The effectiveness of the surgical correction of the temporomandibular joint intracapsular disorders

Background. The prevalence of temporomandibular joint diseases covers about 40% of the population. The main place (from 70 to 82%) among these diseases is occupied by the so-called intracapsular disorders of the temporomandibular joint (TMJ). The lack of consensus on the use of treatment methods and clear protocols for the rehabilitation of patients with intracapsular TMJ disorders was the basis for the conduct of this study. Objective. The purpose of the study was to analyze the treatment effectiveness in patients with intracapsular disorders of the temporomandibular joint using the complex of pathogenetically substantiated conservative and surgical methods. Methods. The research included 43 patients with complaints to pains and dysfunction of TMJ. Everything fulfilled the uniform protocol of inspection. Depending on disease degree to patients were assigned or a course of conservative treatment with use splint therapy, or surgical correction of defect. Results. After analyzing the dynamics of patient treatment in the framework of this study, it was found that surgical correction of intracapsular disorders of the temporomandibular joint was effective in all patients examined by us. Conclusion. To maintain a long-term stable result, this group of patients is shown orthodontic-orthopedic rehabilitation, with the goal of creating and maintaining correct occlusal relationships.

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ANALYSIS OF EFFICIENCY OF THE TEMPORO-MANDIBULAR DISORDERS TREATMENT

Medical Science of Ukraine (MSU) ◽

10.32345/2664-4738.1.2020.07 ◽

2020 ◽

Vol 16 (1) ◽

pp. 48-51

Author(s):

T.M. Kostiuk ◽

A.A. Kaniura ◽

N. Lytovchenko

Keyword(s):

Surgical Intervention ◽

Clinical Manifestations ◽

Treatment Protocols ◽

Orthopedic Rehabilitation ◽

Surgical Methods ◽

High Incidence ◽

The Common ◽

Mandibular Joints ◽

Dynamical Pattern

Relevance. Treatment of the temporo-mandibular joint (TMJ) dysfunctions still stays an urgent issue of modern stomatology. Its significance is predisposed for its high incidence and annual increase in patients’ referrals as well as diversity of it clinical manifestations, complexity of diagnosis and treatment, variability of clinical pattern, which requires a multi-disciplinary approach. According to Ukrainian and foreign authors, the TMJ pathologies take up the third place after caries and parodontal diseases, being diagnosed in 20 % of children and almost 87 % of adults. The share of patients with the TMJ dysfunction increases every year. The 79 % are represented with the intra-capsular disorders of the temporo-mandibular joints. The study was necessitated by the fact that there is still no single agreement in the treatment methods and definite treatment protocols regarding the intracapsular TMJ disorders. Objectives: analysis of efficiency of the TMJ intracapsular disorders patients’ treatment using the pathogenetically rationalized conservative and mini-invasive surgical methods. Methods and materials. The study includes the data of 38 patients with complaints of the TMJ region pain and the TMJ dysfunction. All patients were examined according to the common protocol. According to the disorder stage, the patients were administered either the conservative treatment course using the treatment tray on the mandible or maxilla, with the subsequent orthopedic or prosthetic treatment, or the splint therapy with subsequent surgical intervention. Results. Having analyzed the dynamical pattern of the treatment outcomes within the study, it has been detected that the surgical injection correction of the TMJ disorders was effective in all examined patients. To provide for the long-term steady treatment outcome the prosthetic-orthopedic rehabilitation measures were indicated, aimed at preserving the correct occlusion relation. Conclusion. The method of hyaluronic acid preparations injection into the TMJ cavity as a stage of the TMJ dysfunction therapy has proven its effectiveness in all the examined patients. In order to achieve the long-term steady result, the patients were recommended prosthetic-orthopedic rehabilitation for producing and supporting the occlusion relation.

