Efficacy of temporomandibular joint arthroscopy: A retrospective study

Treatment of Intermittent Locking of the Jaw in Wilkes Stage II Derangement by Arthroscopic Lysis and Lavage

“…Review of the literature shows that many studies lack clear diagnoses of the temporomandibular disorders included or lack differentiation between the different diagnoses and stages when reporting treatment outcomes. [22][23][24][25][26][27][28][29][30] There are different types of intracapsular TMJ disorders that are so different in diagnosis and treatment that they should not be lumped together when reporting the treatment results. TMJ surgical outcomes should be reported by the specific category of TMJ disorder.…”

“…Many studies evaluated various procedures ranging from simple arthroscopic lysis and lavage to the more advanced operative arthroscopy, and the results were not stratified separately according to the efficacy of each surgical intervention. [22][23][24][25][26][27][28][29][30][31] Moreover, when different surgical techniques were evaluated for the treatment of the same entity, assessment of randomization was lacking. The authors found that the effects of arthroscopic lysis and lavage for mild internal derangement are evident as soon as 2 to 3 months postoperatively, and the 6-month postoperative evaluation provides a reliable impression on the efficacy of treatment.…”

“…[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] Many studies evaluated various arthroscopic procedures ranging from simple lysis and lavage to advanced operative arthroscopies without differentiation between the different treatments. [22][23][24][25][26][27][28][29][30][31] Many studies did not report clear diagnoses for the study population or did not differentiate between the different diagnoses and stages when reporting the results. [22][23][24][25][26][27][28][29][30] To the authors' knowledge, there are only 5 studies in the literature that specifically evaluated the efficacy of arthroscopic lysis and lavage to treat the initial stages of internal derangement, namely Wilkes stage II.…”

“…[22][23][24][25][26][27][28][29][30][31] Many studies did not report clear diagnoses for the study population or did not differentiate between the different diagnoses and stages when reporting the results. [22][23][24][25][26][27][28][29][30] To the authors' knowledge, there are only 5 studies in the literature that specifically evaluated the efficacy of arthroscopic lysis and lavage to treat the initial stages of internal derangement, namely Wilkes stage II. [32][33][34][35][36] None of these studies addressed the issue of intermittent locking episodes.…”

Diagnostische und therapeutische Möglichkeiten bei Kiefergelenkerkrankungen

“…Mit diesen Maßnahmen können ca. 60% der Patienten mit akuter Diskusverlagerung erfolgreich behandelt werden [7,24,29,35,36,40,45,48,54,56,75,76]. Eine zusätzliche Thermokautherisierung oder Laseranwendung im hinteren-oder die Durchtrennung des vorderen Aufhängungsbands hat bisher keine eindeutig besseren Ergebnisse gebracht [21,22,51] Die ᭤Arthrotomie schließt sich erst nach mindestens 11/2jähriger Verlaufskontrolle nach erfolgloser minimal-invasiver Therapie an.…”