Arthrocentesis

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Alpesh Vaghasiya - One of the best experts on this subject based on the ideXlab platform.

  • clinical and radiological outcome of Arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation
    Journal of Clinical and Experimental Dentistry, 2017
    Co-Authors: Jinesh Patel, Kumar Nilesh, M I Parka, Alpesh Vaghasiya
    Abstract:

    BACKGROUND This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation. MATERIAL AND METHODS Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule. Preoperative and postoperative assessment included; thorough history, clinical examination of TMJ, maximal mouth opening, frequency of dislocation, TMJ radiographs (open and closed mouth position), MRI, recurrence and presence of facial nerve paralysis. RESULTS At the end of 3 months follow-up 8 patients (80%) had successful outcome with no further episodes of dislocation, whereas two patients reported with recurrence. Post-operative MRI showed significant improvement after ABI, compared to pre-operative MRI. There were no degenerative changes to the bony and soft tissue components of TMJ. CONCLUSIONS ABI is a simple, safe, minimally invasive and cost-effective technique for treatment of chronic recurrent TMJ dislocation. MRI evaluation showed an improvement in the anatomical and spatial relationship of the osseous and soft tissue components of the TMJ. Key words:TMJ lavage, luxation, fibrosis, magnetic resonance imaging.

  • Clinical and radiological outcome of Arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation
    Journal of Clinical and Experimental Dentistry, 2017
    Co-Authors: Jinesh Patel, Kumar Nilesh, Mushtaq I. Parkar, Alpesh Vaghasiya
    Abstract:

    This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation. Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule. Preoperative and postoperative assessment included; thorough history, clinical examination of TMJ, maximal mouth opening, frequency of dislocation, TMJ radiographs (open and closed mouth position), MRI, recurrence and presence of facial nerve paralysis. At the end of 3 months follow-up 8 patients (80%) had successful outcome with no further episodes of dislocation, whereas two patients reported with recurrence. Post-operative MRI showed significant improvement after ABI, compared to pre-operative MRI. There were no degenerative changes to the bony and soft tissue components of TMJ. ABI is a simple, safe, minimally invasive and cost-effective technique for treatment of chronic recurrent TMJ dislocation. MRI evaluation showed an improvement in the anatomical and spatial relationship of the osseous and soft tissue components of the TMJ

Jinesh Patel - One of the best experts on this subject based on the ideXlab platform.

  • clinical and radiological outcome of Arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation
    Journal of Clinical and Experimental Dentistry, 2017
    Co-Authors: Jinesh Patel, Kumar Nilesh, M I Parka, Alpesh Vaghasiya
    Abstract:

    BACKGROUND This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation. MATERIAL AND METHODS Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule. Preoperative and postoperative assessment included; thorough history, clinical examination of TMJ, maximal mouth opening, frequency of dislocation, TMJ radiographs (open and closed mouth position), MRI, recurrence and presence of facial nerve paralysis. RESULTS At the end of 3 months follow-up 8 patients (80%) had successful outcome with no further episodes of dislocation, whereas two patients reported with recurrence. Post-operative MRI showed significant improvement after ABI, compared to pre-operative MRI. There were no degenerative changes to the bony and soft tissue components of TMJ. CONCLUSIONS ABI is a simple, safe, minimally invasive and cost-effective technique for treatment of chronic recurrent TMJ dislocation. MRI evaluation showed an improvement in the anatomical and spatial relationship of the osseous and soft tissue components of the TMJ. Key words:TMJ lavage, luxation, fibrosis, magnetic resonance imaging.

  • Clinical and radiological outcome of Arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation
    Journal of Clinical and Experimental Dentistry, 2017
    Co-Authors: Jinesh Patel, Kumar Nilesh, Mushtaq I. Parkar, Alpesh Vaghasiya
    Abstract:

    This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation. Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule. Preoperative and postoperative assessment included; thorough history, clinical examination of TMJ, maximal mouth opening, frequency of dislocation, TMJ radiographs (open and closed mouth position), MRI, recurrence and presence of facial nerve paralysis. At the end of 3 months follow-up 8 patients (80%) had successful outcome with no further episodes of dislocation, whereas two patients reported with recurrence. Post-operative MRI showed significant improvement after ABI, compared to pre-operative MRI. There were no degenerative changes to the bony and soft tissue components of TMJ. ABI is a simple, safe, minimally invasive and cost-effective technique for treatment of chronic recurrent TMJ dislocation. MRI evaluation showed an improvement in the anatomical and spatial relationship of the osseous and soft tissue components of the TMJ

Eduardo Grossmann - One of the best experts on this subject based on the ideXlab platform.

