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[TMJ arthroscopy. A review].

J M Foletti1, F Cheynet2, N Graillon2

  • 1Service de chirurgie maxillo-faciale, stomatologie et plastique, hôpital Nord, chemin des Bourrelys, 13015 Marseille, France.

Revue De Stomatologie, De Chirurgie Maxillo-Faciale Et De Chirurgie Orale
|August 16, 2016
PubMed
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For temporomandibular joint (TMJ) dysfunction, conservative treatments are primary. Arthroscopy may be considered for persistent TMJ disorders, with arthrotomy as a fallback if arthroscopy fails.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Periodontology

Background:

  • Temporomandibular joint (TMJ) dysfunction presents with pain, limited mouth opening, and joint noise.
  • Arthroscopy is a potential treatment option when conservative methods fail.

Purpose of the Study:

  • To evaluate the current clinical interest and efficacy of arthroscopy in treating temporomandibular joint (TMJ) dysfunction.

Main Methods:

  • A systematic literature search was conducted using keywords 'TMJ' and 'Arthroscopy'.
  • 17 relevant papers published between September 2012 and May 2016 were selected and analyzed.
  • Key questions addressed treatment indications, management of conservative treatment failures, and outcomes of TMJ arthroscopy.

Main Results:

Keywords:
ArthroscopieArthroscopyArticulationJointTMJTemporo-mandibulaireTemporomandibular

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  • Conservative treatment is the recommended first-line approach for TMJ dysfunction.
  • For refractory cases, less invasive surgical options, including arthroscopy, should be prioritized.
  • Arthrotomy may be indicated following TMJ arthroscopy failure.

Conclusions:

  • Initial treatment for TMJ dysfunction should always involve conservative measures.
  • Surgery, starting with less invasive techniques like arthroscopy, can be considered after conservative treatment failure.
  • While disc repositioning after TMJ arthroscopy is complex and not consistently evidenced, arthrotomy is an option for arthroscopic failure.