Top

Oral and Maxillofacial Surgery

Published in:

01-06-2019 | Ultrasound | Original Article

Ultrasound-guided arthrocentesis using single-puncture, double-lumen, single-barrel needle for patients with temporomandibular joint acute closed lock internal derangement

Authors: Darpan Bhargava, Shaji Thomas, Pratiksha Pawar, Megha Jain, Pankaj Pathak

Published in: Oral and Maxillofacial Surgery | Issue 2/2019

Abstract

Purpose

Temporomandibular joint (TMJ) disc derangement is defined as a malpositioning of the articular disc relative to the condyle and eminence. Arthrocentesis of the TMJ is considered by many as the first-line surgical treatment for patients who do not respond to conservative treatment. The aim of this study is to assist needle insertion for temporomandibular joint arthrocentesis using ultrasonography.

Materials and method

Twenty patients who required arthrocentesis of the TMJ were randomly assigned to two groups A and B undergoing single-puncture arthrocentesis with modified double-lumen single-barrel needle and ultrasound-guided single-puncture arthrocentesis using modified double-lumen single-barrel needle (n = 10 in each group). The number of attempts of needle manipulation, duration of the operative procedural time, and visual analog (VAS) scale score for pain to assess surgical discomfort were the main outcome variables.

Results

None of the patients in either group developed any complication with no significant difference in VAS score for pain between the two study groups. The number of attempts for needle manipulation (mean ± SD) for group A was 2.20 ± 0.789, and for group B, it was 1.10 ± 0.316 (p value, 0.0007); operative procedural time (mean ± SD) for group A was 18.5 ± 3.171 min, and for group B, it was 13.1 ± 1.663 (p value, 0.0002) which was significantly lesser in group A than in group B. The sentence signifies that the number of attempts that was required to re-insert the needle to enter the joint space in Ultrasound guided and conventional method of arthrocentesis.

Conclusion

Ultrasound-guided single-puncture arthrocentesis using a customized needle is a promising method to perform joint lavage with minimal trauma and in a precise manner.

Bhargava D, Jain M, Deshpande A, Singh A, Jaiswal J (2015) Temporomandibular joint arthrocentesis for internal derangement with disc displacement without reduction. J Maxillofac Oral Surg 14(2):454–459CrossRefPubMed

Monje-Gil F, Nitzan D, González-Garcia R (2012) Temporomandibular joint arthrocentesis. Review of the literature. Med Oral Patol Oral Cir Bucal 17:575–581CrossRef

Tozoglu S, Al-Belasy FA, Dolwick MF (2011) A review of techniques of lysis and lavage of the TMJ. Br J Oral Maxillofac Surg 49:302–309CrossRefPubMed

Emshoff R, Jank S, Bertram S, Rudisch A, Bodner G (2002) Disk displacement of the temporomandibular joint: sonography versus MR imaging. AJR 178:1557–1562CrossRefPubMed

Wiler JL, Costantino TG, Filippone L, Satz W (2010) Comparison of ultrasound-guided and standard landmark techniques for knee arthrocentesis. J Emerg Med 39:76–82CrossRefPubMed

Lefkowitz W (1956) Ultrasonics in dentistry. J Am Dent Assoc 52(4):406–409CrossRefPubMed

Marotti J, Heger S, Tinschert J, Tortamano P, Chuembou F, Radermacher K, Wolfart S (2013) Recent advances of ultrasound imaging in dentistry–a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 115(6):819–832CrossRefPubMed

Musu D, Rossi-Fedele G, Campisi G et al (2016) Ultrasonography in the diagnosis of bone lesions of the jaws: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol 122(1):19–29CrossRef

Nabeith YB, Speculand B (1991) Ultrasonography as a diagnostic aid in temporomandibular joint dysfunction: a preliminary investigation. Int J Oral Maxillofac Surg 20(3):182–186CrossRef

10.

Kocasarac HD, Angelopoulos C (2018) Ultrasound in dentistry - toward a future of radiation-free imaging. Dent Clin N Am 62:481–489CrossRef

11.

Merritt CRB (1998) Physics of ultrasound, 2nd edn. Mosby, St. Louis, pp 3–55

12.

