Arthroscopic Discectomy Technique: A Beneficial Approach for Managing Disk Perforations in the Temporomandibular
Daniel Jerez1, German Laissle2, David Díaz-Báez3
1Clinical Bupa Santiago Oral and Maxillofacial Surgeon Hospital Dr. Luis Calvo Mackenna.
Abstract:
Disk perforation can result in degenerative changes within the joint structures. While discectomy has demonstrated enduring benefits, it has traditionally been described using an open approach, with the disadvantages inherent to this method. This study aims to present a series of patients who underwent arthroscopic discectomy technique and to report the outcomes.
Methods:
Patients diagnosed with internal disorders of the temporomandibular joint underwent arthroscopic arthroscopic discectomy technique. Surgical outcomes were assessed by changes in pain using a visual analog scale and the maximum incisal opening.
Results:
One hundred seventy-eight joints from 106 patients who underwent arthroscopic surgery were included. Discectomy was performed on 22 joints. Prior to surgery, patients reported an average visual analog scale pain score of 6.5, which decreased to an average of 0.5 at 6 months postsurgery (P<0.001). Before surgery, the average maximum incisal opening was 30 mm, which increased to 41 mm at 6 months postsurgery (P<0.001).
Conclusions:
The described technique represents an excellent alternative for managing patients with disk perforations.
