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
Wrist arthroscopy patient's skin may be too fragile or atrophic. The traction brought about by the traction apparatus is then applied to three or even four fingers. The surgeon can either opt for dry arthroscopy or for wet arthroscopy. When performing a dry procedure the wrist can still, if necessary, be approached using open surgery. This may, for example, be required when a TFCC lesion is diagnosed. The latter is not possible when a wet procedure is performed, because the fluid that is used causes expansion of the tissue. To improve visualization within the wrist, an inflow irrigation system is used during