Indications for and Frequency of Open Surgery and Arthroscopy in the Temporomandibular Joint
Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
The purpose was to examine the frequency and indications for open temporomandibular joint (TMJ) surgery or arthroscopy at the Oral and Maxillofacial Surgery (OMFS) clinics in Sweden 2013 and do a comparison with a literature review in the same area. Published human studies about open TMJ-surgery or arthroscopy was used for the literary survey. Search for these studies was done using the National Library of Medicine (PubMed, available from http://www.pubmed.gov). The publications also had to be published in scientific journals using a review system. Study reports with less than 10 patients where excluded. A questionnaire was sent to 49 Swedish OMFS clinics in order to analyse the actual situation concerning the clinical practice for when certain open TMJ-surgery and arthroscopy are carried out. The literature review is based on 48 included articles reporting on a total of 1815 patients that underwent arthroscopy or open TMJ surgery. Out of the 40 responding clinics 21 of them performed TMJ-surgery during 2013 in a total of 17 of 21 counties. Out of the 519 patients who received TMJ-surgery of any kind 195 were women, 50 were men and 274 were not gender specified The most frequent procedures performed in Sweden 2013 were arthrocentesis, arthroscopy and discectomy. The result from this study indicates that the Swedish situation concerning open TMJ surgery or arthroscopy follow the same indications as in the literature. There is a tendency that Swedish surgeons perform less invasive treatments initially. However, incomplete answers from clinics make these results uncertain.
Place, publisher, year, edition, pages
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:umu:diva-113656OAI: oai:DiVA.org:umu-113656DiVA: diva2:886878