Temporomandibular disorders – minimally invasive surgical treatment options: arthrocenthesis and arthroscopy

Abstract

Temporomandibularni poremećaj (TMP) obuhvaća različite kliničke dijagnoze orofa- cijalnog bola koji nastaje u žvačnim mišićima, čeljusnom zglobu i okolnim strukturama. Temporomandibularni poremećaj mišićne geneze liječi se konzervativno, dok je kod TMP-a artrogenog podrijetla često indicirano kirurško liječenje. Najčešće se koriste minimalno invazivne tehnike liječenja, gdje spadaju artrocenteza i artroskopija temporomandibularnog zgloba. Artrocenteza podrazumijeva lavažu zgloba „naslijepo” bez kontrole oka. Artroskopija je endo- skopska kirurška metoda koja omogućuje liječenje s minimalnim oštećenjem tkiva, s vrlo rijetkim komplikacijama, bez postoperativnog ožiljka jer je artroskop debljine svega 2 mm, te predstavlja sigurnu tehniku s dobrim rezultatima.Temporomadibular disorder (TMD) encompasses a variety of clinical diagnosis with the symptom of orofacial pain caused by the masticatory muscles, temporomandibular joint and surrounding structures. Nonarticular temporomandibular disorder (usually forms of myalgia) is treated conservatively, while the articular temporomandibular disorders often need surgical treatment. The most commonly used are minimally in- vasive treatment techniques. Arthrocentesis is ”blind” joint lavage. Arthroscopy is an endoscopic surgical method that allows treatment with minimal tissue damage, with very few complications, without postoperative scar because the arthroscope thickness is only 2 mm, it is a safe technique with good results