A Comparative Study Between Concentric Single-Needle Puncture Technique and Conventional 2-Needle Technique for Temporomandibular Joint Arthrocentesis Plus Corticosteroid Injections. Issue 2 (June 2020)

• Record Type: Journal Article
• Authors: Kumar, Amit; Gupta, Amit; Ghosh, Rajarshi; Pandey, Rajeev; Kumar, Sanjeev
• Is Part Of: Craniomaxillofacial trauma & reconstruction. Volume 13:Issue 2(2020)
• Page Start: 99
• Page End: 104
• Publication Date: 2020-06
• Subjects: temporomandibular joint -- arthrocentesis -- TMJ disorders -- corticosteroids; Face -- Wounds and injuries -- Periodicals; Face -- Surgery -- Periodicals; Maxilla -- Wounds and injuries -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery; Face -- Wounds and injuries; Maxilla -- Surgery; Maxilla -- Wounds and injuries; Maxillofacial Injuries -- Periodicals; Craniocerebral Trauma -- Periodicals; Reconstructive Surgical Procedures -- methods -- Periodicals; Fulltext; Internet Resources; Periodicals; Periodicals; 617.522
• DOI: 10.1177/1943387520911826
• Languages: English
• ISSNs: 1943-3875

Abstract

The purpose of the study was to compare 2 techniques of arthrocentesis, to find out the efficacy of one over the other at various parameters, and to contribute to the scarce literature of these 2 techniques. Forty patients reported with a chief complaint of pain in temporomandibular joint (TMJ), clicking in TMJ, and restricted mouth opening were included in this study. Twenty patients were divided into 2 groups, all reporting with temporomandibular disorders. Group A was treated with 2-needle technique of arthrocentesis, while group B underwent concentric needle technique of arthrocentesis under local anesthesia with Ringer's lactate solution. The operating time was found to be less in concentric needle technique (mean: 25.36 minutes) compared to 2-needle technique (mean: 42.82 minutes), and the difference was found to be statistically significant. Concentric needle technique proved to be a better alternative for TMJ arthrocentesis as it has quite a lot of advantages over 2-needle technique.