Ultrasound-guided arthrocentesis for condylar head fracture: a technical report.
Arthrocentesis
Mandibular condyle head fracture
Mandibular fractures
Temporomandibular joint
Ultrasonography
Journal
Oral radiology
ISSN: 1613-9674
Titre abrégé: Oral Radiol
Pays: Japan
ID NLM: 8806621
Informations de publication
Date de publication:
03 Apr 2024
03 Apr 2024
Historique:
received:
18
01
2024
accepted:
29
02
2024
medline:
3
4
2024
pubmed:
3
4
2024
entrez:
3
4
2024
Statut:
aheadofprint
Résumé
Double puncture arthrocentesis (DPA) of the temporomandibular joint (TMD) is considered an effective preservative option for managing mandibular condylar head fractures. However, the procedure is commonly performed by a traditional "blind" method using anatomical characteristics. In the present study, an ultrasonography (US) device was applied for the treatment of a case with a fractured mandibular condyle. A 79-year-old female was diagnosed right side condylar head fracture complaining pain of right TMD and reduced mouth opening range: inter-incisor distance of 20 mm. Since the fracture position was high and inoperable, the decision was made to perform DPA of the TMD. The US probe was positioned parallel and slightly oblique to the major axis of the mandibular ramus. Both the posterior and anterior insertions into the joint space were performed according to the axis mentioned above, which enabled the operator to visualize the entirety of the needle. The device offered safety and ensured accuracy by providing real-time visual aid to the surgeon. The procedure provided an early increase in the inter-incisor distance (31 mm) and pain relief. Hence, for the preservative treatment of mandibular condylar head fractures, based on the present study, we recommend US-guided arthrocentesis as a safe, feasible, and effective therapeutic option instead of the conventional "blind" method.
Identifiants
pubmed: 38568392
doi: 10.1007/s11282-024-00744-8
pii: 10.1007/s11282-024-00744-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s) under exclusive licence to Japanese Society for Oral and Maxillofacial Radiology.
Références
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