Intraoperative comparison of single- and double-puncture techniques in temporomandibular joint arthrocentesis


ŞENTÜRK M. F. , YAZICI T. , FINDIK Y. , BAYKUL T.

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, vol.47, no.8, pp.1060-1064, 2018 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 47 Issue: 8
  • Publication Date: 2018
  • Doi Number: 10.1016/j.ijom.2018.03.029
  • Title of Journal : INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
  • Page Numbers: pp.1060-1064

Abstract

The objective of this study was to compare techniques for temporomandibular joint (TMJ) arthrocentesis intraoperatively and to determine the ease of performance of these techniques for the physician. A total of 33 TMJ treatments were done using single-puncture arthrocentesis (SPA) type 1, SPA type 2, and double-puncture arthrocentesis (DPA) (n = 11 in each treatment group) between December 2013 and December 2017. A retrospective analysis of the duration of the procedure (minutes), occurrence of complications, number of cannula relocations, and ease of the procedure was performed. Ease of the procedure was measured using a Likert-type visual analogue scale (VAS; 0-10). All measurement variables were recorded intraoperatively, and related data were analyzed statistically. Significant differences were found between SPA type 2 and the other techniques in terms of procedure duration and ease of the procedure (P < 0.05). No significant differences were found in the occurrence of complications or number of cannula relocations between the techniques (P > 0.05). Compared to the other TMJ arthrocentesis techniques, SPA type 2 is easier, and physicians can perform it in a shorter time.