Avetikov D. S., Ivanytska O. S., Pronina O. M., Yatsenko I. V., Steblovsky D. V., Toropov O. A., Yatsenko P. I.

APPLICATION OF MINIMALLY INVASIVE METHODS OF TREATMENT OF TEMPOROMANDIBULAR JOINT INTERNAL DERANGEMENTS

---

Show/Download

About the author:

Avetikov D. S., Ivanytska O. S., Pronina O. M., Yatsenko I. V., Steblovsky D. V., Toropov O. A., Yatsenko P. I.

Heading:

DENTISTRY

Type of article:

Scientific article

Annotation:

The study aimed to evaluate the effectiveness of minimally invasive techniques, particularly aspiration, in the complex treatment of internal lesions of the temporomandibular joint (TMJ). Study design. We examined 40 patients with internal disorders of the TMJ and ineffective conservative treatment in history who were treated with joint aspiration. Preoperative and postoperative clinical assessment for signs and symptoms of TMJ disorders included diagnosis of pain, determination of the amplitude of mouth opening, and study of the nature of joint noise and jaw deviation in the transverse plane. In 31 patients, a significant reduction in pain levels was recorded during all follow-up periods. The average pain score before surgery was 5.7 points. In the postoperative period, this indicator decreased to 3.6 on day 7, 2.4 on day 30 and 1.5 on day 60 of the study. The average maximum amplitude of mouth opening at the hospitalisation stage was 24-31 mm and increased to 39-43 mm immediately after aspiration, after which it increased by an average of 0.4-0.8 mm each month of follow-up. By day 180, it reached an average of 44-48 mm and remained unchanged in later periods. Among the surgical methods for treating patients with internal disorders of the temporomandibular joint elements, aspiration is the simplest minimally invasive intervention that allows reducing the intensity of pain or pain syndrome from 5.7 to 0.1-0.2 points at 360 days and increasing the maximum amplitude of mouth opening from 24-31 to 33-48 mm at 180 days with further fixation of its constant at all stages of observation.

Tags:

Bibliography:

1. Avetikov DS, Lokes KP, Stavytsʹkyy SO, Yatsenko IV, Rozkolupa OO. Perelomy nyzhnʹoyi shchelepy: analiz chastoty vynyknennya, lokalizatsiyi ta uskladnenʹ. Visnyk problem biolohiyi i medytsyny. 2014;3(3):62-65. [in Ukrainian].
2. Wong SA, Hu DP, Slocum J, Lam C, Nguyen M, Miclau T, et al. Chondrocyte-to-osteoblast transformation in mandibular fracture repair. J Orthop Res. 2021;39(8):1622-1632. DOI: 10.1002/jor.24904.
3. Toropov OA, Avetikov DS, Skikevych MG, Ivanytska OS, Rozkolupa OO, Lokes KP. Features of the treatment of hypermobility of the articular heads and dislocations of the lower jaw on the background of fractures of the condygal processes of the mandible, as a prevention of alloplastic replacements of the tempomandibular joint. Ukrainian Dental Almanac. 2024;1:40-43. DOI: 10.31718/2409-0255.1.2024.08.
4. Gibson AC, Merrill TB, Boyette JR. Complications of Mandibular Fracture Repair. Otolaryngol Clin North Am. 2023;56(6):1137-1150. DOI: 10.1016/j.otc.2023.05.008.
5. Xin X, Zhao Y, Cheng G, Diarra D, Li ZB, Li Z. Treatment of Sagittal Fracture of the Mandibular Condyle Using Resorbable-Screw Osteosynthesis. J Oral Maxillofac Surg. 2022;80(7):1207-1214. DOI: 10.1016/j.joms.2022.03.010.
6. Yatsenko PI, Lokes KP, Yatsenko IV, Voloshyna LI, Avetikov DS. Osoblyvosti klinichnykh proyaviv mʹyazovo-suhlobovoyi kontraktury nyzhnʹoyi shchelepy. Aktualʹni problemy suchasnoyi medytsyny: Visnyk Ukrayinsʹkoyi medychnoyi stomatolohichnoyi akademiyi. 2023;23.2(82):152-155. DOI: 10.31718/2077-1096.23.2.1.152. [in Ukrainian].
7. Khattou VV, Ivanytska OS, Havryliev VM, Buhanchenko OP, Boyko IV, Lokes KP, et al. Dynamics of bone formation and osteoresorption markers in patients with postoperative mandibular bone defects. World of Medicine and Biology. 2023;4(86):167-170. DOI: 10.26724/2079-8334-2023-4-86-167-170.
8. Mooney S, Gulati RD, Yusupov S, Butts SC. Mandibular Condylar Fractures. Facial Plast Surg Clin North Am. 2022;30(1):85-98. DOI: 10.1016/j.fsc.2021.08.007.
9. Avetikov DS, Lokes KP, Ishchenko VV. Zminy mineralʹnoho komponentu nyzhnʹoshchelepnoyi kistky v dynamitsi reparatyvnoho osteohenezu za umov khronichnoyi nitratnoyi intoksykatsiyi. Visnyk problem biolohiyi i medytsyny. 2014;2.1(107):37-39. [in Ukrainian].
10. Alagarsamy R, Lal B, Arangaraju R, Roychoudhury A, Srivastava RK, Barathi A. Endoscopic-assisted intraoral approach for mandibular condyle fracture management: A systematic review and meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2023;136(5):537-553. DOI: 10.1016/j.oooo.2023.04.013.
11. Gibstein AR, Chen K, Nakfoor B, Gargano F, Bradley JP. Mandibular Subcondylar Fracture: Improved Functional Outcomes in Selected Patients with Open Treatment. Plast Reconstr Surg. 2021;148(3):398e-406e. DOI: 10.1097/PRS.0000000000008294.

Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 2, 173, 457-463 pages, index UDC 616.716.4/.724-001.5-084-085

DOI:

10.29254/2077-4214-2024-2-173-457-463