EFFICACY OF OPERATIVE SINGLE-CANNULA ARTHROSCOPY IN THE TREATMENT OF THE TEMPOROMANDIBULAR JOINT DISORDERS
Authors:
Daniel Oren
Affiliation:
Department of Oral and Maxillofacial Surgery, Galilee Medical Center, Nahariya, Israel
Doi: 10.54936/haoms242p66
ABSTRACT:
Background: The operative single-cannula arthroscopy (OSCA) technique requires only one cannula, through which a one-piece instrument is inserted.
Objective: The aim of this study is to compare the effectiveness of operative single cannula arthroscopy lysis and lavage, intra-articular and three-point sub-synovial steroid injections
Methods: Retrospective study which compered maximal inter-incisal opening (MIO), patient-rated pain (VAS) and quality of life (QOL) scores in patients underwent operative single cannula arthroscopy with intra-articular CS injections or with sub-synovial pterygoid shadow, retrodiscal synovium and anterior TMJ capsule steroid injections.
Results: In total, 65 patients suffering from internal derangement refractory to conservative treatment charts were reviewed. Arthrocentesis successfully lowered pain, and improved mouth opening, and quality of life for up to 6 months after surgery (p value ≤ 0.05). In comparison, OSCA with intra-articular CS injections effectively lowered pain, and improved mouth opening and quality of life for 12 to 24 months (p value ≤ 0.05). OSCA with sub-synovial steroid injections was significantly effective in lowering pain, improving mouth opening, and quality of life for the duration of the 36-month follow-up period (p value ≤ 0.0001).
Conclusion: OSCA with sub-synovial CS injections was superior to visually guided arthrocentesis and OSCA with intra-articular CS injections in improving jaw function, reducing pain, and improving quality of life regardless of Wilkes staging.
KEY WORDS:
Authors:
Daniel Oren
Affiliation:
Department of Oral and Maxillofacial Surgery, Galilee Medical Center, Nahariya, Israel
Doi: 10.54936/haoms242p66
ABSTRACT:
Background: The operative single-cannula arthroscopy (OSCA) technique requires only one cannula, through which a one-piece instrument is inserted.
Objective: The aim of this study is to compare the effectiveness of operative single cannula arthroscopy lysis and lavage, intra-articular and three-point sub-synovial steroid injections
Methods: Retrospective study which compered maximal inter-incisal opening (MIO), patient-rated pain (VAS) and quality of life (QOL) scores in patients underwent operative single cannula arthroscopy with intra-articular CS injections or with sub-synovial pterygoid shadow, retrodiscal synovium and anterior TMJ capsule steroid injections.
Results: In total, 65 patients suffering from internal derangement refractory to conservative treatment charts were reviewed. Arthrocentesis successfully lowered pain, and improved mouth opening, and quality of life for up to 6 months after surgery (p value ≤ 0.05). In comparison, OSCA with intra-articular CS injections effectively lowered pain, and improved mouth opening and quality of life for 12 to 24 months (p value ≤ 0.05). OSCA with sub-synovial steroid injections was significantly effective in lowering pain, improving mouth opening, and quality of life for the duration of the 36-month follow-up period (p value ≤ 0.0001).
Conclusion: OSCA with sub-synovial CS injections was superior to visually guided arthrocentesis and OSCA with intra-articular CS injections in improving jaw function, reducing pain, and improving quality of life regardless of Wilkes staging.
KEY WORDS: