The ideal lavage volume for removing bradykinin, interleukin-6, and protein from the temporomandibular joint by arthrocentesis

Kaneyama, Keiseki; Segami, Natsuki; Nishimura, Masaaki; Sato, Jun; Fujimura, Kazuma; Yoshimura, Hiroshi

doi:10.1016/j.joms.2003.08.031

Cited by 107 publications

(64 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Arthrocentesis is 91% effective in treating patients with anterior disc displacement without reduction [8,13,14]. In this study 96% showed significant reduction in pain with arthrocentesis.…”

Section: Discussionmentioning

confidence: 61%

“…Lavage of the upper joint space reduces pain by removing inflammatory mediators from the joint, increasing mandibular mobility by removing intra-articular adhesions, eliminating the negative pressure within the joint, recovering disc and fossa space and improving disc mobility, which reduces the mechanical obstruction caused by the anterior position of disc. [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Arthrocentesis for the Treatment of Internal Derangement of the Temporomandibular Joint

Neeli

Umarani

Kotrashetti

et al. 2010

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Objective The study aims to evaluate the efficacy of arthrocentesis in the treatment of internal derangement of the temporomandibular joint (TMJ). Study Design Thirty patients with TMJ internal derangement underwent arthrocentesis using saline. Pain using visual analog scale, maximum mouth opening, joint noises and mandible deviation were documented pre-operatively and post-operatively. Patients were followed for 1 year. Statistical analysis of pain was done by Wilcoxon signed Rank's test and dysfunction by students paired t test. Results The mean pre-operative pain was 4.8 ± 2.65 and post-operatively at 1 year was 0.27 ± 0.45 with an average decrease of 4.72 (P = 0.000). The mean maximal mouth opening pre-operatively was 29.8 ± 2.35 mm and postoperatively 41.9 ± 2.48 mm at 1 year. The mean increase in the mouth opening was 12.1 ± 3.0 mm (P = 0.000). Conclusion Arthrocentesis is simple, minimally invasive procedure with less risk of complications and significant benefits in patients with TMJ internal derangement.Internal derangement of the temporomandibular joint (TMJ) is characterized by displacement of the intra-articular disc, resulting in clicking and popping sounds. However, the displacement of the articular disc does not always cause a mechanical obstruction. These conditions may be painless or they may be associated with pain, especially during function. The most common causes are trauma, which results in an immediate displacement of the disc, or chronic parafunction, which results in degenerative changes in the articular surfaces, increased friction, and gradual disc displacement.TMJ internal derangement has always presented as therapeutic challenge to the maxillofacial surgeons. Up to 25% of the entire population has internal derangement of TMJ and usually they are treated with nonsurgical methods such as medications, physiotherapy and occlusal splints in the initial period [1]. When these methods are unsuccessful, they are often managed by surgical methods. The mainstay of surgical treatment is based on changing the morphology or position of the disc, or removal of the disc with or without replacement. There are variable reports of success with the open surgical methodologies and are associated with surgical risks and potential long term sequelae [2].New insights into the joint pathology of internal derangement were provided by the observations made during TMJ arthroscopic lysis and lavage and outcomes after such treatment. The physical action of lysis and lavage in the superior joint space, rather than disc repositioning, is believed to be responsible for the success of arthroscopic surgery [3,4]. This has led to the use of TMJ arthrocentesis as a relatively less invasive alternative to reduce the inflammation in the superior joint space and restore normal range of motion [3]. The study aims to discuss the role of arthrocentesis in the treatment of internal derangement of the TMJ and present clinical data relating to the efficacy of arthrocentesis. Materials and MethodsThis prospective clinica...

show abstract

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Arthrocentesis for the Treatment of Internal Derangement of the Temporomandibular Joint

Neeli

Umarani

Kotrashetti

et al. 2010

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

show abstract

“…A study by Zardeneta et al [18] recommended a free flow of 100 ml of ringers solution because denatured haemoglobin and various proteinases were recovered in this fraction. Keneyama et al [19] recommended that ideal lavage volume of perfusate for arthrocentesis was 300-400 ml.…”

Section: Discussionmentioning

confidence: 99%

Internal Derangement of Temporomandibular Joint: An Evaluation of Effect of Corticosteroid Injection Compared with Injection of Sodium Hyaluronate after Arthrocentesis

Giraddi

Siddaraju

Kumar

et al. 2011

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Aims and Objectives Internal derangements are the commonest disorders of temporomandibular joint (TMJ). Different treatment modalities including conservative and surgical methods have been proposed to treat the same. Arthrocentesis is gaining popularity in the treatment of internal derangement of TMJ. Being minimally invasive it does not have the demerits of surgical approaches and at the same time is producing better results than conservative approaches. This study evaluates and compares corticosteroid and sodium hyaluronate after arthrocentesis in the treatment of internal derangement of TMJ. Materials and Methods Sixteen patients with internal derangement were randomly selected and divided into 2 groups (8 in each group). Arthrocentesis of the upper joint space was then performed using Ringer lactate under local anaesthesia followed by injection of either betamethasone or sodium hyaluronate into the joint. Clinical data was collected in the form of pain (visual analog scale), maximum mouth opening, joint sound and deviation before and after treatment up to 6 months. Results Both groups of patients were benefited from the treatment at the 6 month follow up and there was slightly less intensity of pain in sodium hyaluronate group compared with corticosteroid group. Maximum mouth opening was also increased in both groups. A decrease in clicking and deviation were seen in both groups. There was no statistically significant difference between betamethasone and sodium hyaluronate. Conclusion Intra articular injection of corticosteroid or sodium hyaluronate after arthrocentesis had considerable effect on the TMJ. Both betamethasone and sodium hyaluronate can be used after arthrocentesis with similar results.

show abstract

“…Verilen sıvı miktarı hasta ve hekime bağlı olarak 50-500 ml arasında değişir. İnterlökin 6, bradikinin gibi proteinlerin uzaklaştırılması için 300-400 ml ge-rektiği tariflenmiştir (21) . Bu etkinin ağrının azalmasını sağladığı düşünülmektedir.…”

Section: Discussionunclassified

Evaluation Of The Efficacy Of Temporomandibular Joint Arthrocentesis With Clinical And Radiological Findings

Akdağ¹,

Koplay²,

Tosun³

2018

Okmeydani Medical Journal

View full text Add to dashboard Cite

The ideal lavage volume for removing bradykinin, interleukin-6, and protein from the temporomandibular joint by arthrocentesis

Cited by 107 publications

References 18 publications

Arthrocentesis for the Treatment of Internal Derangement of the Temporomandibular Joint

Arthrocentesis for the Treatment of Internal Derangement of the Temporomandibular Joint

Internal Derangement of Temporomandibular Joint: An Evaluation of Effect of Corticosteroid Injection Compared with Injection of Sodium Hyaluronate after Arthrocentesis

Evaluation Of The Efficacy Of Temporomandibular Joint Arthrocentesis With Clinical And Radiological Findings

Contact Info

Product

Resources

About