Surgery for temporomandibular joint dysfunction Surgery for temporomandibular joint dysfunction Attempts in the last decade to develop surgical treatments based on MRI and CAT scans now receive less attention. These techniques are reserved for the most difficult cases where other therapeutic modalities have failed. The American Society of Maxillofacial Surgeons recommends a conservative/non-surgical approach first. Only 20% of patients need to proceed to surgery. Examples of surgical procedures that are used in TMD, some more commonly than others, include arthrocentesis, arthroscopy, menisectomy, disc repositioning, condylotomy or joint replacement. Invasive surgical procedures in TMD may cause symptoms to worsen. Menisectomy, also termed discectomy refers to surgical
Arthroscopy might be performed in order to visually check other parts of the knee and to insert the miniature instruments that are used to perform surgical procedures. The BMJ Rapid Recommendations group makes a strong recommendation against arthroscopy for osteoarthritis on the basis that there is high quality evidence that there is no lasting benefit and less than 15% of people have a small short-term benefit. There are rare but serious adverse effects that can occur, including venous thromboembolism, infections, and nerve damage The BMJ Rapid Recommendation includes infographics and shared decision making tools to facilitate a conversation between doctors and