TMJ Internal Derangement. Part 2: Surgical Management. A Narrative Review

Hegab AF

Department of Oral & Maxillofacial Surgery, Al-Azhar University in Cairo, Egypt

^*Correspondance to: Ayman F Hegab 

 PDF  Full Text DOI: 10.25107/2474-1647.3710

Abstract

Surgical treatment of TMJ derangement is controversial and confusing due to the wide range of pathologic changes associated with the term TMJ internal derangement (as discussed in part 1, nonsurgical treatment). The most important question is, when to shift from the non-surgical to surgical interventions to prevent the disease progression? The failure of non-surgical treatment doesn’t give a green light for surgical treatment rather than gives red light on the possible undiagnosed cause of TMJ internal derangement that required reevaluation and treatment. The concept of system failure with functional rehabilitation as a primary goal of treatment should be considered while dealing with TMJ internal derangement patients. Arthrocentesis and arthroscopy can achieve predictable results and can be successfully associated with non-surgical treatment modalities such as splint. Open joint surgery as a first line of treatment should be limited to TMJ ankylosis,

Keywords

Surgical treatment; TMJ arthroscopy; Diskectomy; Ankylosis; Total joint replacement

Cite the article

Hegab AF. TMJ Internal Derangement. Part 2: Surgical Management. A Narrative Review. Clin Surg. 2024; 9: 3710..