Discopexy using resorbable pins in temporomandibular joint arthroscopy: Clinical and magnetic resonance imaging medium-term results

Abstract Purpose To describe the use of resorbable pins for disc fixation in a series of patients and their medium-term outcomes. Materials and methods A study was conducted in 26 patients who underwent operative arthroscopic surgery and discopexy using resorbable pins. All patients were refractory...

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Published in:Journal of cranio-maxillo-facial surgery 2016-04, Vol.44 (4), p.479-486
Main Authors: Martín-Granizo, Rafael, Millón-Cruz, Alejandrina
Format: Article
Language:English
Subjects:
Arthroscopy - instrumentation
Arthroscopy - methods
Dentistry
Humans
Magnetic Resonance Imaging
Minimal invasive surgery
Resorbable pins
Surgery
Temporomandibular Joint - surgery
Temporomandibular Joint Disc
Temporomandibular Joint Disorders
TMJ arthroscopy
TMJ discopexy
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cited_by cdi_FETCH-LOGICAL-c411t-d62e8a466467f6beb7442e10c6a6320fc23ebc9efa485071b2b6e98379735c503
cites cdi_FETCH-LOGICAL-c411t-d62e8a466467f6beb7442e10c6a6320fc23ebc9efa485071b2b6e98379735c503
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container_title Journal of cranio-maxillo-facial surgery
container_volume 44
creator Martín-Granizo, Rafael
Millón-Cruz, Alejandrina
description Abstract Purpose To describe the use of resorbable pins for disc fixation in a series of patients and their medium-term outcomes. Materials and methods A study was conducted in 26 patients who underwent operative arthroscopic surgery and discopexy using resorbable pins. All patients were refractory to conservative treatment and presented, in at least one joint, anterior disc displacement without reduction on magnetic resonance imaging (MRI). Pre- and postoperative evaluation parameters were disc position on MRI, maximal interincisal opening, lateral movements, joint pain, and articular locking and clicking. Results The technique was performed in 34 joints, and 47 pins were inserted. Mouth opening increased significantly, from a mean of 31.24 mm preoperatively to 39.57 mm 1 year postoperatively ( p  
doi_str_mv 10.1016/j.jcms.2016.01.007
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Materials and methods A study was conducted in 26 patients who underwent operative arthroscopic surgery and discopexy using resorbable pins. All patients were refractory to conservative treatment and presented, in at least one joint, anterior disc displacement without reduction on magnetic resonance imaging (MRI). Pre- and postoperative evaluation parameters were disc position on MRI, maximal interincisal opening, lateral movements, joint pain, and articular locking and clicking. Results The technique was performed in 34 joints, and 47 pins were inserted. Mouth opening increased significantly, from a mean of 31.24 mm preoperatively to 39.57 mm 1 year postoperatively ( p  &lt; 0.05). Patients reported a decrease in pain, obtaining values on a visual analogue scale (1–100) of less than 20 after 1 year postsurgery (mean improvement 47.9 points, p  &lt; 0.05). Analyzing 1-year MRI findings, in 65% of joints the discs were repositioned and in 20% of joints discs were in a more posterior position. Conclusions The use of resorbable pins is a useful technique for disc fixation and shows medium-term improvement in clinical parameters and mandibular function. However, further studies are needed to evaluate a longer follow-up, joint morphologic changes, and disc stability on imaging.