Consensus report and recommendations on the management of late-stage internal derangement of the temporomandibular joint

Abstract: Introduction: This report investigates late-stage internal derangement (ID) of the temporo mandibular joint (TMJ) with the aim of establishing a more effective and personalized treatment protocol to improve patients’ quality of life (QoL). Material and methods: A consensus was reached amon...

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Detalles Bibliográficos
Autores: Monje Gil, Florencio, Martínez Artal, Patricia, Cuevas Queipo de Llano, Alberto, Muñoz Guerra, Mario, González Ballester, David, López Arcas, José María, Gutiérrez Pérez, José Luis, Dean Ferrer, Alicia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/169029
Acceso en línea:https://hdl.handle.net/11441/169029
https://doi.org/10.3390/jcm13113319
Access Level:acceso abierto
Palabra clave:Temporomandibular joint disorders
Temporomandibular joint disk
Temporomandibular Joint diagnosis
Temporomandibular joint surgery
Descripción
Sumario:Abstract: Introduction: This report investigates late-stage internal derangement (ID) of the temporo mandibular joint (TMJ) with the aim of establishing a more effective and personalized treatment protocol to improve patients’ quality of life (QoL). Material and methods: A consensus was reached among maxillofacial surgeons specializing in LSID, based on a literature research and collective expert experience following the Delphi method. Consensus was considered to be achieved when a response received at least 80% of votes. Results: Four expert groups were established, respectively, focusing on diagnosis, minimally invasive surgery (MIS), open surgery and joint replacement. A comprehensive approach to late-stage ID of the TMJ requires a consensus report. This underscores the need for a personalized treatment plan, considering the variability in clinical presentations and progression of this pathology. Our recommendations aim to optimize clinical outcomes and enhance patient QoL.