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Surgical Treatment of Traumatic Temporomandibular Joint Ankylosis With Medially Displaced Residual Condyle: Surgical Methods and Long-Term Results

Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.joms.2011.04.001 ◽

2011 ◽

Vol 69 (9) ◽

pp. 2412-2418 ◽

Cited By ~ 16

Author(s):

Dongmei He ◽

Chi Yang ◽

Minjie Chen ◽

Xiujuan Yang ◽

Lingzhi Li ◽

...

Keyword(s):

Surgical Treatment ◽

Temporomandibular Joint ◽

Long Term Results ◽

Temporomandibular Joint Ankylosis ◽

Surgical Methods ◽

Joint Ankylosis

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MANAGEMENT OF LUMBOSACRAL RADICULITIS

Eastern Ukrainian Medical Journal ◽

10.21272/eumj.2020;8(4):439-447 ◽

2020 ◽

Vol 8 (4) ◽

pp. 439-447

Author(s):

Ie.I. Slynko ◽

O.O. Potapov ◽

Yu.V. Derkach ◽

A.I. Ermoliev ◽

A.Ya. Andrukhiv

Keyword(s):

Conservative Treatment ◽

Treatment Effectiveness ◽

Additional Treatment ◽

Clear Correlation ◽

Long Term Outcomes ◽

Surgical Methods ◽

Endoscopic Discectomy ◽

Methods Of Treatment ◽

Relapse Rates

4,000 patients with discogenic lumbosacral radiculitis were treated. 2,000 patients were managed conservatively, 1,000 patients underwent microdiscectomy and 1,000 patients underwent endoscopic discectomy. The authors of the paper compared indications for different types of treatment, effectiveness of treatment, and duration of rehabilitation. The age of patients in both groups ranged 18 to 78 years. Treatment outcomes were evaluated using the Macnab scale, including the need for additional treatment, duration of rehabilitation treatment, and terms of return to work. Currently, the results of conservative treatment of lumbar hernias are being discussed in the literature. In general, according to authors, the result of conservative treatment is inversely proportional to the size of hernias: the smaller the hernia, the more successful the treatment results. Moreover, there is no clear correlation with the conservative treatment methods. At the same time, the results of surgical intervention directly correlate with the size of hernias or sequesters: the larger the hernia, the better the outcome. Alternatively, microsurgical and endoscopic interventions were used with similar outcomes and relapse rates. The long-term outcomes were tracked using the Macnab scale. Relapses of hernias in the endoscopic discectomy group were found in 18 patients, which was 1.8%. Relapses of hernias in the microdiscectomy group were found in 11 patients, which was 1.1%. Modern conservative methods of treatment allow good outcomes for treatment of hernias even up to 8 mm. In patients with hernias 8 mm to 10 mm the results of conservative treatment were generally not satisfactory and relapses occurred quickly. In patients with hernias of more than 10 mm, conservative treatment is not recommended; positive outcomes are possible only with the use of surgical methods.

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Long-term results after early definitive surgical correction of complete atrioventricular septal defect with two patch technique and complete cleft closure: ten years single centre experience

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0029-1246846 ◽

2010 ◽

Vol 58 (S 01) ◽

Author(s):

F Bakhtiary ◽

J Januschek ◽

T Walther ◽

M Borger ◽

FW Mohr ◽

...

Keyword(s):

Septal Defect ◽

Atrioventricular Septal Defect ◽

Surgical Correction ◽

Long Term Results ◽

Single Centre ◽

Single Centre Experience ◽

Cleft Closure ◽

Patch Technique ◽

Complete Atrioventricular

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Faculty Opinions recommendation of Ablation of atrial tachyarrhythmias late after surgical correction of tetralogy of Fallot: long-term follow-up.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.736460072.793564195 ◽

2019 ◽

Author(s):

Willem Helbing

Keyword(s):

Tetralogy Of Fallot ◽

Surgical Correction ◽

Atrial Tachyarrhythmias ◽

Long Term Follow Up

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DEFINING THE RISK OF RETREATMENT FOR ANEURYSM RECURRENCE OR RESIDUAL AFTER INITIAL TREATMENT BY ENDOVASCULAR COILING

Neurosurgery ◽

10.1227/01.neu.0000349922.05350.96 ◽

2009 ◽

Vol 65 (2) ◽

pp. 311-315 ◽

Cited By ~ 56

Author(s):

Andrew J. Ringer ◽

Rafael Rodriguez-Mercado ◽

Erol Veznedaroglu ◽

Elad I. Levy ◽

Ricardo A. Hanel ◽

...

