Skip to main content

Temporomandibular joint disc surgery: biologic basis and treatment outcome

  • Chapter
Management of Temporomandibular Joint Degenerative Diseases

Summary

Disc repair appears to have a biologic basis in Wilkes’ stage II internal joint derangements. With proper patient selection and good surgical technique to stabilize the disc back to a normal relationship to the condyle, the long-term success is around 90%. Magnetic resonance imaging is the technique of choice for follow-up evaluation. Well-controlled studies are still needed to verify results.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Annandale T. On displacement of the interarticular cartilage of the lower jaw and its treatment by operation. Lancet 1887; 1:411

    Article  Google Scholar 

  2. Behan RJ. Loose cartilage in the temporomandibular joint. Ann Surg 1918; 67:536

    Article  PubMed  CAS  Google Scholar 

  3. Norgaard F. Artrografi af kaebeldeddet: Preliminary report. Acta Radiol 1944; 25:679

    Article  Google Scholar 

  4. Wilkes CH. Arthrography of the temporomandibular joint in patients with TMJ pain dysfunction syndrome. Minn Med 1978; 61:645

    PubMed  CAS  Google Scholar 

  5. McCarty WL, Farrar WB. Surgery for internal derangement of the temporomandibular joint. J Prosthet Dent 1979; 42:191

    Article  PubMed  CAS  Google Scholar 

  6. Williams PL, Warwick R. Gray’s anatomy. Edinburgh: Churchill Livingstone, 1980

    Google Scholar 

  7. Osborn JW. The disc of the human temporomandibular joint: design, function and failure. J Oral Rehabil 1985; 12:279

    Article  PubMed  CAS  Google Scholar 

  8. Rees LA. The structure and function of the temporomandibular joint. Br Dent J 1954; 96:125

    Google Scholar 

  9. Scapino RP. Histopathology associated with malposition of the human temporomandibular joint disc. Oral Surg Oral Med Oral Pathol 1983; 55:382

    Article  PubMed  CAS  Google Scholar 

  10. Griffin CJ, Hawthorn R, Harris R. Anatomy and histology of the human temporomandibular joint. Monogr Oral Sci 1975; 4:1

    PubMed  CAS  Google Scholar 

  11. Griffin CJ, Sharpe CJ. Distribution of elastic tissue in the temporomandibular meniscus especially in respect to “compression” areas. Aust Dent J 1962; 7:72

    Article  Google Scholar 

  12. Wilkes CH. Structural and functional alterations of the temporomandibular joint. Northw Dent 1978; 57:287

    CAS  Google Scholar 

  13. Boering G. Anatomical and physiological considerations regarding the temporomandibular joint. Int Dent J 1979; 29:245

    PubMed  CAS  Google Scholar 

  14. Kurita K, Westesson PL, Sternby NH, et al. Histologic features of the temporomandibular joint disk and posterior disk attachment: Comparison of symptom-free persons with normally positioned disks and patients with internal derangement. Oral Surg Med Oral Pathol 1989; 67:635

    Article  CAS  Google Scholar 

  15. Heffez LB, Jordan SL, Crawford GL. Geometric considerations of disk repositioning procedures. J Craniomandibular Pract 1993; 11:102

    CAS  Google Scholar 

  16. Westesson PL, Bronstein SL, Liedberg J. Internal derangement of the temporomandibular joint: morphologic description with correlation to joint function. Oral Surg Oral Med Oral Pathol 1985; 59:323

    Article  PubMed  CAS  Google Scholar 

  17. Luder HU. Articular degeneration and remodeling in human temporomandibular joints with normal and abnormal disc position. J Orofacial Pain 1993; 7:391

    PubMed  CAS  Google Scholar 

  18. Isacsson G, Isberg A, Johansson AS, Larsson O. Internal derangement of the temporomandibular joint: radiographic and histologic changes associated with severe pain. J Oral Maxillofac Surg 1986; 44:771

    Article  PubMed  CAS  Google Scholar 

  19. Chase DC, McCoy JM. Histologic staging on internal derangement of the temporomandibular joint. Oral Maxillofac Surg Clin North Am 1989; 2:249

    Google Scholar 

  20. Hall MB, Brown RW, Baughman RA. Histologic appearance of the bilaminar zone in internal derangement of the temporomandibular joint. Oral Surg Oral Med Oral Path 1984; 58:375

    Article  PubMed  CAS  Google Scholar 

  21. Westesson PL, Lundh H. Arthrographic and clinical characteristics on patients with disk displacement who progressed to closed lock during a 6 month period. Oral Surg Oral Med Oral Pathol 1989; 67:654

    Article  PubMed  CAS  Google Scholar 

  22. Wilkes CH. Surgical treatment of internal derangements of the temporomandibular joint. Arch Otolaryngol Head Neck Surg 1991; 117:64

    PubMed  CAS  Google Scholar 

  23. Hall MB, Baughman R, Ruskin J, Thompson DA. Healing following meniscoplasty eminectomy, and high condylectomy in the monkey temporomandibular joint. J Oral Maxillofac Surg 1986; 44:177

