Abstract
Management of temporomandibular joint (TMJ) disorders has significantly improved since the introduction of arthroscopy. Diagnostic arthroscopy technique requires the creation of one puncture, while procedures requiring both visualization and operation require two punctures. The advanced Operative Single-Cannula Arthroscopy (OSCA) technique presented here requires only a single cannula, through which a visualization canal, irrigation canal, and a working canal are established. The technique supports “one-track arthrocentesis” and standard arthrocentesis under diagnostic visualization, and visually-guided surgery involving either hand or mechanical instruments or laser (Holmium:YAG). The technique is as effective as traditional techniques, with the added benefits of a short learning curve and simplicity of execution. This chapter provides a detailed protocol for the management of TMD using the OSCA technique.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Onishi M. Arthroscopy of the temporomandibular joint. Kokubyo Gakkai Zasshi. 1975;42:207–13.
Murakami K, Hoshino K. Regional anatomical nomenclature and arthroscopic terminology in human temporomandibular joints. Okajimas Folia Anat Jpn. 1982;58:745–60.
McCain J. Arthroscopy of the human temporomandibular joint. J Oral Maxillofac Surg. 1988;46:648–55.
McCain JP. Principles and practice of temporomandibular joint arthroscopy. St. Louis: Mosby; 1996.
Sanders B. Arthroscopic surgery of the temporomandibular joint: treatment of internal derangement with persistent closed lock. Oral Surg Oral Med Oral Pathol. 1986;62:361–72.
Holmlund A, Hellsing G. Arthroscopy of the temporomandibular joint: an autopsy study. Int J Oral Maxillofac Surg. 1985;14:169–75.
Nitzan DW, Dolwick MF, Martinez GA. Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg. 1991;49:1163–7.
Koslin MG, Martin JA. TMJ arthroscopic surgery. Clinical results in 79 cases. J Ala Dent Assoc. 1990 Winter;74(1):26–31.
McCain JP, Hossameldin RH. Advanced arthroscopy of the temporomandibular joint. Atlas Oral Maxillofac Surg Clin North Am. 2011;19:145–67.
Srouji S, Oren D, Zoabi A, Ronen O, Zraik H. Temporomandibular joint arthroscopy technique using a single working cannula. Int J Oral Maxillofac Surg. 2016;45:1490–4.
Gonza’lez-Garcı’a R, Gil-Dı’ez Usandizaga JL, Rodrı´-guez-Campo FJ. Arthroscopic anatomy and lysis and lavage of the temporomandibular joint. Atlas Oral Maxillofac Surg Clin North Am 2011;19:131–144.
Wilkes CH. Internal derangements of the temporomandibular joint: pathological variations. Arch Otolaryngol Head Neck Surg. 1989;115:469–77.
Barkin S, Weinberg S. Internal derangements of the temporomandibular joint: the role of arthroscopic surgery and arthrocentesis. J Can Dent Assoc. 2000;66:199–203.
American Association of Oral and Maxillofacial Surgeons. Position paper on TMJ arthroscopy 1988. In: Thomas M, Bronstein S, editors. Arthroscopy of the temporomandibular joint. Philadelphia, PA: WB Saunders; 1991. p. 347–50.
Israel H. Arthroscopy of the temporomandibular joint. In: Indresano T, Marciani R, et al., editors. Peterson L. JB Lippincott: Principles of oral and maxillofacial surgery. Philadelphia; 1992. p. 2015–40.
Murakami K, Ono T. Temporomandibular joint arthroscopy by inferolateral approach. J Oral Maxillofac Surg. 1986;15:410.
Ferna’ndez Sanroma’n J, Ferna’ndez Sanroma’n M, Costas Lo’pez A, Arenaz Bua J, Lo’pez A. Does injection of plasma rich in growth factors after temporomandibular joint arthroscopy improve outcomes in patients with Wilkes stage IV internal derangement? A randomized prospective clinical study. Int J Oral Maxillofac Surg. 2016;45:828–35.
Everts PAM, Knape JTA, Weibrich G, et al. Platelet-rich plasma and platelet gel: A review. J Extra Corpor Technol. 2006;38:174.
Chang KV, Hung CY, Aliwarga F, Wang TG, Han DS, Chen WS. Comparative effectiveness of platelet-rich plasma injections for treating knee joint cartilage degenerative pathology: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2014;95:562–75.
Khoshbin A, Leroux T, Wasserstein D, Marks P, Theodoropoulos J, Ogilvie-Harris D, et al. The efficacy of platelet-rich plasma in the treatment of symptomatic knee osteoarthritis: a systematic review with quantitative synthesis. Arthroscopy. 2013;29:2037–48.
Sa’nchez M, Fiz N, Azofra J, Usabiaga J, Aduriz Recalled E, Garcia Gutierrez A, et al. A randomized clinical trial evaluating plasma rich in growth factors (PRGF-Endoret) versus hyaluronic acid in the short-term treatment of symptomatic knee osteoarthritis. Arthroscopy. 2012;28:1070–8.
Vaquerizo V, Plasencia M.A´, Arribas I, Sei-jas R, Padilla S, Orive G, et al. Comparison of intra-articular injections of plasma rich in growth factors (PRGF-Endoret) versus Durolane hyaluronic acid in the treatment of patients with symptomatic osteoarthritis: a randomized controlled trial. Arthroscopy 2013;29:1635–1643.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Ethics declarations
Content of the chapter has original research of the authors. Portions of the text and figures of the chapter are reprinted/adapted with permission from Springer Nature; Originally published by the authors, Srouji S. McCain J. (2018) Modern Temporomandibular Joint Arthroscopy: Operative Single-Cannula Arthroscopy. In: Nahlieli O. (eds) Minimally Invasive Oral and Maxillofacial Surgery. Springer, Berlin, Heidelberg.
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Srouji, S., Oren, D. (2021). Temporomandibular Joint Arthroscopy Using Operative Single-Cannula Arthroscope. In: Bhargava, D. (eds) Temporomandibular Joint Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-16-2754-5_21
Download citation
DOI: https://doi.org/10.1007/978-981-16-2754-5_21
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-2753-8
Online ISBN: 978-981-16-2754-5
eBook Packages: MedicineMedicine (R0)