Outcomes of bilateral temporomandibular joint arthroscopy: an international multicentric prospective study including 524 joints
Purpose This study aimed to evaluate the efficacy of bilateral TMJ arthroscopy in patients with different Wilkes stages, comparing the results obtained in different arthroscopic levels on a larger scale, unifying similar populations. Methods A multicentric prospective clinical study was conducted in...
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| Veröffentlicht in: | Oral and maxillofacial surgery 2024-10, Vol.29 (1), p.2, Article 2 |
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| creator | Ângelo, David Faustino Ono, Helcio Yogi de Barros, Romualdo Cardoso Monteiro Maffia, Francesco Sanz, David Cardoso, Henrique José |
| description | Purpose
This study aimed to evaluate the efficacy of bilateral TMJ arthroscopy in patients with different Wilkes stages, comparing the results obtained in different arthroscopic levels on a larger scale, unifying similar populations.
Methods
A multicentric prospective clinical study was conducted in three TMJ departments performing temporomandibular joint surgery in Portugal and Brazil, with an enrolling window active from January 1, 2019, to December 1, 2022. The primary clinical outcome was TMJ pain evaluated through a visual analogue scale. The secondary clinical outcome was the maximum mouth opening (MMO). TMJ arthroscopy was performed with a 1.9-mm arthroscope, including a video system with a 2.8-mm outer protective cannula.
Results
262 patients, representing a total of 524 operated joints were enrolled. The mean age was 35.3 years. A significant decrease postoperatively in VAS pain was observed for all Wilkes stages. The lowest value of VAS pain was observed in Wilkes II compared to Wilkes III and IV. In the secondary outcome, MMO was observed to have a significant improvement in all Wilkes stages.
Conclusion
In this multicentric study, bilateral TMJ arthroscopy was shown to be an effective procedure to reduce pain and increase maximum mouth opening in patients with different Wilkes stages, representing a valid minimally invasive solution. |
| doi_str_mv | 10.1007/s10006-024-01299-y |
| format | Article |
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This study aimed to evaluate the efficacy of bilateral TMJ arthroscopy in patients with different Wilkes stages, comparing the results obtained in different arthroscopic levels on a larger scale, unifying similar populations.
Methods
A multicentric prospective clinical study was conducted in three TMJ departments performing temporomandibular joint surgery in Portugal and Brazil, with an enrolling window active from January 1, 2019, to December 1, 2022. The primary clinical outcome was TMJ pain evaluated through a visual analogue scale. The secondary clinical outcome was the maximum mouth opening (MMO). TMJ arthroscopy was performed with a 1.9-mm arthroscope, including a video system with a 2.8-mm outer protective cannula.
Results
262 patients, representing a total of 524 operated joints were enrolled. The mean age was 35.3 years. A significant decrease postoperatively in VAS pain was observed for all Wilkes stages. The lowest value of VAS pain was observed in Wilkes II compared to Wilkes III and IV. In the secondary outcome, MMO was observed to have a significant improvement in all Wilkes stages.
