The benefits of performing temporomandibular joint arthrocentesis with catheters and a vacuum pump: A randomized control trial

The benefits of performing temporomandibular joint arthrocentesis with catheters and a vacuum pump: A randomized control trial

This study aims to compare the effectiveness of two different techniques of double puncture arthrocentesis with and without the addition of catheters and a vacuum pump for management of temporomandibular joint (TMJ) disc displacement without reduction (DDWOR). A total of 48 patients with DDWOR were...

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Veröffentlicht in:Journal of cranio-maxillo-facial surgery 2024-03, Vol.52 (3), p.369-373
Hauptverfasser: Grossmann, Eduardo, Poluha, Rodrigo Lorenzi
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Sprache:eng
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Arthrocentesis
Disc displacement without reduction
Temporomandibular joint disorders
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creator Grossmann, Eduardo
Poluha, Rodrigo Lorenzi
description This study aims to compare the effectiveness of two different techniques of double puncture arthrocentesis with and without the addition of catheters and a vacuum pump for management of temporomandibular joint (TMJ) disc displacement without reduction (DDWOR). A total of 48 patients with DDWOR were randomly and blindly allocated into two treatment groups (N = 24): Group 1, TMJ arthrocentesis with the addition of catheters and a vacuum pump to the second needle; Group 2, TMJ arthrocentesis without any addition device. The following variables were registered and compared between groups: patient's pain perception (visual analogue scale [VAS; 0–10]); maximal interincisal distance [MID; mm]; joint effusion (JE, presence or absence); facial edema (FE; presence or absence); and the operation duration (OP; minutes). Patients in Group 1 presented with significantly lower VAS scores (p 
doi_str_mv 10.1016/j.jcms.2024.01.020
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A total of 48 patients with DDWOR were randomly and blindly allocated into two treatment groups (N = 24): Group 1, TMJ arthrocentesis with the addition of catheters and a vacuum pump to the second needle; Group 2, TMJ arthrocentesis without any addition device. The following variables were registered and compared between groups: patient's pain perception (visual analogue scale [VAS; 0–10]); maximal interincisal distance [MID; mm]; joint effusion (JE, presence or absence); facial edema (FE; presence or absence); and the operation duration (OP; minutes). Patients in Group 1 presented with significantly lower VAS scores (p &lt; 0.001) and presence of FE (p = 0.03) in the post-operative period, also an increase in MID values (p = 0.026), and a reduction in JE (p = 0.022) after 3 months. Besides that, in this group, the procedure was performed significantly faster (p &lt; 0.001). 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subjects Arthrocentesis
Disc displacement without reduction
Temporomandibular joint disorders
title The benefits of performing temporomandibular joint arthrocentesis with catheters and a vacuum pump: A randomized control trial
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