Temporomandibular Joint: Approach to the Intermediate Space by Triangulation With Transillumination Reference

被引：2

作者：

Verde, Laura ^{[1
,3
]}

Munoz-Guerra, Mario Fernando ^{[2
]}

Rodriguez-Campo, Francisco J. ^{[2
]}

Escorial, Veronica ^{[2
]}

机构：

[1] Univ Hosp La Princesa, Oral & Maxillofacial Surg, Madrid, Spain

[2] Univ Hosp La Princesa, Oral & Maxillofacial Surg Dept, Madrid, Spain

[3] Univ Hosp La Princesa, Dept Oral & Maxillofacial Surg, C Diego de Leon 62, Madrid 28006, Spain

来源：

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY | 2023年 / 81卷 / 06期

关键词：

ARTHROSCOPY; COMPLICATIONS;

D O I：

10.1016/j.joms.2023.02.008

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Arthroscopy of the temporomandibular joint is a minimally invasive surgical procedure. Nowadays, 3 levels are described depending on the complexity. Level I involves a single puncture with an anterior irrigating needle for outflow. Level II involves a double puncture using triangulation in order to be able to perform minor operative maneuvers. Subsequently, it is possible to progress to Level III and perform more advanced techniques, through multiple punctures, involving the arthroscopic canula and 2 or more working cannulas. However, in cases of advanced degenerative pathology or re-arthroscopy, it is common to observe advanced fibrillation, severe synovitis, adhesions, or articular obliteration which makes conventional triangulation difficult. On these cases, we propose a simple and effective technique that facilitates approach to the intermediate space by means of triangulation with transillumination reference. & COPY; 2023 American Association of Oral and Maxillofacial Surgeons

引用

页码：684 / 688

页数：5

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