Ultrasound-guided arthrocentesis using single-puncture, double-lumen, single-barrel needle for patients with temporomandibular joint acute closed lock internal derangement

Bhargava, Darpan; Thomas, Shaji; Pawar, Pratiksha; Jain, Megha; Pathak, Pankaj

doi:10.1007/s10006-019-00753-6

Cited by 17 publications

(17 citation statements)

References 20 publications

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“…After the inclusion/exclusion criteria were applied, 13 articles were full-text reviewed and 3 additional records were identified through the manual search of the reference lists from the retrieved articles, and were added for a total of 16 articles. Among the selected articles, 4 were randomized clinical trials (RCTs), [9][10][11][12] 1 was a non-controlled clinical trial (CT), 13 3 were retrospective studies (RSs), [14][15][16] 1 was a case report (CR), 17 2 were technical notes (TNs), 18,19 3 were cadaveric studies (Cad), [20][21][22] and 2 were systematic reviews. 23,24 The details of the included primary studies are presented in Table 1.…”

Section: Search Resultsmentioning

confidence: 99%

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Advantages of ultrasound guidance for TMJ arthrocentesis and intra-articular injection: A narrative review

Nordenflycht¹,

Tesch²

2022

Dent. Med. Probl.

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Ultrasound (US) is a widely available, low-cost, non-invasive, and safe medical imaging method that enables real-time observation. Ultrasound offers several advantages for dentomaxillofacial images, such as portability, the possibility of dynamic and repeated examinations, patient comfort, and availability. It is a useful tool for recognizing the temporomandibular joint (TMJ) structures and their involvement during the course of different pathological processes, such as articular disk displacement, joint effusion and cortical erosion. In addition to its diagnostic use, US has been proposed as an auxiliary tool in minimally invasive procedures for arthrogenic temporomandibular disorders (TMD) to achieve an accurate puncture, recognize joint spaces and reduce surgical trauma. While US is widely used for large joints to visualize internal structures and guide the injection, this technique has only recently gained popularity for the TMJ procedures. Hence, the literature on this topic is scarce.The present review describes the potential advantages and the clinical technique of US guidance for TMJ arthrocentesis and intra-articular injection (IAI).

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Section: Search Resultsmentioning

confidence: 99%

“…41 Nevertheless, researchers have proposed the use of US as a promising screening tool for the evaluation of maxillofacial structures, such as TMJs. 11,36,37,39,41…”

Section: Ultrasound Fundamentalsmentioning

confidence: 99%

Advantages of ultrasound guidance for TMJ arthrocentesis and intra-articular injection: A narrative review

Nordenflycht¹,

Tesch²

2022

Dent. Med. Probl.

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“…In the management of arthrogenous TMDs, arthrocentesis has become a standard treatment option, due to its high efficacy and safety [ 14 , 43 ]. However, different techniques of arthrocentesis exist in the literature and in clinical practice, such as additional injection materials into the superior joint space [ 41 , 42 , 44 , 45 , 46 , 47 , 48 ], the use of ultra-sound guidance [ 49 , 50 , 51 , 52 ] single versus double puncture techniques [ 30 , 32 , 53 , 54 ] and the timing of the procedure [ 19 , 55 ]. Specifically, the ideal irrigation volume for arthrocentesis of the TMJ remains a controversy.…”

Section: Discussionmentioning

confidence: 99%

Lavage Volume of Arthrocentesis in the Management of Temporomandibular Disorders: A Systematic Review and Meta-Analysis

et al. 2022

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The aim of this study was to investigate the most effective lavage volume of arthrocentesis in the management of temporomandibular disorders. A comprehensive electronic search, based on the PRISMA guidelines, was performed, which included a computer search with specific keywords, a reference list search and a manual search. The inclusion criteria were the following: a randomized controlled trial, at least 20 subjects who underwent arthrocentesis, mention of the irrigation materials used for the arthrocentesis, mention of the irrigation volumes used for the arthrocentesis, MMO and pain measured as VAS or NRS, were reported as outcome figures, mention of a specific diagnosis or signs and symptoms, and inclusion of the data on the MMO or VAS/NRS at 6-month follow-up. Sixteen publications were enrolled in the meta-analysis, comparing arthrocentesis with a lavage volume <150 mL and arthrocentesis with a lavage volume ≥150 mL, in the efficacy of the improvement in the mouth opening and pain reduction. The results revealed the group with a lavage volume <150 mL had a greater improvement in the mouth opening and pain reduction. However, results are to be interpreted with caution, due to the paucity of the randomized controlled literature and other confounding factors. Further high-quality studies are required to provide a better conclusion to the treatment outcomes of the different lavage volumes.

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“…conducted a review to compare ultrasound-guided arthrocentesis vs. conventional arthrocentesis in which they showed a decreasing VAS score in both groups for a period of 1 month after the procedure, however there was no statistical difference in the outcome between the groups. [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

Internal derangement of temporomandibular joint

Arab

Alfaqeeh

Danino

2021

Journal of Family Medicine and Primary Care

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Introduction: Umbrella shaped Perforated Screws (UPS) were developed for the use of orthopedic surgery to facilitate anchoring and fixation of the tissue to bone. We here present a retrospective study of Temporomandibular joint Internal derangement (ID) with fixation using this type of screws. Materials & Methods: We conducted a retrospective study including patients treated for ID using UPS to reposition the articular disc. The study included patients treated between 1998 and 2005. Patients were selected in concordance with clinical symptoms and signs of severity. All patients had an MRI (open/closed mouth) to confirm the diagnosis. Wilkes classification of temporomandibular disease (TMD) was adopted in the selection criteria. Results: Hundred and five patients were included, 92 female and 13 males with average age of 37.56. Dentists or general physicians mainly addressed these patients to our unit. The mean time from symptoms initiating to first consultation was 3.77 years, while the mean timing of surgery after initial consultation was 9.38 months. Patients have presented with various symptoms before the surgery including pain, limitation in eating habits and clicking. 77% of the patients had no or minimal pain post surgery. Hundred and one patients had good eating habits after surgery. Only 34 patients had persistent clicking despite surgery. We had neither infection nor hematoma as complication. Major complication to this technique is frontal paresis (14 patients), which was explained to all patients preoperatively. This paresis recovered in less than 2 months in all patients. We had 89.5% of the patients satisfied with their results. Conclusion: UPS are useful in the field of plastic surgery. This novel technique has the advantage of not compromising the vascular supply of the TMJ articular surface. This technique provides a simple, fast and efficient technique for posterior aponeurosis flap fixation. Our overall satisfactory rate was comparable to other studies.

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Ultrasound-guided arthrocentesis using single-puncture, double-lumen, single-barrel needle for patients with temporomandibular joint acute closed lock internal derangement

Cited by 17 publications

References 20 publications

Advantages of ultrasound guidance for TMJ arthrocentesis and intra-articular injection: A narrative review

Advantages of ultrasound guidance for TMJ arthrocentesis and intra-articular injection: A narrative review

Lavage Volume of Arthrocentesis in the Management of Temporomandibular Disorders: A Systematic Review and Meta-Analysis

Internal derangement of temporomandibular joint

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