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Arthroscopy of the Inferior Compartment of the Temporomandibular Joint: A New Perspective

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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Objective

Arthroscopy of the temporomandibular joint (TMJ) has become a well-standardized non-invasive procedure for the treatment of TMJ internal derangement (ID). Since the last 1980s, no clinical application for arthroscopy of the inferior compartment has been established because of the intrinsic difficulty of the technique and the believing of the absence of clinical relevance for treatment of ID.

Methods

We report on a particular case in which arthroscopy of the inferior joint compartment together with the examination of the upper joint space was performed in a patient with ID of the TMJ. A 1.9 mm scope was used, while the technique for entering the inferior compartment is presented.

Results

The presence of intense synovitis, fibrous adhesion, and pseudowall were observed in the inferior joint compartment, thus leading to the hypothesis of the more than likely influence of the status of the synovial lining within this space in the persistence of symptoms in recalcitrant patients with ID.

Conclusion

We believe that this new insight could lead surgeons to a more complete use of this non-invasive procedure for the treatment of this entity.

Level of Evidence

4/5.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial-Head and Neck Surgery, University Hospital Infanta Cristina, Badajoz, Spain

    Raúl González-García, Manuel Moreno-Sánchez, Carlos Moreno-García & Florencio Monje

  2. Department of Surgery, University of Extremadura (UEx), Badajoz, Spain

    Raúl González-García

  3. Surgical Unit, University Hospital Infanta Cristina, Badajoz, Spain

    Leticia Román-Romero

  4. Calle Los Yébenes 35, 8C, 28047, Madrid, Spain

    Raúl González-García

Authors
  1. Raúl González-García
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  2. Manuel Moreno-Sánchez
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  3. Carlos Moreno-García
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  4. Leticia Román-Romero
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  5. Florencio Monje
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Corresponding author

Correspondence to Raúl González-García.

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All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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González-García, R., Moreno-Sánchez, M., Moreno-García, C. et al. Arthroscopy of the Inferior Compartment of the Temporomandibular Joint: A New Perspective. J. Maxillofac. Oral Surg. 17, 228–232 (2018). https://doi.org/10.1007/s12663-017-1023-x

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  • DOI: https://doi.org/10.1007/s12663-017-1023-x

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