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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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Autores
Orientador(es)
Resumo(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.
Descrição
Palavras-chave
TMJ Minimally invasive surgical procedures Arthroscopy Temporomandibular joint
Contexto Educativo
Citação
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
Editora
Elsevier