</description><identifier>ISSN: 1010-5182</identifier><identifier>EISSN: 1878-4119</identifier><identifier>DOI: 10.1016/j.jcms.2016.01.007</identifier><identifier>PMID: 26880015</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Arthroscopy - instrumentation ; Arthroscopy - methods ; Dentistry ; Humans ; Magnetic Resonance Imaging ; Minimal invasive surgery ; Resorbable pins ; Surgery ; Temporomandibular Joint - surgery ; Temporomandibular Joint Disc ; Temporomandibular Joint Disorders ; TMJ arthroscopy ; TMJ discopexy</subject><ispartof>Journal of cranio-maxillo-facial surgery, 2016-04, Vol.44 (4), p.479-486</ispartof><rights>European Association for Cranio-Maxillo-Facial Surgery</rights><rights>2016 European Association for Cranio-Maxillo-Facial Surgery</rights><rights>Copyright © 2016 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-d62e8a466467f6beb7442e10c6a6320fc23ebc9efa485071b2b6e98379735c503</citedby><cites>FETCH-LOGICAL-c411t-d62e8a466467f6beb7442e10c6a6320fc23ebc9efa485071b2b6e98379735c503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26880015$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martín-Granizo, Rafael</creatorcontrib><creatorcontrib>Millón-Cruz, Alejandrina</creatorcontrib><title>Discopexy using resorbable pins in temporomandibular joint arthroscopy: Clinical and magnetic resonance imaging medium-term results</title><title>Journal of cranio-maxillo-facial surgery</title><addtitle>J Craniomaxillofac Surg</addtitle><description>Abstract Purpose To describe the use of resorbable pins for disc fixation in a series of patients and their medium-term outcomes. Materials and methods A study was conducted in 26 patients who underwent operative arthroscopic surgery and discopexy using resorbable pins. All patients were refractory to conservative treatment and presented, in at least one joint, anterior disc displacement without reduction on magnetic resonance imaging (MRI). Pre- and postoperative evaluation parameters were disc position on MRI, maximal interincisal opening, lateral movements, joint pain, and articular locking and clicking. Results The technique was performed in 34 joints, and 47 pins were inserted. Mouth opening increased significantly, from a mean of 31.24 mm preoperatively to 39.57 mm 1 year postoperatively ( p  &lt; 0.05). Patients reported a decrease in pain, obtaining values on a visual analogue scale (1–100) of less than 20 after 1 year postsurgery (mean improvement 47.9 points, p  &lt; 0.05). Analyzing 1-year MRI findings, in 65% of joints the discs were repositioned and in 20% of joints discs were in a more posterior position. Conclusions The use of resorbable pins is a useful technique for disc fixation and shows medium-term improvement in clinical parameters and mandibular function. 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Materials and methods A study was conducted in 26 patients who underwent operative arthroscopic surgery and discopexy using resorbable pins. All patients were refractory to conservative treatment and presented, in at least one joint, anterior disc displacement without reduction on magnetic resonance imaging (MRI). Pre- and postoperative evaluation parameters were disc position on MRI, maximal interincisal opening, lateral movements, joint pain, and articular locking and clicking. Results The technique was performed in 34 joints, and 47 pins were inserted. Mouth opening increased significantly, from a mean of 31.24 mm preoperatively to 39.57 mm 1 year postoperatively ( p  &lt; 0.05). Patients reported a decrease in pain, obtaining values on a visual analogue scale (1–100) of less than 20 after 1 year postsurgery (mean improvement 47.9 points, p  &lt; 0.05). Analyzing 1-year MRI findings, in 65% of joints the discs were repositioned and in 20% of joints discs were in a more posterior position. Conclusions The use of resorbable pins is a useful technique for disc fixation and shows medium-term improvement in clinical parameters and mandibular function. However, further studies are needed to evaluate a longer follow-up, joint morphologic changes, and disc stability on imaging.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>26880015</pmid><doi>10.1016/j.jcms.2016.01.007</doi><tpages>8</tpages></addata></record>
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subjects Arthroscopy - instrumentation
Arthroscopy - methods
Dentistry
Humans
Magnetic Resonance Imaging
Minimal invasive surgery
Resorbable pins
Surgery
Temporomandibular Joint - surgery
Temporomandibular Joint Disc
Temporomandibular Joint Disorders
TMJ arthroscopy
TMJ discopexy
title Discopexy using resorbable pins in temporomandibular joint arthroscopy: Clinical and magnetic resonance imaging medium-term results
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