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 aspiration of the ganglion with or without injection of a steroid. In some cases the ganglia are associated with serious loss of wrist function or weakness in the affected finger, which makes a surgical intervention highly indicated. Resection of dorsal ganglion are still widely treated with open surgery. However, recent studies show that treatment with an arthroscopic intervention is a reasonable alternative. Arthroscopic intervention has the advantages of smaller incisions, faster recovery of wrist function and less pain postoperative. Overall outcome of arthroscopy is not superior to the outcome in open surgery. Recurrence rates and final wrist function are similar.