Complications of arthroscopic lysis and lavage in internal derangement of the temporomandibular joint – A single institutional experience with review of literature - 02/07/22
, Joshna EK a, Bobby John a, Antony PG a, Mohan S a, Abin Ann Abraham bCet article a été publié dans un numéro de la revue, cliquez ici pour y accéder
Abstract |
Purpose |
: To evaluate the complications of arthroscopic lysis and lavage with joint sweep (ALL) procedure in the management of disc derangement of the temporomandibular joint.
Methods |
: Patients with internal derangement of the TMJ who were treated by ALL in a tertiary institution from July 2018 to December 2021 were studied retrospectively.
Results |
: The study included 39 patients (males, n = 14; females, n = 25) and 50 joints. The complications observed in the study were classified into intra and post operative complications. Post operative complications such as pain (16%), swelling (6%), reduced mouth opening (22%) and neurological complications were the most commonly observed ones. Rare complications such as ipsilateral palatal swelling (6%), parapharyngeal swelling (4%), and post operative malocclusion (2%) were also observed.
Conclusion |
: Although the complications of ALL are entirely unavoidable, their incidence can be reduced by strict adherence to standard techniques. Three-dimensional awareness and orientation of the dangerous angles and depth around the TMJ region is mandatory to reduce the complications.
Le texte complet de cet article est disponible en PDF.Keywords : TMJ arthroscopy, Temporomandibular joint, Articular disc, Disc derangement, Internal derangement, Complications
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