Abstract
The objective of this study was to assess the clinical outcomes of the following three
surgical methods for the management of internal derangement (ID) of the temporomandibular
joint (TMJ): arthroscopic lysis and lavage (ALL), arthroscopic surgery (AS), and open
surgery (OS). A systematic and electronic search of several databases with specific
key words was performed from their inception through November 2014. Clinical human
studies, including randomized controlled trials (RCTs), controlled clinical trials
(CCTs), and retrospective studies, with the aim of comparing the three surgical methods
for the management of ID of the TMJ were included. Seven publications were identified:
three RCTs, two CCTs, and two retrospective studies. A significant difference was
found between OS and AS in pain reduction (P = 0.05), but no significant difference with regard to maximal inter-incisal opening
(MIO > 35 mm), mandibular function impairment, and clinical findings (clicking, joint tenderness,
and crepitation) (P = 0.52, P = 0.34, and P = 0.19, respectively). The results of the meta-analysis showed that the use of OS is
superior to AS in pain reduction, with comparable MIO, jaw function, and clinical
findings. In addition, the results of the present study showed that ALL provides greater
improvement in MIO and comparable pain reduction when compared to AS.
Key words
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References
- Diagnosis and treatment of internal derangements of the temporomandibular joint.Dent Clin North Am. 1983; 27: 561
- Arthroscopy versus arthrocentesis in the management of internal derangement of the temporomandibular joint: a systematic review and meta-analysis.Int J Oral Maxillofac Surg. 2015; 44: 104-112
- Current thinking in temporomandibular joint management.Br J Oral Maxillofac Surg. 2009; 47: 91-94
- Surgery for internal derangements of the temporomandibular joint.J Prosthet Dent. 1979; 42: 191-196
- TMJ internal derangement and arthrosis: surgical atlas.Mosby, St. Louis1985
- Discitis mandibularis.Zentralbl Chir. 1909; 36: 289-291
- Replacement of the pathologic temporomandibular articular disc using autogenous cartilage of the external ear.Int J Oral Surg. 1984; 13: 401-405
- Arthroscopy of the temporomandibular joint.J Jpn Stomatol Soc. 1975; 42: 207-215
- Arthroscopic surgery of the temporomandibular joint: treatment of internal derangement with persistent closed lock.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1986; 62: 361-372
- Retrospective analysis of 100 consecutive surgical arthroscopies of the temporomandibular joint.J Oral Maxillofac Surg. 1989; 47: 1014-1021
- Arthroscopic surgery of the temporomandibular joint: report of 64 patients with long term follow-up.J Oral Maxillofac Surg. 1989; 47: 439-441
- Patient response to temporomandibular arthroscopy: preliminary findings in 24 patients.J Oral Maxillofac Surg. 1989; 47: 570-573
- Arthroscopic lavage and lysis of the temporomandibular joint: a change in perspective.J Oral Maxillofac Surg. 1990; 48: 798-801
- A prospective evaluation of the effectiveness of temporomandibular joint arthroscopy.J Oral Maxillofac Surg. 1990; 48: 1029-1032
- Arthroscopic surgery for treatment of closed lock.J Oral Maxillofac Surg. 1991; 49: 704-707
- Success of temporomandibular joint arthroscopy in disk displacement with and without reduction.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1991; 71: 651-659
- Efficacy of arthroscopic lysis and lavage in patients with chronic locking of the temporomandibular joint.Int J Oral Maxillofac Surg. 1994; 23: 262-265
- Outcome of arthroscopic surgery to the temporomandibular joint correlates with stage of internal derangement: five year follow-up study.Br J Oral Maxillofac Surg. 1998; 36: 30-34
- Long-term evaluation following temporomandibular joint arthroscopy with lysis and lavage.Int J Oral Maxillofac Surg. 2000; 29: 259-263
- A review of 56 cases of chronic closed lock treated with temporomandibular joint arthroscopy.J Oral Maxillofac Surg. 2002; 60: 519-524
- The use of arthroscopic surgery for treatment of temporomandibular joint disorders.J Oral Maxillofac Surg. 1999; 57: 579-582
- TMJ arthroscopic surgery: an analysis of 237 patients.J Oral Maxillofac Surg. 1989; 47: 790
