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Outcomes of bilateral temporomandibular joint arthroscopy: an international multicentric prospective study including 524 joints

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dc.contributor.authorÂngelo, David
dc.contributor.authorOno, Helcio Yogi
dc.contributor.authorde Barros, Romualdo Cardoso Monteiro
dc.contributor.authorMaffia, Francesco
dc.contributor.authorSanz, David
dc.contributor.authorCardoso, Henrique José
dc.date.accessioned2024-11-20T15:06:40Z
dc.date.available2024-11-20T15:06:40Z
dc.date.issued2024
dc.description© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024pt_PT
dc.description.abstractPurpose This study aimed to evaluate the efficacy of bilateral TMJ arthroscopy in patients with different Wilkes stages, comparing the results obtained in different arthroscopic levels on a larger scale, unifying similar populations. Methods A multicentric prospective clinical study was conducted in three TMJ departments performing temporomandibu- lar joint surgery in Portugal and Brazil, with an enrolling window active from January 1, 2019, to December 1, 2022. The primary clinical outcome was TMJ pain evaluated through a visual analogue scale. The secondary clinical outcome was the maximum mouth opening (MMO). TMJ arthroscopy was performed with a 1.9-mm arthroscope, including a video system with a 2.8-mm outer protective cannula. Results 262 patients, representing a total of 524 operated joints were enrolled. The mean age was 35.3 years. A significant decrease postoperatively in VAS pain was observed for all Wilkes stages. The lowest value of VAS pain was observed in Wilkes II compared to Wilkes III and IV. In the secondary outcome, MMO was observed to have a significant improvement in all Wilkes stages. Conclusion In this multicentric study, bilateral TMJ arthroscopy was shown to be an effective procedure to reduce pain and increase maximum mouth opening in patients with different Wilkes stages, representing a valid minimally invasive solution.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationOral and Maxillofacial Surgery (2025) 29:2pt_PT
dc.identifier.doi10.1007/s10006-024-01299-ypt_PT
dc.identifier.eissn1865-1569
dc.identifier.issn2211-8160
dc.identifier.urihttp://hdl.handle.net/10400.5/95478
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttps://link.springer.com/journal/10006pt_PT
dc.subjectTemporomandibular jointpt_PT
dc.subjectTemporomandibular disorderspt_PT
dc.subjectTemporomandibular joint arthroscopypt_PT
dc.subjectMinimally invasive surgerypt_PT
dc.subjectMulticentric studypt_PT
dc.titleOutcomes of bilateral temporomandibular joint arthroscopy: an international multicentric prospective study including 524 jointspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleOral and Maxillofacial Surgerypt_PT
oaire.citation.volume29pt_PT
person.familyNameÂngelo
person.givenNameDavid
person.identifier.ciencia-id2C1B-F1D5-5A08
person.identifier.orcid0000-0001-8411-9946
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication17926c30-4672-46f2-a819-657463e3c725
relation.isAuthorOfPublication.latestForDiscovery17926c30-4672-46f2-a819-657463e3c725

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