Efficiency of arthroscopic lysis and lavage for internal derangement of the temporomandibular joint correlated with Wilkes classification

Smolka, Wenko; Yanai, Chie; Smolka, Koord; Iizuka, Tateyuki (2008). Efficiency of arthroscopic lysis and lavage for internal derangement of the temporomandibular joint correlated with Wilkes classification. Oral surgery, oral medicine, oral pathology, oral radiology and endodontology, 106(3), pp. 317-323. Orlando, Fla.: Elsevier 10.1016/j.tripleo.2007.12.007

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OBJECTIVES: To compare the outcome of arthroscopic lysis and lavage of TMJ with internal derangement of Wilkes stages II, III, IV, and V. STUDY DESIGN: Arthroscopic lysis and lavage was performed in 45 TMJ of 39 patients with internal derangement. The cases were divided into 4 groups corresponding to Wilkes stages II, III, IV, and V. Two parameters were compared pre- and postoperatively: pain and mouth opening. Statistical significance was determined using the chi(2) test. RESULTS: Overall success rate was 86.7% (Wilkes stage II 90.9%, Wilkes stage III 92.3%, Wilkes stage IV 84.6%, Wilkes stage V 75%). There were no statistically significant differences between the success rates for Wilkes stages II, III, IV, and V. CONCLUSION: Arthroscopic lysis and lavage should be performed as a standard operation for internal derangement of the TMJ after failure of conservative treatment in all Wilkes stages.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery

UniBE Contributor:

Smolka, Wenko; Smolka, Koord Maximilian Wilke and Iizuka, Tateyuki

ISSN:

1079-2104

ISBN:

18226569

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:56

Last Modified:

08 Jun 2016 10:43

Publisher DOI:

10.1016/j.tripleo.2007.12.007

PubMed ID:

18226569

Web of Science ID:

000258449300002

URI:

https://boris.unibe.ch/id/eprint/23763 (FactScience: 44313)

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