Abstract
This study reviewed the standardized records of 1100 patients with the symptoms of temporomandibular joint syndrome. Of these patients, only 4.5 percent required surgical intervention. The remaining patients were found to have masticatory muscle spasm and were treated by conservative dental methods, Over half the surgical patients had significant macrotrauma to the jaws in their past history. In addition, electromyographic measurement of the masseteric silent period duration in these patients did not reveal muscle spasm. These factors further serve to differentiate tire surgical patient from the patient with myofascial pain dysfunction, The patients selected for surgery demonstrated moderate to severe joint disease and required arthroplasty with partial meniscectomy. A surgical technique is presented demonstrating the reconstruction of the meniscus with silicone implant. This same surgical technique is studied in 10 monkeys, and their joints are examined histologically, The results of surgery reveal that 87 percent of the patients reported improvement I year after surgery. In all patients complaining of temporomandibular joint clicking or crepitus, surgery produced complete alleviation of these symptoms. The results of surgery were also associated with a 62 percent increase of jaw opening. Histologic evaluation of the human meniveal resections revealed that in addition to an anatomic displacement of the meniscus, there are also significant cellular changes. These changes consisted of calcification, a decrease in cellularity, hyperemia, and a decrease in elastin content.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 192-203 |
| Number of pages | 12 |
| Journal | Plastic and Reconstructive Surgery |
| Volume | 75 |
| Issue number | 2 |
| State | Published - 1985 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
Diagnosis and reconstruction of the human temporomandibular joint after trauma or internal derangement. / Bessette, Russell W.; Katzberg, Richard W; Natiella, Joseph R.; Rose, Melissa J.
In: Plastic and Reconstructive Surgery, Vol. 75, No. 2, 1985, p. 192-203.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Diagnosis and reconstruction of the human temporomandibular joint after trauma or internal derangement
AU - Bessette, Russell W.
AU - Katzberg, Richard W
AU - Natiella, Joseph R.
AU - Rose, Melissa J.
PY - 1985
Y1 - 1985
N2 - This study reviewed the standardized records of 1100 patients with the symptoms of temporomandibular joint syndrome. Of these patients, only 4.5 percent required surgical intervention. The remaining patients were found to have masticatory muscle spasm and were treated by conservative dental methods, Over half the surgical patients had significant macrotrauma to the jaws in their past history. In addition, electromyographic measurement of the masseteric silent period duration in these patients did not reveal muscle spasm. These factors further serve to differentiate tire surgical patient from the patient with myofascial pain dysfunction, The patients selected for surgery demonstrated moderate to severe joint disease and required arthroplasty with partial meniscectomy. A surgical technique is presented demonstrating the reconstruction of the meniscus with silicone implant. This same surgical technique is studied in 10 monkeys, and their joints are examined histologically, The results of surgery reveal that 87 percent of the patients reported improvement I year after surgery. In all patients complaining of temporomandibular joint clicking or crepitus, surgery produced complete alleviation of these symptoms. The results of surgery were also associated with a 62 percent increase of jaw opening. Histologic evaluation of the human meniveal resections revealed that in addition to an anatomic displacement of the meniscus, there are also significant cellular changes. These changes consisted of calcification, a decrease in cellularity, hyperemia, and a decrease in elastin content.
AB - This study reviewed the standardized records of 1100 patients with the symptoms of temporomandibular joint syndrome. Of these patients, only 4.5 percent required surgical intervention. The remaining patients were found to have masticatory muscle spasm and were treated by conservative dental methods, Over half the surgical patients had significant macrotrauma to the jaws in their past history. In addition, electromyographic measurement of the masseteric silent period duration in these patients did not reveal muscle spasm. These factors further serve to differentiate tire surgical patient from the patient with myofascial pain dysfunction, The patients selected for surgery demonstrated moderate to severe joint disease and required arthroplasty with partial meniscectomy. A surgical technique is presented demonstrating the reconstruction of the meniscus with silicone implant. This same surgical technique is studied in 10 monkeys, and their joints are examined histologically, The results of surgery reveal that 87 percent of the patients reported improvement I year after surgery. In all patients complaining of temporomandibular joint clicking or crepitus, surgery produced complete alleviation of these symptoms. The results of surgery were also associated with a 62 percent increase of jaw opening. Histologic evaluation of the human meniveal resections revealed that in addition to an anatomic displacement of the meniscus, there are also significant cellular changes. These changes consisted of calcification, a decrease in cellularity, hyperemia, and a decrease in elastin content.
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UR - http://www.scopus.com/inward/citedby.url?scp=0021968152&partnerID=8YFLogxK
M3 - Article
C2 - 3969406
AN - SCOPUS:0021968152
VL - 75
SP - 192
EP - 203
JO - Plastic and Reconstructive Surgery
JF - Plastic and Reconstructive Surgery
SN - 0032-1052
IS - 2
ER -