Arthrocentesis followed by intra-articular autologous blood injection for the treatment of recurrent temporomandibular joint dislocation

Arthrocentesis followed by intra-articular autologous blood injection for the treatment of recurrent temporomandibular joint dislocation

Abstract Temporomandibular joint (TMJ) dislocation is an excessive forward movement of the condyle beyond the articular eminence with complete separation of the articular surfaces and fixation in that position. This study was conducted to assess autologous blood injection to the TMJ for the treatmen...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery Vol. 43; no. 10; pp. 1224 - 1228
Main Authors: Bayoumi, A.M, Al-Sebaei, M.O, Mohamed, K.M, Al-Yamani, A.O, Makrami, A.M
Format: Journal Article
Language:English
Published: Denmark Elsevier Ltd 01-10-2014
Subjects:
Adult
Blood Transfusion, Autologous
Dentistry
Female
habitual TMJ subluxation
Humans
Injections, Intra-Articular
Joint Dislocations - diagnostic imaging
Joint Dislocations - therapy
Male
maximum incisal opening
Paracentesis
Radiography, Panoramic
Recurrence
Surgery
temporomandibular joint
Temporomandibular Joint Disorders - diagnostic imaging
Temporomandibular Joint Disorders - therapy
TMJ arthrocentesis
TMJ blood injection
TMJ chronic dislocation
TMJ eminectomy
TMJ pain
TMJ subluxation
TMJ surgery
Treatment Outcome
TMJ blood injection
TMJ subluxation
temporomandibular joint
TMJ chronic dislocation
TMJ pain
TMJ eminectomy
TMJ arthrocentesis
maximum incisal opening
habitual TMJ subluxation
TMJ surgery
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Summary:Abstract Temporomandibular joint (TMJ) dislocation is an excessive forward movement of the condyle beyond the articular eminence with complete separation of the articular surfaces and fixation in that position. This study was conducted to assess autologous blood injection to the TMJ for the treatment of chronic recurrent TMJ dislocation. Fifteen patients with bilateral chronic recurrent condylar dislocation were included in the study. Bilateral TMJ arthrocentesis was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule. Preoperative and postoperative assessment included a thorough history and physical examination to determine the maximal mouth opening, presence of pain and sounds, frequency of luxation, recurrence rate, and presence of facial nerve paralysis. Eighty percent of the subjects (12 patients) had a successful outcome with no further episodes of dislocation and required no further treatment at their 1-year follow-up, whereas three patients had recurrent dislocation as early as 2 weeks after treatment. Autologous blood injection is a safe, simple, and cost-effective treatment for chronic recurrent TMJ dislocation.
Bibliography:ObjectType-Article-1
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ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2014.05.004