Single puncture for TMJ arthrocentesis: an effective technique for hydraulic distention of the superior joint space

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National Journal of Maxillofacial Surgery


Temporomandibular joint arthrocentesis is a method of flushing out the synovial fluid that is currently performed by providing a double puncture to the upper joint space. The traditional 2-needle technique has some restrictions, such as the difficulty in performing it in the presence of intra-articular adherences and in the female patients, because the space is very small. The adoption of a single-needle for fluid injection might have some advantages with respect to the traditional 2-needle approach in terms of easily, time of execution and tolerability. We describe a single needle technique and we recommend the use.



Arthrocentesis, Temporomandibular joint, Upper joint space

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National Journal Of Maxillofacial Surgery, v. 3, n. 1, p. 96-97, 2012.