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Modification to Yang's Arthroscopic Discopexy Technique for Temporomandibular Joint Disc Displacement: A Technical
Daniel Jerez1, German Laissle2, Carlos Fuenzalida3
1Academic Director and Head of the Unit of Oral and Maxillofacial Surgery at Clinica Bupa Santiago, Oral and Maxillofacial Surgeon Hospital Dr. Luis Calvo Mackenna, Santiago, Chile.
Summary
This study modifies Yang's arthroscopic disc repositioning technique for temporomandibular joint (TMJ) disorders. The improved method uses readily available suture equipment, simplifying a complex procedure for anterior disc displacement.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Biomedical Engineering
Background:
- Anterior disc displacement of the temporomandibular joint (TMJ) leads to dysfunction, including pain and osteoarthritis.
- Arthroscopic techniques offer minimally invasive treatment options for TMJ disc displacement.
- Yang's technique provides stable TMJ disc repositioning but is technically demanding and requires specialized equipment.
Purpose of the Study:
- To present a modified, simplified arthroscopic disc repositioning and suturing technique for TMJ anterior disc displacement.
- To overcome the limitations of Yang's original technique by using common, inexpensive, and disposable suture materials.
Main Methods:
- Modification of Yang's arthroscopic disc repositioning and suturing technique.
- Utilization of a standard, affordable, and disposable suture set instead of custom equipment.
- Application of the modified technique for treating anterior disc displacement in temporomandibular joints.
Main Results:
- The modified technique simplifies the procedure, potentially reducing the technical challenges associated with Yang's method.
- The use of common suture materials makes the technique more accessible and cost-effective.
- This modification aims to maintain the stability reported for Yang's technique while improving feasibility.
Conclusions:
- A modified, simplified arthroscopic technique for TMJ anterior disc displacement has been developed.
- The modification enhances the practicality of Yang's technique by employing readily available suture materials.
- This approach may broaden the accessibility of effective arthroscopic treatment for TMJ disc disorders.