Bhargava D, Thomas S, Pawar P, Pathak P (2018) Double lumen single barrel needle customization and fluid dynamics for single puncture temporomandibular joint arthrocentesis. Acta Scientific Orthopaedics 1(1):15–16

13.

Hosgor H, Bas B, Celenk C (2017) A comparison of the outcomes of four minimally invasive treatment methods for anterior disc displacement of the temporomandibular joint. Int J Oral Maxillofac Surg 46(11):1403–1410CrossRefPubMed

14.

Byahatti SM, Ramamurthy BR, Mubeen M, Agnihothri PG (2010) Assessment of diagnostic accuracy of high-resolution ultrasonography in determination of temporomandibular joint internal derangement. Indian J Dent Res 21(2):189–194CrossRefPubMed

15.

Kaya K, Dulgeroglu D, Unsal-Delialioglu S, Babadag M, Tacal T, Barlak A et al (2010) Diagnostic value of ultrasonography in the evaluation of the temporomandibular joint anterior disc displacement. J Craniomaxillofac Surg 38(5):391–395CrossRefPubMed

16.

Manfredini D, Tognini F, Melchiorre D, Zampa V, Bosco M (2003) Ultrasound assessment of increased capsular width as a predictor of temporomandibular joint effusion. Dento Maxillofac Radiol 32(6):359–364CrossRef

17.

Honda K, Bjørnland T (2006) Image guided treatment: image-guided puncture technique for the superior temporomandibular joint space: value of cone-beam computed tomography (CBCT). Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:281–286CrossRefPubMed

18.

Matsumoto K, Bjørnland T, Kai Y, Honda M, Yonehara Y, Honda K (2011) An image-guided technique for puncture of the superior temporomandibular joint cavity: clinical comparison with the conventional puncture technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 111:641–648CrossRefPubMed

19.

Larheim TA, Abrahamsson AK, Kristensen M et al (2015) Temporomandibular joint diagnostics using CBCT. Dentomaxillofac Radiol 44(1):20140235CrossRefPubMed

20.

Sivri MB, Ozkan Y, Pekiner FN, Gocmen G (2016) Comparison of ultrasound guided and conventional arthrocentesis of the temporomandibular joint. Br J Oral Maxillofac Surg 54(6):677–681CrossRefPubMed

21.

Bhargava D, Thomas S, Moghe S, Pathak P, Pawar P (2018) Temporomandibular joint arthrocentesis using double lumen single barrel needle for acute lock cases: a preliminary summary of findings. Acta Sci Orthop 1(1):17–21

22.

Levorova J, Machon V, Hirjak D, Foltan R (2015) Ultrasound-guided injection into the lower joint space of the temporomandibular joint. Int J Oral Maxillofac Surg 44:491–492CrossRefPubMed

23.

Sibbitt WL Jr, Kettwich LG, Band PA, Chavez-Chiang NR, delea SL, Haseler LJ, Bankhurst AD (2012) Does ultrasound guidance improve the outcomes of arthrocentesis and corticosteroid injection of the knee? Scand J Rheumatol 41(1):66–72CrossRefPubMed

Title: Ultrasound-guided arthrocentesis using single-puncture, double-lumen, single-barrel needle for patients with temporomandibular joint acute closed lock internal derangement
Authors: Darpan Bhargava
Shaji Thomas
Pratiksha Pawar
Megha Jain
Pankaj Pathak
Publication date: 01-06-2019
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Ultrasound
Published in: Oral and Maxillofacial Surgery / Issue 2/2019
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-019-00753-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ultrasound-guided arthrocentesis using single-puncture, double-lumen, single-barrel needle for patients with temporomandibular joint acute closed lock internal derangement

Abstract

Purpose

Materials and method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and method

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2019

Alopecia and techniques in hair restoration: an overview for the cosmetic surgeon

Lingual anesthesia of the lower anterior teeth, which technique is better?

Unilateral mandibular condylar process fractures: a retrospective clinical comparison of open versus closed treatment

Reconstruction plate-related complications in mandibular continuity defects

Anteroposterior and vertical soft tissue cephalometric norms of Iranians, interethnic comparisons, sex dimorphism, and the effect of age on cephalometric variables

Correction to: Anteroposterior and vertical soft tissue cephalometric norms of Iranians, interethnic comparisons, sex dimorphism, and the effect of age on cephalometric variables