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A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint

Overview of attention for article published in Journal of Otolaryngology -- Head & Neck Surgery, May 2018
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Title
A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint
Published in
Journal of Otolaryngology -- Head & Neck Surgery, May 2018
DOI 10.1186/s40463-018-0282-y
Pubmed ID
Authors

Candan Efeoglu, Aylin Sipahi Calis, Huseyin Koca, Esra Yuksel

Abstract

Internal derangement is the clinical and pathological condition of disc displacement of the temporomandibular joint. Management of these cases involve conservative and surgical treatment options. Minimally invasive surgical procedures namely arthrocentesis and arthroscopy are promising techniques in the management of internal derangement. However patient selection algorithms, indications for minimally invasive procedures and details of the techniques should be further studied for safe and cost effective management of these cases. This manuscript aims to retrospectively analyze the significance of a stepped surgical treatment approach (arthrocentesis under local anaesthesia as the first line of treatment, followed by arthroscopic lysis and lavage under general anaesthesia in unresolving cases) of internal derangement with or without osteoarthritis. This is a retrospective cohort study. Case notes of 1414 patients that were managed with a standard protocol were reviewed. Appropriate inclusion and exclusion criteria were set. Thirty-three patients were eligible for inclusion. Parameters recorded were pain-free inter-incisal opening, spontaneous pain, pain on function, difficulty on chewing, and perceived disability on jaw movements. Pre-operative and post-operative (at the end of the follow up period) pain free maximum interincisal opening values were compared with paired t test and the subjective parameters were evaluated with Chisquare analysis. Treatment outcome and success rate according to American Association of Oral and Maxillofacial Surgeons were descriptively shown. Interincisal opening values increased, and the number of patients with severe or medium rated subjective parameters were reduced at discharge. These improvements were found to be statistically significant. Clinical (Wilkes) staging of internal derangement pre-operatively and at discharge remained either unchanged or was lower. Treatment outcome and success according to American Association of Oral and Maxillofacial Surgeons criteria was 94%. The stepped approach for the management of symptomatic internal derangement with or without osteoarthritis is a successful treatment strategy with favourable therapeutic outcomes.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 53 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 53 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 7 13%
Student > Master 7 13%
Student > Bachelor 5 9%
Researcher 4 8%
Professor > Associate Professor 4 8%
Other 8 15%
Unknown 18 34%
Readers by discipline Count As %
Medicine and Dentistry 25 47%
Mathematics 1 2%
Computer Science 1 2%
Sports and Recreations 1 2%
Psychology 1 2%
Other 2 4%
Unknown 22 42%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 November 2018.
All research outputs
#12,181,509
of 13,755,046 outputs
Outputs from Journal of Otolaryngology -- Head & Neck Surgery
#213
of 274 outputs
Outputs of similar age
#233,514
of 269,914 outputs
Outputs of similar age from Journal of Otolaryngology -- Head & Neck Surgery
#1
of 1 outputs
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So far Altmetric has tracked 274 research outputs from this source. They receive a mean Attention Score of 2.6. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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