Conclusion
In this multicentric study, bilateral TMJ arthroscopy was shown to be an effective procedure to reduce pain and increase maximum mouth opening in patients with different Wilkes stages, representing a valid minimally invasive solution.</description><identifier>ISSN: 1865-1569</identifier><identifier>ISSN: 1865-1550</identifier><identifier>EISSN: 1865-1569</identifier><identifier>DOI: 10.1007/s10006-024-01299-y</identifier><identifier>PMID: 39466563</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Arthroscopy - methods ; Brazil ; Clinical outcomes ; Female ; Hospitals ; Humans ; Joint surgery ; Magnetic resonance imaging ; Male ; Maxillofacial surgery ; Medicine ; Medicine & Public Health ; Middle Aged ; Oral and Maxillofacial Surgery ; Pain ; Pain Measurement ; Product development ; Prospective Studies ; Range of Motion, Articular - physiology ; Success ; Temporomandibular Joint - surgery ; Temporomandibular joint disorders ; Temporomandibular Joint Disorders - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Oral and maxillofacial surgery, 2024-10, Vol.29 (1), p.2, Article 2</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-c02dee90ee333c23adc9b5e79ace5c0e2dd6d89372c4ef8e1bc837e2a4aceaaa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10006-024-01299-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10006-024-01299-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39466563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ângelo, David Faustino</creatorcontrib><creatorcontrib>Ono, Helcio Yogi</creatorcontrib><creatorcontrib>de Barros, Romualdo Cardoso Monteiro</creatorcontrib><creatorcontrib>Maffia, Francesco</creatorcontrib><creatorcontrib>Sanz, David</creatorcontrib><creatorcontrib>Cardoso, Henrique José</creatorcontrib><title>Outcomes of bilateral temporomandibular joint arthroscopy: an international multicentric prospective study including 524 joints</title><title>Oral and maxillofacial surgery</title><addtitle>Oral Maxillofac Surg</addtitle><addtitle>Oral Maxillofac Surg</addtitle><description>Purpose
This study aimed to evaluate the efficacy of bilateral TMJ arthroscopy in patients with different Wilkes stages, comparing the results obtained in different arthroscopic levels on a larger scale, unifying similar populations.
Methods
A multicentric prospective clinical study was conducted in three TMJ departments performing temporomandibular joint surgery in Portugal and Brazil, with an enrolling window active from January 1, 2019, to December 1, 2022. The primary clinical outcome was TMJ pain evaluated through a visual analogue scale. The secondary clinical outcome was the maximum mouth opening (MMO). TMJ arthroscopy was performed with a 1.9-mm arthroscope, including a video system with a 2.8-mm outer protective cannula.
Results
262 patients, representing a total of 524 operated joints were enrolled. The mean age was 35.3 years. A significant decrease postoperatively in VAS pain was observed for all Wilkes stages. The lowest value of VAS pain was observed in Wilkes II compared to Wilkes III and IV. In the secondary outcome, MMO was observed to have a significant improvement in all Wilkes stages.
Conclusion
In this multicentric study, bilateral TMJ arthroscopy was shown to be an effective procedure to reduce pain and increase maximum mouth opening in patients with different Wilkes stages, representing a valid minimally invasive solution.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arthroscopy - methods</subject><subject>Brazil</subject><subject>Clinical outcomes</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Maxillofacial surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Oral and Maxillofacial Surgery</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Product development</subject><subject>Prospective Studies</subject><subject>Range of Motion, Articular - physiology</subject><subject>Success</subject><subject>Temporomandibular Joint - surgery</subject><subject>Temporomandibular joint disorders</subject><subject>Temporomandibular Joint Disorders - surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1865-1569</issn><issn>1865-1550</issn><issn>1865-1569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtv1TAQhS0EoqXwB1ggS2zYBPxIcmN2qOIlVeoG1pZjzy2-cuzgB1JW_esMpDzEgo1t2d8545lDyFPOXnLGDq8KrmzsmOg7xoVS3XaPnPNpHDo-jOr-X-cz8qiUE8KCD-whOZOqH8dhlOfk9rpVmxYoNB3p7IOpkE2gFZY15bSY6Pzcgsn0lHys1OT6Jadi07q9piZSvIMcTfUpomppoXoLsWZv6YrcCrb6b0BLbW5D2IbmfLyhg-h3w_KYPDiaUODJ3X5BPr97--nyQ3d1_f7j5ZurzophrJ1lwgEoBiCltEIaZ9U8wEEZC4NlIJwb3aTkQdgejhPw2U7yAML0CBhj5AV5sfvit742KFUvvlgIwURIrWjJcTSTEkIh-vwf9JQaNhl2Cmc3sB4psVMW-ywZjnrNfjF505zpH_HoPR6N8eif8egNRc_urNu8gPst-ZUHAnIHCj7FG8h_av_H9jsF95_t</recordid><startdate>20241028</startdate><enddate>20241028</enddate><creator>Ângelo, David