Advertisement

Contents

        Preface: Temporomandibular Joint Surgery: Fascinating but Tackling Difficulties xi

        Florencio Monje

        Magnetic Resonance Imaging of the Temporomandibular Joint 129

        José M. López-Arcas, David González-Ballester, José L. Del Castillo, Elena Salvador
        Introduction 129
        Radiological anatomy 129
        Temporomandibular joint MRI protocol 129
        Temporomandibular joint pathology: findings in MRI 130
        Temporomandibular joint MRI safety issues 133
        Clinics care points 135

        Athrocentesis 137

        Dorrit W. Nitzan, Hadas Lehman Naaman
        Arthrocentesis technique 137
        Arthrocentesis—Mode of action 139
        The role of arthrocentesis in various temporomandibular joint disorders 140
        Clicking joint 140
        Limited mouth opening 141
        Open lock versus temporomandibular joint condylar dislocation 142
        Osteoarthritis 142
        Other inflammatory diseases, hemarthrosis, and infection 143
        Clinics care points 143
        Disclosure 143

        Usual and Nonusual Findings in Temporomandibular Joint Arthroscopy 147

        Reem H. Hossameldin
        Introduction 147
        Content 147
        Summary 156
        Clinics care points 157

        Lysis and Lavage 159

        Manuel Moreno-Sánchez, Florencio Monje
        Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
        Introduction 159
        Surgical technique 159
        Patient position 159
        Preparation 159
        Surgical approach 159
        Surgical procedure 160
        Potential complications 161
        Clinical results in the literature 162
        Summary 164
        Clinics care points 164
        Disclosure 164

        Temporomandibular Joint Arthroscopic Surgical Techniques 165

        Fernández Sanromán Jacinto, Sembronio Salvatore
        Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
        Surgical indications 166
        Synovitis 166
        Adhesions 166
        Disc Mobilization 166
        Disc Perforations 166
        Bone pathologies 169
        Synovial chondromatosis 169
        Joint Hypermobility 169
        Complications 172
        Clinics care points 172
        Disclosure 172

        Arthroscopic Disc Repositioning Techniques of the Temporomandibular Joint 175

        Raúl González-García, Rafael Martín-Granizo
        Video content accompanies this article at http://www.oralmaxsurgeryatlas.theclinics.com.
        Introduction 175
        Surgical technique 176
        Preoperative planning 176
        Preparation and patient positioning 176
        Surgical approach 176
        Surgical procedure 176
        Unique suture 177
        Posterior traction suture 177
        Rotating curved suturing tip 179
        Double-pass suture 179
        Double suture 179
        Potential complications 181
        “Pearls and pitfalls” 181
        Immediate postoperative care, rehabilitation, and recovery 181
        Clinical results in the literature 182
        Summary 182

        Arthroscopic Disc Repositioning Techniques of the Temporomandibular Joint Part 2: Resorbable Pins 185

        Rafael Martín-Granizo, Raúl González-García
        Introduction 185
        Surgical technique 185
        Preoperative Planning 185
        Preparation and Patient Positioning 186
        Surgical Approach 186
        Surgical Procedure 186
        Advantages and disadvantages 187
        Potential Complications 187
        “Pearls and Pitfals” 188
        Immediate postoperative care, rehabilitation, and recovery 189
        Summary 190
        Clinical results in the literature 191

        Temporomandibular Joint Surgery 193

        Piero Cascone, Fabrizio Spallaccia, Valentino Vellone
        Introduction 193
        Surgical technique 193
        Preoperative planning 193
        Prep and patient positioning 193
        Surgical approach 194
        Surgical procedure 194
        Potential complications 195
        Pearls 196
        Pitfalls 197
        Immediate postoperative care 197
        Rehabilitation and recovery 197
        Clinics care points 197
        Disclosure 198

        Open Temporomandibular Joint Surgery 199

        Andrew J. Sidebottom
        Introduction 199
        Outcomes following discectomy with NO interposition 199
        Outcomes following discectomy WITH interposition 200
        Proplast-Teflon 200
        Silicone 200
        Fossa hemi-arthroplasty 200
        Temporalis myofascial graft 201
        Auricular cartilage 201
        Free fat 202
        Dermis-fat graft 202
        Summary 202
        Clinics care points 203
        Conflict of interest 203

        Unilateral Condylar Hyperactivity 205

        Laura Villanueva-Alcojol, Alberto Cuevas Queipo de Llano
        Introduction 205
        Epidemiology 205
        Cause 205
        Classification 205
        Diagnosis 206
        Histology 206
        Treatment 206
        Surgical technique 209
        Preoperative planning 209
        Surgical approach 209
        Postoperative care: rehabilitation and recovery 210
        Clinics care points 215

        Autogenous Reconstruction of the Temporomandibular Joint 217

        Nadeem R. Saeed, Barbara Gerber
        Introduction 217
        Methods of autogenous (biological) reconstruction 217
        Gap/interpositional arthroplasty 217
        Vascularized grafts 218
        Nonvascularized Grafts 218
        Advantages and Disadvantages of Autogenous Grafts 221
        Summary 221
        Clinics care points 221
        Disclosure 221

        Alloplastic Reconstruction of the Temporomandibular Joint in Patients with Dentofacial Deformities 223

        Gary Warburton, Louis G. Mercuri
        Introduction: nature of the problem 223
        Preoperative planning 223
        Temporomandibular joint alloplastic device selection and design 223
        Virtual surgical planning 223
        Sequencing combined temporomandibular joint reconstruction and orthognathic surgery 225
        Surgical preparation in the operating room 226
        Surgical approaches and implantation procedure 227
        Surgical access 227
        Condylectomies and coronoidectomies 227
        Setting the occlusion into the intermediate splint 227
        Implantation of the alloplastic devices 228
        Closure of the surgical sites 228
        Maxillary orthognathic surgery and genioplasty, if needed 230
        Rehabilitation and recovery 230
        Pearls and pitfalls 231
        Clinical cases 233
        Summary 233
        Clinics care points 233

        Tissue Engineering in Temporomandibular Joint Reconstruction 235

        David Faustino Ângelo, Florencio Monje
        Introduction 235
        Animal model for temporomandibular joint tissue engineering 235
        Study design for preclinical temporomandibular joint tissue engineering 236
        The rationale for temporomandibular joint tissue engineering 238
        Tissue-engineered implants 239
        Summary 244
        Clinics care points 244
        Disclosure 244
        Funding 244

        Physiotherapy in the Postoperative Period of Temporomandibular Joint Surgery 247

        Alfonso Gil-Martínez, Josué Fernández-Carnero, Susan Armijo-Olivo
        Introduction 247
        Physiologic impact of the surgery related to physical therapy management 247
        Indications/contraindications for physical therapy 247
        Beginning and end of physiotherapy treatments 248
        Physiotherapy approaches 248
        Immediate postsurgical period 248
        Techniques based on the representation of movement 248
        Lymphatic drainage 248
        Postsurgical thermotherapy (cryotherapy) 249
        Limitation of mobility 249
        Alteration of motor control and instability 250
        Hypoalgesic techniques 250
        Therapeutic patient education 251
        Neurophysiology 251
        Advertisements/information 252
        Self-management 252
        Referral 254
        Summary 254
        Clinics care points254