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Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 2, pp 228–232 | Cite as

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

  • Raúl González-García
  • Manuel Moreno-Sánchez
  • Carlos Moreno-García
  • Leticia Román-Romero
  • Florencio Monje
Original Article
  • 121 Downloads

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.

Keywords

Temporomandibular joint arthroscopy Inferior joint compartment Synovitis Fibrillation Internal derangement 

Notes

Compliance with Ethical Standards

Conflicts of interest

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.

Supplementary material

Supplementary material 1 (AVI 33400 kb)

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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2017

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial-Head and Neck SurgeryUniversity Hospital Infanta CristinaBadajozSpain
  2. 2.Department of SurgeryUniversity of Extremadura (UEx)BadajozSpain
  3. 3.Surgical UnitUniversity Hospital Infanta CristinaBadajozSpain
  4. 4.MadridSpain

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