Meniscectomy for internal derangement of temporomandibular joint

doi:10.1016/0002-9610(52)90271-7

The American Journal of Surgery

Volume 83, Issue 3, March 1952, Pages 364-373

https://doi.org/10.1016/0002-9610(52)90271-7 Get rights and content

Abstract

Meniscectomy has a definite place in the treatment of dysfunction of the temporomandibular joint. This has been shown by the complete relief of chronic symptoms and return of normal function of the mandible in fifteen cases. The diagnosis is based entirely on signs and symptoms and operation is contraindicated in the acute cases with exception of acute dislocation and rupture of the meniscus.

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Cited by (45)

Diagnosis and Management of Temporomandibular Joint Pain and Masticatory Dysfunction
2012, Current Therapy in Oral and Maxillofacial Surgery
Diagnosis and Management of Temporomandibular Joint Pain and Masticatory Dysfunction
2011, Current Therapy in Oral and Maxillofacial Surgery
Evaluation of Surgically Retrieved Temporomandibular Joint Alloplastic Implants: Pilot Study
2008, Journal of Oral and Maxillofacial Surgery
The purpose of this study was to perform a retrieval analysis of temporomandibular joint (TMJ) alloplastic interpositional implants and test possible correlation between implant failure features and patient clinical outcomes. In addition, we investigated the implants' surface and examined the foreign body reaction associated with different types of alloplastic materials.
Twelve implants (Proplast/Teflon [Vitek, Houston, TX] and Silastic [Dow Corning, Midland, MI]) were surgically removed from the patients' TMJs. Implant surface failure features (fracture length, perforation of the implants) were observed using stereomicroscopy and recorded for description of the failure mechanisms and to statistically compare with clinical outcomes. Patients' clinical data (pain symptoms and mandibular function) were collected and examined. Clinical outcomes were obtained relative to symptom severity (Symptom Severity Index [SSI]) and jaw function (modified Mandibular Function Impairment Questionnaire [mMFIQ]). Peri-implant soft tissues and implants were analyzed with light microscopy and stereo zoom microscopy. Electron microprobe analysis of implant fragments and peri-implant tissues was performed.
The statistical results showed that only the presence of implant perforation was statistically associated with the SSI, specifically with the pain tolerability dimension. No statistical association was seen between any of the other implant failure predictors and the SSI and between the predictors and the mMFIQ. Stereo zoom microscopy suggested that Proplast/Teflon implants (n = 7) were susceptible to perforation, layer tearing, fracture and fiber extrusion. The Silastic implants (n = 3) revealed a possible center perforation with fracture lines towards the periphery and fiber extrusion. Teflon implant wear debris particles appear to trigger a multinucleated giant cell foreign body reaction.
Facial pain was a significant correlate to perforation and breakdown of the alloplastic TMJ interpositional implants, and most likely was the reason for implant removal.
History of Temporomandibular Joint Surgery
2006, Oral and Maxillofacial Surgery Clinics of North America
Citation Excerpt :
The concept of discectomy is based on the assumption that a grossly displaced, deformed, or degenerated disc can cause symptoms of pain, locking, and stiffness, and can induce further inflammatory degenerative joint changes, and that removal of the disc may reduce these symptoms. Discectomy was a popular operation during the 1940s–1960s, with several favorable reports [9–12]. In the 1970s, as understanding of the pathophysiology of internal derangement increased and imaging modalities improved, discectomy regained popularity.
The role of surgery in the management of disorders of the Temporomandibular Joint: A critical review of the literature - Part 1
2005, International Journal of Oral and Maxillofacial Surgery
Citation Excerpt :
The first published case of discectomy for painful TMJ dysfunction was reported in the German literature by Lanz68 in 1909. From then until the 1950s discectomy remained the procedure of choice in the surgical treatment of painful TMJ dysfunction5,34,42,66. The refinement of X-rays of the TMJ by the 1950s suggested that a reduction in joint space might well explain the painful TMJ dysfunction as a consequence of increased joint pressure.
Despite the controversy surrounding the role of surgery in the management of Temporomandibular Disorders (TMD), studies in peer review journals continue to support the role of surgery as a legitimate means of treating pain and dysfunction in the Temporomandibular Joint (TMJ). To better understand the role of surgery in the management of TMJ disorders, a critical review of the literature will be presented in two parts. Part 1 reviews the evolution of TMJ surgery together with the biological evidence for surgical disease. History teaches us that we are destined to repeat the mistakes of the past if we fail to properly reflect on what has already been achieved and where the failures have occurred. With the help of molecular biology, the future of TMD management may comprise more carefully targeted and less radical treatment modalities.
Pterygoid plate disjunction: Minimally invasive treatment for internal derangement of the temporomandibular joint
2005, Asian Journal of Oral and Maxillofacial Surgery
Objective: To present a new treatment method for internal derangement of the temporomandibular joint.
Patients and Methods: Patients with a clinical diagnosis of internal derangement of the temporomandibular joint, with pain and/or trismus and/or joint noise, underwent pterygoid plate disjunction on the affected side. Severity of symptoms was evaluated before and 18 months after the procedure.
Results: Thirty patients were evaluated. Pain symptoms resolved in 26 of 29 joints and diminished in the remaining 3 joints. Trismus resolved in 22 of 24 patients and diminished in the remaining 2 patients. Joint noise disappeared in 23 of 30 joints.
Conclusion: Pterygomaxillary disjunction appears to be an effective treatment for painful internal derangement of the temporomandibular joint that is worthy of further investigation.

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¹: From the Plastic Surgery Section, Department of Surgery, School ol Medicine of Western Reserve University, Cleveland, O.

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Scientific paperMeniscectomy for internal derangement of temporomandibular joint

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Scientific paper
Meniscectomy for internal derangement of temporomandibular joint