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• W4200339982 abstract "Temporomandibular joint (TMJ) discectomy is one of the most popular surgical techniques for patients with an unsalvageable disc. Previous studies have demonstrated predictable results of discectomy with optimal results in pain reduction and maximum mouth opening (MMO) improvement. However, those studies had most of the times wide-ranging inclusion criteria. This study was therefore conducted to assess the role of unilateral TMJ discectomy in a well defined diagnosis. A 6-year prospective study was designed including patients treated with unilateral TMJ discectomy without interposal material, preserving condyle and temporal fibrocartilage, for two specific intra-articular diagnosis: disc perforation and disc fragmentation. A total of 19 patients were enrolled, with a mean age of 51.05 ± 13.71 (mean ± SD) years. Preoperative pain was 7.63 ± 1.89 (mean ± SD), MMO was 25.95 ± 10.27 mm (mean ± SD) and muscle tenderness (MT) was 2.53 ± 0.77 (mean ± SD). The most common diagnosis was disc perforation. After an average of 37.9 months of follow-up time (range from 10 to 71 months), a statistically significant improvement of pain (P < 0.0001), MMO (P < 0.0001) and MT (P = 0.00011) was observed. Postoperatively, 16 of 18 patients (89 %) showed a reduction in pain and improvement in MMO, fulfilling the criteria for a successful outcome of TMJ surgery. No second surgery was necessary. Unilateral TMJ discectomy without interposal material in patients with disc perforation or fragmentation seems to be an adequate technique. However, we encourage rigorous long-term studies and new preclinical trials to pursuit a disc substitute, as relevant preclinical trials have demonstrated significant degenerative changes after TMJ discectomy." @default.
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• W4200339982 date "2022-07-01" @default.
• W4200339982 modified "2023-10-18" @default.
• W4200339982 title "Unilateral temporomandibular joint discectomy without interposal material in patients with disc perforation or fragmentation: A prospective study" @default.
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• W4200339982 doi "https://doi.org/10.1016/j.ajoms.2021.12.005" @default.
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