Summary
Surgery is indicated when certain requirements and prerequisites are met, and these are addressed in this chapter. For internal derangements at different stages as well as osteoarthrosis, a therapeutic spectrum is available, including arthrocentesis, arthroscopic lysis and lavage, refined arthroscopic surgery, and open joint surgical methods. Arthroscopy is the first modality of choice for surgical treatment because it combines the possibility of exact disorder staging with a therapeutic effect in a considerable number of patients.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Wassmund M. Zur Chirurgie des Kiefergelenkes. Zahn, Mund u. Kieferheilk in Vorträgen 1951; 6:68
Trauner R. Diskussionsbemerkungen. In: Fortschritte der Kiefer und Gesichtschirurgie, Bd. VI. Schuchardt, K (ed). Stuttgart: Thieme, 1960; 327
Reichenbach E, Grimm G. Indikation und Prognose der Diskusexzision. In: Fortschritte der Kiefer und Gesichtschirurgie. Bd. VI. Schuchardt, K (ed). Stuttgart: Thieme, 1960; 130
de Leeuw R, Boering G, Stegenga B, de Bont LGM. Temporomandibular joint osteoarthrosis: clinical and radiographic characters 30 years after nonsurgical treatment. A preliminary report. J Craniomandibular Pract 1993; 11:15
Rugh JD. Psychological factors in the etiology of masticatory pain and dysfunction. In: The presidents’ conference of the etiology, diagnosis and treatment of TMJ disorders. Laskin DM et al. (eds). Chicago: Am Dent Assoc Publ, 1983; 85
Reich RH, Bothe KJ. Der Schmerz als Indikation fĂĽr die funktionelle Kiefergelenkchirurgie. Deutsche Zahnarztl Z 1990; 45:55
Reich RH, Bothe KJ. Zur Wahl des Zugangsweges zum Kiefergelenk aus esthetischer Sicht. Dtsch Z Mund Kiefer Gesichts Chir 1990; 14:67
Al Kayat A, Bramley P. A modified preauricular approach to the temporomandibular joint and malar arch. Br J Oral Maxillofac Surg 1979; 17:91
Nitzan DW, Dolwick MF, Martinez GA. Temporomandibular joint arthrocentesis. J Oral Maxillofac Surg 1991; 49:1163
de Bont LGM, Boering G, Liem RSB, Eulderink F, Westesson PL. Osteoarthritis and internal derangement of the temporomandibular joint: a lightmicroscopic study. J Oral Maxillofac Surg 1986; 44:634
Ireland VE. The problem of the “clicking jaw”. Proc Roy Soc Med 1951; 44:191
Laskin DM. Surgery of the temporomandibular joint. In: Temporomandibular joint problems. Biologic diagnosis and treatment. Solberg WK, Clark GT (eds). Chicago: Quintessence, 1980; 111
Steinhardt G. Zur Pathologie und Therapie des Kiefergelenkknackens. Dtsch Z Chir 1933; 241:531
Wilkes CH. Internal derangement of the temporomandibular joint: pathologic variations. Arch Otolaryng Head Neck Surg 1989; 115:469
Westesson PL, Cohen JM. Tallents RH. Magnetic resonance imaging of temporomandibular joint after surgical treatment of internal derangement. Oral Surg Oral Med Oral Pathol 1991; 71:407
Reich RH, Rossbach E. Erscheinungsformen muskulärer Hyperaktivität im Kiefer und Gesichtsbereich — ein Beitrag zur Differentialdiagnose und Therapie von Kiefergelenkerkrankungen. Dtsch Zahnarztl Z 1988; 43:11
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Birkhäuser Verlag Basel/Switzerland
About this chapter
Cite this chapter
Reich, R.H. (1996). Rationale for surgical temporomandibular joint management. In: Stegenga, B., de Bont, L.G.M. (eds) Management of Temporomandibular Joint Degenerative Diseases. Birkhäuser Basel. https://doi.org/10.1007/978-3-0348-8992-6_5
Download citation
DOI: https://doi.org/10.1007/978-3-0348-8992-6_5
Publisher Name: Birkhäuser Basel
Print ISBN: 978-3-0348-9859-1
Online ISBN: 978-3-0348-8992-6
eBook Packages: Springer Book Archive