- Short-term treatment outcome study for the management of temporomandibular joint closed lock. A comparison of arthrocentesis to nonsurgical therapy and arthroscopic lysis and lavage.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995; 80: 253-257
- Meta-analysis of surgical treatments for temporomandibular articular disorders.J Oral Maxillofac Surg. 2003; 61: 3-10
- High condylectomy and disc repositioning compared to arthroscopic lysis, lavage, and capsular stretch for the treatment of chronic closed lock of the temporomandibular joint.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 103: 27-33
- Arthroscopic lysis and lavage versus operative arthroscopy in the outcome of temporomandibular joint internal derangement: a comparative study based on Wilkes stages.J Oral Maxillofac Surg. 2011; 69: 2513-2524
- The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.Ann Intern Med. 2009; 151: W65-W94
- Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of Observational Studies in Epidemiology (MOOSE) group.JAMA. 2000; 283: 2008-2012
- The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.Lancet. 2007; 370: 1453-1457
- Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.PLoS Med. 2009; 6 (e1000097)
- Cochrane handbook for systematic reviews of interventions version 5.1.0.The Cochrane Collaboration, 2011 ([updated March 2011])
- A comparison of discectomy and arthroscopic lysis and lavage for the treatment of chronic closed lock of the temporomandibular joint: a randomized outcome study.J Oral Maxillofac Surg. 2001; 59: 972-977
- Open versus arthroscopic surgery for internal derangement of the temporomandibular joint: a retrospective study comparing two centres’ results using the Jaw Pain and Function Questionnaire.J Craniomaxillofac Surg. 2006; 34: 234-241
- Randomized effectiveness study of four therapeutic strategies for TMJ closed lock.J Dent Res. 2007; 86 ([Erratum in J Dent Res 2013;92:98]): 58-63
- Operative versus simple arthroscopic surgery for chronic closed lock of the temporomandibular joint: a clinical study of 344 arthroscopic procedures.Int J Oral Maxillofac Surg. 2008; 37: 790-796
- Arthroscopy vs. open-joint surgery for the management of internal derangement of the temporomandibular joint: a retrospective study comparing female subjects from two centers.J Contemp Dent Pract. 2008; 9: 48-55
- Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening.J Oral Maxillofac Surg. 1991; 49: 1163-1167
- Long-term outcome of arthrocentesis for sudden-onset, persistent, severe closed lock of the temporomandibular joint.J Oral Maxillofac Surg. 1997; 55: 151-157
- The use of arthrocentesis for the treatment of osteoarthritic temporomandibular joints.J Oral Maxillofac Surg. 2001; 59: 1154-1159
- NIH technology assessment conference statement: management of temporomandibular disorders, April 29–May 1, 1996.J Am Dent Assoc. 1996; 127: 1595-1603
- Temporomandibular joint surgery: a review of fifty-one operations.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1983; 56: 472-476
- TMJ disk surgery: 8 year follow-up evaluation.Fortschr Kiefer Gesichtschir. 1990; 35: 162-163
- A retrospective study comparing arthroscopic surgery with arthrotomy and disc repositioning.in: Clark G.T. Saunders B. Bertolami C.N. Advances in diagnostic and surgical arthroscopy of the temporomandibular joint. Saunders, Philadelphia1993: 47-60
- Diagnosis and treatment of anterior dislocation of the articular disc.N Y J Dent. 1971; 41: 348-351
- Temporomandibular joint: differentiation of temporomandibular joint dysfunction to simplify treatment.J Prosthet Dent. 1972; 28: 629-636
- The role of surgery in the management of disorders of the temporomandibular joint: a critical review of the literature. Part 2.Int J Oral Maxillofac Surg. 2005; 34: 231-237
- Arthroscopy of the temporomandibular joint: a clinical study.Int J Oral Maxillofac Surg. 1986; 15: 715-721
- Surgical arthroscopy as the preferred treatment for internal derangements of the temporomandibular joint.J Oral Maxillofac Surg. 2001; 59: 308-312
Article info
Publication history
Published online: February 17, 2015
Accepted:
January 29,
2015
Identification
Copyright
© 2015 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
