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Surgical complications related to temporomandibular joint arthroscopy: a prospective analysis of 39 single-portal versus 43 double-portal procedures
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Authors
Advisor(s)
Abstract(s)
Temporomandibular joint (TMJ) arthroscopy is a minimally invasive
surgical procedure proposed for diverse TMJ intra-articular disorders. A
prospective study was designed with the aim of investigating intraoperative and
postoperative surgical complications for single and double-portal TMJ arthroscopy.
All interventions were performed by one surgeon with the same surgical protocol. A
total of 55 patients were enrolled, resulting in 82 TMJ arthroscopies (28 unilateral
and 27 bilateral). A total of 39 single portal (47.57%) and 43 double-portal (52.43%)
arthroscopies were performed. No severe and irreversible complications were
observed. Most complications were resolved after 4 weeks. Double-portal was
associated with more complications (n = 23) compared with single-portal TMJ
arthroscopy (n = 14), with a statistically significant difference found between single
and double-portal TMJ arthroscopy in two intraoperative complications: intra-
articular bleeding (P = 0.044) and oedema of the preauricular area (P = 0.042). This
study confirms the safety of TMJ arthroscopy for single and double-portal
procedures, with the authors suggesting a multicentre study, in an effort to minimize
any possible bias.
Description
Keywords
TMJ Minimally invasive surgical procedures Arthroscopy Temporomandibular joint
Citation
D.F. Ângelo, R.A.D. Araújo, D. Sanz, Surgical complications related to temporomandibular joint arthroscopy: a prospective analysis of 39 single-portal versus 43 double-portal procedures, International Journal of Oral and Maxillofacial Surgery, Volume 50, Issue 8, 2021, Pages 1089-1094, ISSN 0901-5027, https://doi.org/10.1016/j.ijom.2020.07.020
Publisher
Elsevier