الفهرس | Only 14 pages are availabe for public view |
Abstract The most prevalent problem of the temporomandibular joint (TMJ) is disc displacement, which impacts approximately one-third of the population. This condition gives rise to several symptoms, including discomfort, joint noises, limited mandibular movement, osteoarthritis, and perhaps condylar resorption. The initial approach to managing disc displacements typically involves conservative measures, including as medication, physical therapy, and the use of occlusal splints. Minimally invasive procedures, such as arthocentesis and arthroscopy, have been identified as potential therapeutic options for disc displacement. These techniques provide several advantages, including reduced postoperative morbidity, as compared to more invasive surgical approaches. Various surgical discopexy procedures have been documented for the treatment of temporomandibular joint (TMJ) disc displacement, with varying degrees of success. In 2012, Chi Yang and colleagues (Yang et al., 2012) presented a novel technique for arthroscopic discopexy. This technique involves suturing the articular disc to the retrodiscal tissues utilising a transmeatal approach, utilising a 12-gauge suture needle and a pair of self-designed suture grippers, specifically a lasso-type and a hook-type. While the success rate of this technique surpasses that of earlier techniques, operators have found it to be exceedingly intricate. The approach was performed on six temporomandibular joints (TMJs) obtained from recently deceased human cadavers in order to evaluate its practicality. It has been determined that the utilisation of this approach is indeed viable, however necessitating the expertise of a highly proficient TMJ arthroscopic surgeon. Conclusion The feasibility of the Yang arthroscopic transmeatal discopexy procedure has been established; nevertheless, its adoption requires a significant investment in time and effort because to its inherent technical complexity. |