  • comparison between tmj Arthrocentesis techniques with different needle positions a randomized single blind controlled clinical trial
    Journal of Cranio-maxillofacial Surgery, 2021
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha
    Abstract:

    Abstract Objective To compare different temporomandibular joint (TMJ) Arthrocentesis techniques with needles arranged in two different patterns. Materials and methods Two groups of TMJ Arthrocentesis techniques were studied: group 1, with the classic positioning of the needles; and group 2, with a parallel positioning of the needles. Clinical data (patient’s pain perception and mandibular movements) were evaluated before and 18 months after Arthrocentesis. The duration of the procedure was also recorded. Results Forty patients were equally and randomly divided into the two groups. The paired Student’s t-test showed that both Arthrocentesis procedures reduced the intensity of patient pain perception and improved mandibular movements (maximal interincisal distance, protrusion, and laterality) with statistically significant differences between the evaluations before and after the TMJ Arthrocentesis (p Conclusion Both Arthrocentesis procedures reduced the intensity of patient pain perception and improved mandibular movements. The two-needle TMJ Arthrocentesis with parallel positioning of the second needle was performed more quickly, and should be chosen whenever possible.

  • comparison of two needles Arthrocentesis versus double needle cannula Arthrocentesis in the treatment of temporomandibular disc displacement
    Cranio-the Journal of Craniomandibular Practice, 2020
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Enio Tadashi Setogutti, Luciano Ambrosio Ferreira, Liogi Iwaki Filho
    Abstract:

    To compare clinical and imaging results of two needles Arthrocentesis (TNA) versus double-needle cannula Arthrocentesis (DNCA) in the treatment of temporomandibular joint disc displacement (DD). Tw...

  • the use of Arthrocentesis in patients with temporomandibular joint disc displacement without reduction
    PLOS ONE, 2019
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Rosângela Getirana Santana, Liogi Iwaki Filho
    Abstract:

    The aim of this study was to evaluate the efficacy of the use of the Arthrocentesis in patients with disc displacement without reduction (DDWOR). Two hundred and thirty-four (234) patients with DDWOR were evaluated and the following data collected: gender; affected side; age (years); duration of the pain (months); patient's perception of pain (measured by Visual Analogue Scale [VAS 0–10]); maximal interincisal distance (MID) (mm); and joint disc position, determined by magnetic resonance imaging. Data were obtained in two different moments: before the Arthrocentesis (M1) and three or four months later (M2). Paired t-Student Test, Scores Test and Wilcoxon Test showed a statistical significant difference (p 0.05). It can be concluded that the Arthrocentesis is efficient in reducing the pain, in increasing interincisal distance, and altering the joint disc position in patients with DDWOR regardless gender, age side and pain duration.

  • MAICD example.
    2019
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Rosângela Getirana Santana, Liogi Iwaki Filho
    Abstract:

    A: before the Arthrocentesis. B: four months after Arthrocentesis.

  • NC example.
    2019
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Rosângela Getirana Santana, Liogi Iwaki Filho
    Abstract:

    A: before the Arthrocentesis. B: four months after Arthrocentesis.

Rodrigo Lorenzi Poluha - One of the best experts on this subject based on the ideXlab platform.

  • comparison between tmj Arthrocentesis techniques with different needle positions a randomized single blind controlled clinical trial
    Journal of Cranio-maxillofacial Surgery, 2021
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha
    Abstract:

    Abstract Objective To compare different temporomandibular joint (TMJ) Arthrocentesis techniques with needles arranged in two different patterns. Materials and methods Two groups of TMJ Arthrocentesis techniques were studied: group 1, with the classic positioning of the needles; and group 2, with a parallel positioning of the needles. Clinical data (patient’s pain perception and mandibular movements) were evaluated before and 18 months after Arthrocentesis. The duration of the procedure was also recorded. Results Forty patients were equally and randomly divided into the two groups. The paired Student’s t-test showed that both Arthrocentesis procedures reduced the intensity of patient pain perception and improved mandibular movements (maximal interincisal distance, protrusion, and laterality) with statistically significant differences between the evaluations before and after the TMJ Arthrocentesis (p Conclusion Both Arthrocentesis procedures reduced the intensity of patient pain perception and improved mandibular movements. The two-needle TMJ Arthrocentesis with parallel positioning of the second needle was performed more quickly, and should be chosen whenever possible.

