Diagnosis and reconstruction of the human temporomandibular joint after trauma or internal derangement

Russell W. Bessette, Richard W Katzberg, Joseph R. Natiella, Melissa J. Rose

Research output: Contribution to journalArticle

26 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)192-203
Number of pages12
JournalPlastic and Reconstructive Surgery
Volume75
Issue number2
StatePublished - 1985
Externally publishedYes

Fingerprint

Temporomandibular Joint
Wounds and Injuries
Spasm
Jaw
Temporomandibular Joint Dysfunction Syndrome
Masticatory Muscles
Elastin
Joint Diseases
Hyperemia
Silicones
Arthroplasty
Haplorhini
Tooth
Joints
Pain

ASJC Scopus subject areas

  • Surgery

Cite this

Bessette, R. W., Katzberg, R. W., Natiella, J. R., & Rose, M. J. (1985). Diagnosis and reconstruction of the human temporomandibular joint after trauma or internal derangement. Plastic and Reconstructive Surgery, 75(2), 192-203.

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 journalArticle

Bessette, RW, Katzberg, RW, Natiella, JR & Rose, MJ 1985, 'Diagnosis and reconstruction of the human temporomandibular joint after trauma or internal derangement', Plastic and Reconstructive Surgery, vol. 75, no. 2, pp. 192-203.
Bessette, Russell W. ; Katzberg, Richard W ; Natiella, Joseph R. ; Rose, Melissa J. / Diagnosis and reconstruction of the human temporomandibular joint after trauma or internal derangement. In: Plastic and Reconstructive Surgery. 1985 ; Vol. 75, No. 2. pp. 192-203.
@article{0af46c80b3ab4449ab8e140e652216d4,
title = "Diagnosis and reconstruction of the human temporomandibular joint after trauma or internal derangement",
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.",
author = "Bessette, {Russell W.} and Katzberg, {Richard W} and Natiella, {Joseph R.} and Rose, {Melissa J.}",
year = "1985",
language = "English (US)",
volume = "75",
pages = "192--203",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

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.

UR - http://www.scopus.com/inward/record.url?scp=0021968152&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021968152&partnerID=8YFLogxK

M3 - Article

VL - 75

SP - 192

EP - 203

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 2

ER -