    Article  PubMed  CAS  Google Scholar 

  24. Eppley BL, Kalenderian E, Winkelmann T, Delfino JJ. Surgical repair on defects in the rabbit temporomandibular joint disc: a comparison of various techniques. J Oral Maxillofac Surg 1989; 47:587

    Article  PubMed  CAS  Google Scholar 

  25. McDonald F. The condyle disk as a controlling factor in the form of the condylar head. J Craniomandib Disord Facial Oral Pain 1989; 3:83

    CAS  Google Scholar 

  26. Bosanquet AG, Ishmaru JI, Goss AN. The effect of experimental disc perforation in sheep temporomandibular joints. Int J Oral Maxillofac Surg 1991; 20:177

    Article  PubMed  CAS  Google Scholar 

  27. Ali AM, Sharawy M, O’Dell NL, Al-Behery G. Morphological alterations in the elastic fibers of the rabbit craniomandibular joint following experimentally induced anterior disk displacement. ActaAnat 1993; 147:159

    CAS  Google Scholar 

  28. Wilkes CH. Internal derangements of the temporomandibular joint. Arch Otolaryngol Head Neck Surg 1989; 115:469

    PubMed  CAS  Google Scholar 

  29. Marciani R, Ziegler R. Temporomandibular joint surgery: a review of fifty-one operations. Oral Surg Oral Med Oral Pathol 1983; 56:472

    Article  PubMed  CAS  Google Scholar 

  30. Bronstein SL. Post-surgical TMJ arthrography. J Craniomandibular Pract 1984; 2:165

    PubMed  CAS  Google Scholar 

  31. Dolwick MF, Sanders B. TMJ internal derangement and arthrosis: surgical atlas. St Louis: Mosby, 1985; 202

    Google Scholar 

  32. Politis C, Stoelinga PJW, Gerritsen GW, Heyboer A. Long-term results of surgical intervention on the temporomandibular joint. J Craniomandibular Pract 1989; 7:319

    CAS  Google Scholar 

  33. Zetz M, Ash D. Double-layer closure for temporomandibular joint discoplasty. J Oral Maxillofac Surg 1989; 47:427

    Google Scholar 

  34. Montgomery MT, Gordon SM, VanSickels JE, Harms SE. Changes in signs and symptoms following temporomandibular joint disc repositioning surgery. J Oral Maxillofac Surg 1992; 50:320

    Article  PubMed  CAS  Google Scholar 

  35. Mercuri L, Campbell R, Shamaskin R. Intra-articular meniscal dysfunction surgery. Oral Surg Oral Med Oral Pathol 1982; 54:613

    Article  PubMed  CAS  Google Scholar 

  36. Hall MB. Meniscoplasty of the displaced temporomandibular joint meniscus without violating the inferior joint space. J Oral Maxillofac Surg 1984; 42:788

    Article  PubMed  CAS  Google Scholar 

  37. Weinberg S, Cousens G. Meniscocondylar plication: a modified operation for surgical repositioning of the ectopic temporomandibular joint meniscus. Oral Surg Oral Med Oral Pathol 1987; 63:393

    Article  PubMed  CAS  Google Scholar 

  38. Kerstens HCJ, Tuinzing DB, van der Kwast WAM. Eminectomy and discoplasty for correction of the displaced temporomandibular joint disc. J Oral Maxillofac Surg 1989; 47:150

    Article  PubMed  CAS  Google Scholar 

  39. Dolwick MF, Nitzan DW. TMJ disk surgery: an 8 year follow-up evaluation. Fortschr Kiefer GesichtsChir 1990; 35:162

    PubMed  CAS  Google Scholar 

  40. Conway WF, Hayes CW, Campbell RL, Laskin DM, Swanson KS. Temporomandibular joint after meniscoplasty: appearance at MR Imaging. Radiology 1991; 180:749

    PubMed  CAS  Google Scholar 

  41. de Leeuw R, Boering G, Stegenga B, de Bont LGM. Temporomandibular joint articular disk position and configuration 30 years after diagnosis of internal derangement: a magnetic resonance imaging study. In: de Leeuw R. A thirty-year follow-up study of non-surgically treated temporomandibular joint osteoarthrosis and internal derangement. Thesis, University of Groningen, The Netherlands, 1994

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Birkhäuser Verlag Basel/Switzerland

About this chapter

Cite this chapter

Ryan, D.E. (1996). Temporomandibular joint disc surgery: biologic basis and treatment outcome. In: Stegenga, B., de Bont, L.G.M. (eds) Management of Temporomandibular Joint Degenerative Diseases. Birkhäuser Basel. https://doi.org/10.1007/978-3-0348-8992-6_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-0348-8992-6_14

  • Publisher Name: Birkhäuser Basel

  • Print ISBN: 978-3-0348-9859-1

  • Online ISBN: 978-3-0348-8992-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics