Arthroscopic temporomandibular joint disc repositioning using a transmeatal suturing technique: A cadaveric feasibility study

Document Type : Original Article

Authors

1 Oral and maxillofacial surgery, Faculty of Dentistry, Minia university

2 Oral & Maxillofacial Surgery Department. Faculty of Dentistry. Minia University

3 Oral and Maxillofacial surgery Departement, Faculty of Dentistry, Minia university, Minia, Egypt

Abstract

Background: Various arthroscopic discopexy techniques were described for temporomandibular joint (TMJ) disc displacement with a different success rate. One of these techniques, is the novel technique introduced by Chi Yang et al in 2012 in which the disc is sutured with the retrodiscal tissues through transmeatal approach. Although this technique is highly successful, it is reported by several operators who tried to apply it to be extremely complex.

Objectives: To assess the feasibility of Yang's arthroscopic discopexy technique for TMJ disc displacement using the transmeatal approach.

Materials and Methods: Yang's arthroscopic transmeatal discopexy technique is conducted on six temporomandibular joints of fresh human cadavers. The feasibility of that technique was assessed by the success rate of the procedure by the same operator.

Results: The technique was successfully performed in two thirds of the joints (n=4) and failure in the remaining one third (n=2).

Conclusion: The technique is feasible but it needs a highly experienced TMJ arthroscopist.

Keywords

Egyptian Journal of Oral and Maxillofacial Surgery

Articles in Press, Accepted Manuscript
Available Online from 17 October 2023

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History

  • Receive Date: 01 August 2023
  • Revise Date: 29 April 2024
  • Accept Date: 07 August 2023

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