Faustino</creator><creator>Ono, Helcio Yogi</creator><creator>de Barros, Romualdo Cardoso Monteiro</creator><creator>Maffia, Francesco</creator><creator>Sanz, David</creator><creator>Cardoso, Henrique José</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20241028</creationdate><title>Outcomes of bilateral temporomandibular joint arthroscopy: an international multicentric prospective study including 524 joints</title><author>Ângelo, David Faustino ; Ono, Helcio Yogi ; de Barros, Romualdo Cardoso Monteiro ; Maffia, Francesco ; Sanz, David ; Cardoso, Henrique José</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-c02dee90ee333c23adc9b5e79ace5c0e2dd6d89372c4ef8e1bc837e2a4aceaaa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arthroscopy - methods</topic><topic>Brazil</topic><topic>Clinical outcomes</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Maxillofacial surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Oral and Maxillofacial Surgery</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Product development</topic><topic>Prospective Studies</topic><topic>Range of Motion, Articular - physiology</topic><topic>Success</topic><topic>Temporomandibular Joint - surgery</topic><topic>Temporomandibular joint disorders</topic><topic>Temporomandibular Joint Disorders - surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ângelo, David Faustino</creatorcontrib><creatorcontrib>Ono, Helcio Yogi</creatorcontrib><creatorcontrib>de Barros, Romualdo Cardoso Monteiro</creatorcontrib><creatorcontrib>Maffia, Francesco</creatorcontrib><creatorcontrib>Sanz, David</creatorcontrib><creatorcontrib>Cardoso, Henrique José</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ângelo, David Faustino</au><au>Ono, Helcio Yogi</au><au>de Barros, Romualdo Cardoso Monteiro</au><au>Maffia, Francesco</au><au>Sanz, David</au><au>Cardoso, Henrique José</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of bilateral temporomandibular joint arthroscopy: an international multicentric prospective study including 524 joints</atitle><jtitle>Oral and maxillofacial surgery</jtitle><stitle>Oral Maxillofac Surg</stitle><addtitle>Oral Maxillofac Surg</addtitle><date>2024-10-28</date><risdate>2024</risdate><volume>29</volume><issue>1</issue><spage>2</spage><pages>2-</pages><artnum>2</artnum><issn>1865-1569</issn><issn>1865-1550</issn><eissn>1865-1569</eissn><abstract>Purpose
This study aimed to evaluate the efficacy of bilateral TMJ arthroscopy in patients with different Wilkes stages, comparing the results obtained in different arthroscopic levels on a larger scale, unifying similar populations.
Methods
A multicentric prospective clinical study was conducted in three TMJ departments performing temporomandibular joint surgery in Portugal and Brazil, with an enrolling window active from January 1, 2019, to December 1, 2022. The primary clinical outcome was TMJ pain evaluated through a visual analogue scale. The secondary clinical outcome was the maximum mouth opening (MMO). TMJ arthroscopy was performed with a 1.9-mm arthroscope, including a video system with a 2.8-mm outer protective cannula.
Results
262 patients, representing a total of 524 operated joints were enrolled. The mean age was 35.3 years. A significant decrease postoperatively in VAS pain was observed for all Wilkes stages. The lowest value of VAS pain was observed in Wilkes II compared to Wilkes III and IV. In the secondary outcome, MMO was observed to have a significant improvement in all Wilkes stages.
Conclusion
In this multicentric study, bilateral TMJ arthroscopy was shown to be an effective procedure to reduce pain and increase maximum mouth opening in patients with different Wilkes stages, representing a valid minimally invasive solution.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39466563</pmid><doi>10.1007/s10006-024-01299-y</doi></addata></record> |
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| subjects | Adolescent Adult Arthroscopy - methods Brazil Clinical outcomes Female Hospitals Humans Joint surgery Magnetic resonance imaging Male Maxillofacial surgery Medicine Medicine & Public Health Middle Aged Oral and Maxillofacial Surgery Pain Pain Measurement Product development Prospective Studies Range of Motion, Articular - physiology Success Temporomandibular Joint - surgery Temporomandibular joint disorders Temporomandibular Joint Disorders - surgery Treatment Outcome Young Adult |
| title | Outcomes of bilateral temporomandibular joint arthroscopy: an international multicentric prospective study including 524 joints |
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