The Use of Double- Needle Canula Method for Temporomandibular Joint Arthrocentesis: Clinical Report

ABSTRACT

Objective: The purpose of this study is to demonstrate a temporomandibular lavage instrument with double needles in a single canula that make the procedure easier for surgeons.

Materials and methods: 38 year old woman was referred to our department with pain on the right temporomandibular joint (TMJ) region and restricted mouth opening. Magnetic resonance imaging reveals anterior disc displacement without reduction of the right TMJ. TMJ lysis and lavage was performed with double needle canula method.

Results: The upper joint space was successfully lavaged with 50 mL of 0.9% saline solution. Maximal mouth opening and lateral jaw movement increased and jaw functions improved immediately after the procedure.

Conclusion: It is recommended as a simple alternative to classical arthrocentesis with two needles that it is easy to use and enables to perform lysis and lavage with a single puncture. (Eur J Dent 2007;1:179-182)

Key words

Arthrocentesis - TMD - TMJ lavage

• References

• 1 Nitzan DW, Dolwick MF, Martinez GA. Temporomandibular joint arthrocentesis. A simplified treatment for severe limited mouth opening. J Oral Maxillofac Surg 1991; 49: 1163-1167
• 2 Dimitroulis G, Dolwick MF, Martinez A. Temporomandibular joint arthrocentesis and layage for the treatment of closedlock: a follow-up study. Br J Oral Maxillofac Surg 1995; 33: 23-27
• 3 Yura S, Totsuka Y. Relationship between effectiveness of arthrocentesis under sufficient pressure and conditions of the temporomandibular joint.. J Oral Maxillofac Surg 2005; 63: 225-228
• 4 Kaneyama K, Segami N, Nishimura M, Sato J, Fujimura K, Yoshimura H. The ideal lavage volume for removing bradykinin, interleukin-6, and protein from the temporomandibular joint by arthrocentesis. J Oral Maxillofac Surg 2004; 62: 657-661
• 5 Al-Belasy FA, Dolwick MF. Arthrocentesis for the treatment of temporomandibular joint closed lock: a review article. Int J Oral Maxillofac Surg 2007; 18: 0
• 6 Zardeneta G, Milam SB, Schmitz JP. Elution of proteins by continuous temporomandibular joint arthrocentesis. J Oral Maxillofac Surg 1997; 55: 709-716
• 7 Emshoff R. Clinical factors affecting the outcome of arthrocentesis and hydraulic distension of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 409-414
• 8 McCain JP. Principles and Practice of Temporomandibular Joint Arthroscopy. Mosby 1996; 0
• 9 Sanders B. Arthroscopic surgery of the temporomandibular joint: Treatment of internal derangement with persistent closed lock. Oral Surg Oral Med Oral Pathol 1986; 62: 361-372
• 10 Nitzan DW, Dolwick MF. Arthroscopic lavage and lysis of the temporomandibular joint: A change in perspective. J Oral Maxillofac Surg 1990; 48: 798-801
• 11 Dolwick MF. The role of temporomandibular joint surgery in the treatment of patients with internal derangement.. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 83: 150-155
• 12 Nitzan DW, Samson B, Better H. Long-term outcome of arthrocentesis for sudden-onset, persistent, severe closed lock of the temporomandibular joint. J Oral Maxillofac Surg 1997; 55: 151-157
• 13 Indresano AT. Surgical arthroscopy as the preferred treatment for internal derangements of the temporomandibular joint. J Oral Maxillofac Surg 2001; 59: 308-312
• 14 Frost DE, Kendell BD. The use of arthrocentesis for treatment of temporomandibular joint disorders. J Oral Maxillofac Surg 1999; 57: 583-587