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A Novel Design of Computer-Assisted 3D-Printed TMJ Arthrocentesis Guide (Technical Note)
Malak Sherif Mohammed1,2, Hossam El-Dien Hany1, Mahmoud Abd El Aziz El Fadly1
1Department of Oral and Maxillofacial, Faculty of Dentistry, Ain Shams University, Cairo.
The Journal of Craniofacial Surgery
|May 13, 2024
Summary
A new template-guided technique simplifies temporomandibular joint (TMJ) arthrocentesis, reducing needle repositioning and procedure time. This method aims to decrease common postoperative swelling and enhance patient comfort during TMJ treatments.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Biomedical Engineering
Background:
- Postoperative edema and swelling are common complications following temporomandibular joint (TMJ) arthrocentesis.
- These complications are often linked to repeated needle relocation and prolonged operative times.
Purpose of the Study:
- To introduce and evaluate a novel template-based technique for TMJ arthrocentesis.
- To facilitate precise needle placement and reduce patient discomfort during the procedure.
Main Methods:
- Development of patient-specific surgical guides using template-based design.
- Utilizing the guides to direct needle access to the TMJ space for arthrocentesis.
- Comparison of outcomes with traditional arthrocentesis techniques (implied).
Main Results:
- The template-based technique successfully facilitated accurate needle placement into the TMJ space.
- The method is expected to decrease the need for needle relocation and shorten operation time.
- Reduced operative time and improved accuracy are anticipated to lower the incidence of postoperative edema and swelling.
Conclusions:
- Patient-specific template-guided arthrocentesis offers a promising approach for TMJ treatment.
- This technique has the potential to improve procedural efficiency and patient outcomes by minimizing common complications.

