed to restore the anatomy, however they have not seen long lasting results such as those that have used proplastteflon substitution of the disc (23,24).…”

Extracellular Matrix as an Inductive Scaffold for Functional Tissue Reconstruction

“…Studies have documented a reduction of joint pain after discectomy without a replacement procedure; however, these patients experience varying degrees of subsequent degenerative changes. 117,118,135 Thus, the identification of a suitable off-the-shelf disk replacement material would obviate the associated donor site morbidity and avoid downstream degenerative changes to the condyle. Ideally, such a material would also act as a template for cellular in-growth, integrate with the surrounding host tissues, and eventually restore the native morphology and function of the TMJ disk.…”