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Indicações e técnica da artroscopia no tratamento de disfunção temporomandibular: revisão narrativa
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| 2.58 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Objetivo: O objetivo do presente trabalho consiste não só em expor as indicações da artroscopia, esclarecendo em que momentos deverá ser utilizada, como também explicar todos os procedimentos que esta técnica de tratamento envolve.
Métodos: Foi realizada uma pesquisa bibliográfica sem limitações temporárias, nas bases de dados B-On, PubMed e ScienceDirect. Foram utilizados artigos redigidos em inglês, espanhol e português. Foram considerados 42 estudos e três livros para a realização desta pesquisa bibliográfica, os quais preenchiam os requisitos para responder a todas as questões levantadas pelo tema.
Resultados: Caso estejam esgotadas as opções não cirúrgicas e o paciente mantiver o quadro de dor e/ou limitação da abertura bucal, prejudicial à sua qualidade de vida devido ao desarranjo interno da articulação temporomandibular o tratamento cirúrgico deve ser considerado, dando prioridade às técnicas minimamente invasivas, neste caso a artroscopia, visto que esta técnica revela uma enorme melhoria tanto na dor como na amplitude de abertura bucal.
Conclusões: Os resultados desta revisão bibliográfica demonstram que a artroscopia da articulação temporomandibular é uma técnica minimamente invasiva que diminui a dor de forma confiável e aumenta a distância máxima de abertura inter-incisal em determinados pacientes com sintomas persistentes causados por patologia intra-articular tanto inflamatória como degenerativa.
Objective: The objective of this study is not only to explain the indications for arthroscopy, therefore trying to clarify when it should be used, but also to explain all the procedures involved in this treatment technique. Methods: A bibliographic search without temporary limitations was carried out in the B-On, PubMed and ScienceDirect databases. Articles written in English and Portuguese were used 42 studies and three books were considered to carry out this bibliographical research, which fulfilled the requirements to answer all the questions raised by the theme. Results: If non surgical options are exhausted and the patient maintains pain, limited mouth opening, detrimental to their quality of life due to internal temporomandibular joint disarrangement, surgical treatment should be considered, prioritizing minimally invasive techniques, in this case arthroscopy, as this technique reveals a huge improvement in both pain and mouth opening amplitude. Conclusions: The results of this literature review demonstrated that arthroscopy of the temporomandibular joint is a minimally invasive technique that reliably decreases pain and increases the maximum inter incisal opening distance in certain patients with persistent symptoms caused by inflammatory intra articular pathology degenerative.
Objective: The objective of this study is not only to explain the indications for arthroscopy, therefore trying to clarify when it should be used, but also to explain all the procedures involved in this treatment technique. Methods: A bibliographic search without temporary limitations was carried out in the B-On, PubMed and ScienceDirect databases. Articles written in English and Portuguese were used 42 studies and three books were considered to carry out this bibliographical research, which fulfilled the requirements to answer all the questions raised by the theme. Results: If non surgical options are exhausted and the patient maintains pain, limited mouth opening, detrimental to their quality of life due to internal temporomandibular joint disarrangement, surgical treatment should be considered, prioritizing minimally invasive techniques, in this case arthroscopy, as this technique reveals a huge improvement in both pain and mouth opening amplitude. Conclusions: The results of this literature review demonstrated that arthroscopy of the temporomandibular joint is a minimally invasive technique that reliably decreases pain and increases the maximum inter incisal opening distance in certain patients with persistent symptoms caused by inflammatory intra articular pathology degenerative.
Description
Keywords
Articulação temporomandibular Artroscopia Cirurgia na articulação temporomandibular Disfunção temporomandibular Temporomandibular joint Arthroscopy Temporomandibular joint surgery Temporomandibular disorder