Keyword(s):

Intracranial Aneurysms ◽

Surgical Repair ◽

The United States ◽

Patient Treatment ◽

Endovascular Coiling ◽

Total Risk ◽

Clinical Recurrence ◽

Choice Of Treatment ◽

Procedural Complications

Abstract OBJECTIVE Endovascular treatment of intracranial aneurysms is less invasive than surgical repair but poses a higher risk for aneurysm recurrence, which may necessitate retreatment, thus adding to the long-term risk. Cerebrovascular neurosurgeons from 8 institutions in the United States and Puerto Rico collaborated to assess the risk of retreatment for residual or recurrent aneurysms after the initial endovascular coiling. METHODS Data were prospectively recorded for 311 patients with coiled intracranial aneurysms who underwent 352 retreatment procedures after angiographic or clinical recurrence (hemorrhage after initial coiling). Results analyzed included procedural complications and procedure-related morbidity. Morbidity was classified as major (modified Rankin scale score > 3) or minor, and temporary (<30 days) or permanent (>30 days). RESULTS Retreatment mortality was 0.85% per procedure and 0.96% per patient. Treatment-related rates were 0.32% per patient (0.28% per procedure) for permanent or temporary major disability; 1.29% for permanent minor disability (1.14% per procedure); and 1.61% for temporary minor disability (1.42% per procedure). Total risk for death or permanent major disability was 1.28% per patient and 1.13% per procedure. CONCLUSION Retreatment poses a low risk for patients with recurrences of intracranial aneurysms after initial coiling; this risk is smaller than that posed by the initial endovascular therapy. The risk of disability associated with retreatment for aneurysm recurrence after coiling must be considered prospectively in the choice of treatment but with the recognition that its effects are low in the overall management risk.

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Long-term Follow-up of Craniofacial Alterations in Juvenile Idiopathic Arthritis

The Angle Orthodontist ◽

10.2319/093008-511r.1 ◽

2009 ◽

Vol 79 (6) ◽

pp. 1057-1062 ◽

Cited By ~ 15

Author(s):

Marinka Twilt ◽

Alcuin J. M. Schulten ◽

Birte Prahl-Andersen ◽

Lisette W. A. van Suijlekom-Smit

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Temporomandibular Joint ◽

Initial Study ◽

Study Cohort ◽

Craniofacial Skeleton ◽

Lateral Cephalograms ◽

Long Term Follow Up ◽

Angular Measurements

Abstract Objective: To investigate changes in the craniofacial skeleton in relation to the changes in condylar alterations that occur during long-term follow-up in patients with juvenile idiopathic arthritis. Materials and Methods: Temporomandibular joint (TMJ) involvement is defined as a condylar alteration that is observed on the orthopantomogram. Lateral cephalograms were used to determine linear and angular measurements. Results: Seventy of 97 patients from the initial study cohort were included, with a mean follow-up of 68 months. The overall prevalence of condylar alterations and posterior rotation of the mandible decreased; however, the prevalence of retrognathia remained the same. Patients showed improvement in the degree of retrognathia and posterior rotation (40% ANB, 51% OP-SN, and 44% GO-GN-SN). Improvement in the degree of retrognathia was seen more often in patients with improved condylar alterations than in patients with persistent alterations and in those without alterations (50%, 33%, and 28%, respectively). The degree of posterior rotation improved almost equally in patients without TMJ involvement and in patients with improved condylar alterations (57% and 50% by OP-SN, and 67% and 38% GO-GN-SN, respectively) and did not improve in patients with stable persistent alterations. Conclusion: Both condylar and craniofacial alterations can improve in patients with juvenile idiopathic arthritis.

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