Arthrocentesis procedure: Using this therapeutic maneuver for TMJ closed lock management

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Santos, George Soares
Sousa, Rodrigo Calado Nunes E.
Gomes, Julio Bisinotto
MacIel, Juceléia [UNESP]
Sonoda, Celso Koogi [UNESP]
Garcia, Idelmo Rangel [UNESP]
De Melo, Willian Morais

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Temporomandibular joint (TMJ) disorder is a term that encompasses a number of overlapping conditions, such as closed lock. Closed lock of the TMJ is considered a consequence of a nonreducing deformed disc acting as an obstacle to the sliding condylar head that usually causes a decrease in the maximum mouth opening and acute pain. The management of the TMJ is still controversial. Thus, arthrocentesis of the TMJ is a valuable modification of the traditional method of arthroscopic lavage, which consists of washing the joint in order to remove chemical inflammatory mediators and intra-articular adhesions, changing intra-articular pressure. TMJ disorder has always presented as a therapeutic challenge to maxillofacial surgeons. Therefore, this paper aimed to describe a clinical report of a closed lock of the left TMJ in a 19-year-old female subject who was successfully treated by arthrocentesis procedure. © 2013 by Mutaz B. Habal, MD.



Arthrocentesis, internal derangement, minimally invasive surgery, temporomandibular joint

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Journal of Craniofacial Surgery, v. 24, n. 4, p. 1347-1349, 2013.