Training in surgery of the temporomandibular joint: the UK trainers’ perspective

Elledge, Ross; Green, Jason; Attard, Alan

doi:10.1016/j.bjoms.2016.09.005

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…Among the surgical options, arthroscopic discopexy and discopexy with open surgery technique were considered. Arthroscopic treatment requires experience and surgical training (Elledge et al, 2017), consequently, it was decided to perform a disc repositioning surgery (discopexy) with open surgery technique.…”

Section: Case Reportmentioning

confidence: 99%

Disc stability after condylar discopexy with open surgery technique. A case report.

Valenzuela

Beltrán

2019

Int J Med Surg Sci

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Of the temporomandibular joint (TMJ) pathologies, temporomandibular disorders (TMD) of disc displacement present several clinical signs and symptoms, the main ones being joint pain measured with the visual analogue scale (VAS) reporting on average VAS>6, and functional incapacity measured in mm of mouth opening, reporting on average <30mm in cases of TMD. The present case corresponds to a patient with limitation of mouth opening <15mm, joint pain VAS= 8, and functional limitation. The subject’s condition was diagnosed clinically and by magnetic resonance imaging (MRI). The patient presented a Wilkes VI lateral dislocation of the left condyle disc without reduction, treated with open surgery discopexy, with disc fixation by monocryl suture and retrodiscal thermocoagulation. The patient showed a significant improvement in the removal of pain and in joint function. In clinical checkups at 1 month, 3 months, 6 months and 1 year, the patient showed decrease of pain levels, from VAS= 8 to VAS= 0, and mouth opening of <15mm to 36mm in the last checkup. Clinical and imaging evaluation at 4 years shows disc stability, with maximum mouth opening of 36 mm, with no disc displacement and clinically asymptomatic VAS = 0. In this case, discopexy with open surgery achieved improvements in functional capacity and removal of pain at short term. Long-term stability was associated with anatomical functions without alteration and without relapse of the symptomatology.

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Section: Case Reportmentioning

confidence: 99%

Disc stability after condylar discopexy with open surgery technique. A case report.

Valenzuela

Beltrán

2019

Int J Med Surg Sci

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“…El primer resultado a reseñar es que, en la muestra estudiada, no se ha encontrado ningún caso de los que requiere hacer uso de la sub-especialización a la que hacen referencia algunos autores 132,133 . En nuestro caso se puede decir que si extrapolamos la muestra estudiada a la población general, el número de alteraciones que requieren operación es ligeramente inferior a los encontrados por otros autores 134 .…”

Section: Estado De La Articulación Témporo-mandibular Presencia De Bunclassified

Estudio epidemiológico de la salud bucodental antes y después de una instrucción preventiva en una población militar (2006-2015)

Pellitero¹

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2.1.1. Un giro hacia la promoción y prevención de la salud 2.1.2. La carga de la salud oral en la sociedad 2.1.3. Demanda de atención odontológica. 2.1.4. Salud bucodental: Plan de acción para la promoción y la prevención. 2.1.4.1. Encuestas de salud 2.1.4.2. Planificación de una encuesta básica de salud Bucodental 2.2. Marco militar 2.2.1. Exigencias de cambio en la Sanidad Militar 2.2.2. Organización del servicio de sanidad de las FAS 2.2.3. El Servicio de Sanidad de las FAS en operaciones 2.2.4. Apoyo sanitario en operaciones 2.2.4.1.

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UK temporomandibular joint replacement database: a report on one-year outcomes

Elledge

Attard

Green

et al. 2017

British Journal of Oral and Maxillofacial Surgery

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Alloplastic temporomandibular joint (TMJ) replacements are increasingly subspecialised, and supraregional centres that treat sufficient numbers to ensure high standards are emerging. Having recently reported the introduction of a national TMJ joint replacement database that is endorsed by the British Association of TMJ Surgeons (BATS), we now present the first-year outcomes. This was a review of all data in the BATS National Case Registration of TMJ Replacement as of June 2014. A total of 252 one-year outcome records were available. Key outcomes were median (IQR) improvements in interincisal distance of 9 (4-15) mm (p<0.001) and worst-sided pain score of 6 (4-8) (p<0.001). Pain scores improved or remained static at one year in all but 3 (2%) patients. There was a significant improvement in the proportion of patients who reported a good, very good, or outstanding quality of life at one year (38% at baseline to 87% at one year; p<0.001). While outcome reports from single centres for alloplastic TMJ replacements have already been published in the United Kingdom, this is the first dedicated national database in this country that will yield valuable longitudinal follow-up data. Outcomes were comparable with smaller published series and showed improvements in pain, dietary intake, quality of life, and function, with few outliers. The database has recently moved to a new software system and we hope to publish three-year and five-year outcomes in due course.

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Training in surgery of the temporomandibular joint: the UK trainers’ perspective

Cited by 5 publications

References 13 publications

Disc stability after condylar discopexy with open surgery technique. A case report.

Disc stability after condylar discopexy with open surgery technique. A case report.

Estudio epidemiológico de la salud bucodental antes y después de una instrucción preventiva en una población militar (2006-2015)

UK temporomandibular joint replacement database: a report on one-year outcomes

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