Influence of the type of anesthesia on 111 arthrocentesis in temporomandibular joint disorders: results of a prospective study

Marina A Gavin Clavero,M Victoria Simón Sanz,Rocio Gallego Sobrino,Leire Esparza Lasaga,Eduard Mirada Donisa

doi:10.1051/mbcb/2021037

Abstract

Aims:Temporomandibular dysfunction is a generic term that covers a large number of clinical problems affecting not only TMJ (Temporomandibular Joint), but also the masticatory musculature and related structures. Arthrocentesis is the most commonly used technique in patients with pain or limitation of the oral opening due to joint causes in which conservative treatment has failed. It is generally performed under local anesthesia and sedation, although depending on the type of patient and the preferences of the surgeon it can also be performed under general anesthesia.Material and method:A prospective, observational, analytical cohort study has been carried out to evaluate if the type of anesthesia, the drugs used for sedation and whether or not anesthetic induction is performed during arthrocentesis influence the results of 111 arthrocentesis performed in patients with TMJ pathology.Results:In patients who arthrocentesis was performed with propofol without midazolam the improvement in pain at one week and one month postarthrocentesis was greater than propofol with midazolam was used.Conclusion:The type of anesthesia could influence the results of arthrocentesis.

Highlights

TMJ dysfunction is a generic term that includes a large number of clinical problems affecting the TMJ, and the masticatory muscles and related facial structures
Economic and basic technique, with a not very high learning curve performed by maxillofacial surgeons with hardly any side effects, which improves the quality of life of patients [8]. It is generally performed under local anesthesia and sedation, depending on the type of patient and the preferences of the surgeon it can be performed under general anesthesia
These patients were treated with temporomandibular arthrocentesis under general anesthesia or under local anesthesia and sedation after a signed consent

Summary

Introduction

TMJ dysfunction is a generic term that includes a large number of clinical problems affecting the TMJ, and the masticatory muscles and related facial structures. In patients with pain or limitation in oral opening due to articular causes, arthrocentesis is the most commonly used technique when conservative treatment has failed regardless of the type of pathology and the clinical stage of temporomandibular dysfunction [5,6,7]. It is a simple, economic and basic technique, with a not very high learning curve performed by maxillofacial surgeons with hardly any side effects, which improves the quality of life of patients [8]. The improvement was greater when general anesthesia was used being able to perform greater amplitude of maneuvers and jaw movements [9,10]

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