  • comparison of two needles Arthrocentesis versus double needle cannula Arthrocentesis in the treatment of temporomandibular disc displacement
    Cranio-the Journal of Craniomandibular Practice, 2020
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Enio Tadashi Setogutti, Luciano Ambrosio Ferreira, Liogi Iwaki Filho
    Abstract:

    To compare clinical and imaging results of two needles Arthrocentesis (TNA) versus double-needle cannula Arthrocentesis (DNCA) in the treatment of temporomandibular joint disc displacement (DD). Tw...

  • the use of Arthrocentesis in patients with temporomandibular joint disc displacement without reduction
    PLOS ONE, 2019
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Rosângela Getirana Santana, Liogi Iwaki Filho
    Abstract:

    The aim of this study was to evaluate the efficacy of the use of the Arthrocentesis in patients with disc displacement without reduction (DDWOR). Two hundred and thirty-four (234) patients with DDWOR were evaluated and the following data collected: gender; affected side; age (years); duration of the pain (months); patient's perception of pain (measured by Visual Analogue Scale [VAS 0–10]); maximal interincisal distance (MID) (mm); and joint disc position, determined by magnetic resonance imaging. Data were obtained in two different moments: before the Arthrocentesis (M1) and three or four months later (M2). Paired t-Student Test, Scores Test and Wilcoxon Test showed a statistical significant difference (p 0.05). It can be concluded that the Arthrocentesis is efficient in reducing the pain, in increasing interincisal distance, and altering the joint disc position in patients with DDWOR regardless gender, age side and pain duration.

  • MAICD example.
    2019
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Rosângela Getirana Santana, Liogi Iwaki Filho
    Abstract:

    A: before the Arthrocentesis. B: four months after Arthrocentesis.

  • NC example.
    2019
    Co-Authors: Eduardo Grossmann, Rodrigo Lorenzi Poluha, Lilian Cristina Vessoni Iwaki, Rosângela Getirana Santana, Liogi Iwaki Filho
    Abstract:

    A: before the Arthrocentesis. B: four months after Arthrocentesis.

Kumar Nilesh - One of the best experts on this subject based on the ideXlab platform.

  • clinical and radiological outcome of Arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation
    Journal of Clinical and Experimental Dentistry, 2017
    Co-Authors: Jinesh Patel, Kumar Nilesh, M I Parka, Alpesh Vaghasiya
    Abstract:

    BACKGROUND This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation. MATERIAL AND METHODS Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule. Preoperative and postoperative assessment included; thorough history, clinical examination of TMJ, maximal mouth opening, frequency of dislocation, TMJ radiographs (open and closed mouth position), MRI, recurrence and presence of facial nerve paralysis. RESULTS At the end of 3 months follow-up 8 patients (80%) had successful outcome with no further episodes of dislocation, whereas two patients reported with recurrence. Post-operative MRI showed significant improvement after ABI, compared to pre-operative MRI. There were no degenerative changes to the bony and soft tissue components of TMJ. CONCLUSIONS ABI is a simple, safe, minimally invasive and cost-effective technique for treatment of chronic recurrent TMJ dislocation. MRI evaluation showed an improvement in the anatomical and spatial relationship of the osseous and soft tissue components of the TMJ. Key words:TMJ lavage, luxation, fibrosis, magnetic resonance imaging.

  • Clinical and radiological outcome of Arthrocentesis followed by autologous blood injection for treatment of chronic recurrent temporomandibular joint dislocation
    Journal of Clinical and Experimental Dentistry, 2017
    Co-Authors: Jinesh Patel, Kumar Nilesh, Mushtaq I. Parkar, Alpesh Vaghasiya
    Abstract:

    This study was conducted to evaluate the functional outcome and MRI findings of arthrocentsis followed by autologous blood injection (ABI) into the joint space for management of chronic recurrent TMJ dislocation. Total ten patients with bilateral chronic recurrent condylar dislocation were included in the study. Arthrocentesis of both TMJ was performed on each patient, followed by the injection of 2 ml of autologous blood into the superior joint compartment and 1 ml onto the outer surface of the joint capsule. Preoperative and postoperative assessment included; thorough history, clinical examination of TMJ, maximal mouth opening, frequency of dislocation, TMJ radiographs (open and closed mouth position), MRI, recurrence and presence of facial nerve paralysis. At the end of 3 months follow-up 8 patients (80%) had successful outcome with no further episodes of dislocation, whereas two patients reported with recurrence. Post-operative MRI showed significant improvement after ABI, compared to pre-operative MRI. There were no degenerative changes to the bony and soft tissue components of TMJ. ABI is a simple, safe, minimally invasive and cost-effective technique for treatment of chronic recurrent TMJ dislocation. MRI evaluation showed an improvement in the anatomical and spatial relationship of the osseous and soft tissue components of the TMJ