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Monje Gil F, Martínez Artal P, Cuevas Queipo de Llano A, Muñoz Guerra M, González Ballester D, López Arcas JM, López Cedrún JL, Gutiérrez Pérez JL, Martín-Granizo R, del Castillo Pardo de Vera JL, García Medina B, González-García R, Moreno Sánchez M, Rodríguez EV, Fernández Sanromán J, López Martos R, Peral Cagigal B, Redondo Alamillos M, Morey Mas M, Salcedo Gil C, Ramos Medina B, Valls Ontañón A, Masià Gridilla J, Dean Ferrer A. Consensus Report and Recommendations on the Management of Late-stage Internal Derangement of the Temporomandibular Joint. J Clin Med 2024; 13:3319. [PMID: 38893029 PMCID: PMC11173044 DOI: 10.3390/jcm13113319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 04/19/2024] [Accepted: 05/07/2024] [Indexed: 06/21/2024] Open
Abstract
Introduction: This report investigates late-stage internal derangement (ID) of the temporomandibular 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.
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Affiliation(s)
- Florencio Monje Gil
- Oral and Maxillofacial Surgery Department, University Hospital Badajoz, 06080 Badajoz, Spain; (A.C.Q.d.L.); (D.G.B.); (M.M.S.)
| | - Patricia Martínez Artal
- Oral and Maxillofacial Surgery Department, University Hospital Badajoz, 06080 Badajoz, Spain; (A.C.Q.d.L.); (D.G.B.); (M.M.S.)
| | - Alberto Cuevas Queipo de Llano
- Oral and Maxillofacial Surgery Department, University Hospital Badajoz, 06080 Badajoz, Spain; (A.C.Q.d.L.); (D.G.B.); (M.M.S.)
| | - Mario Muñoz Guerra
- Oral and Maxillofacial Surgery Department, La Princesa University Hospital, 28006 Madrid, Spain; (M.M.G.); (R.G.-G.)
| | - David González Ballester
- Oral and Maxillofacial Surgery Department, University Hospital Badajoz, 06080 Badajoz, Spain; (A.C.Q.d.L.); (D.G.B.); (M.M.S.)
| | | | - José Luis López Cedrún
- Oral and Maxillofacial Surgery Department, University Hospital A Coruña, 15008 A Coruña, Spain;
| | - José Luis Gutiérrez Pérez
- Oral and Maxillofacial Surgery Department, University Hospital Virgen del Rocío, 41013 Sevilla, Spain; (J.L.G.P.); (R.L.M.)
| | - Rafael Martín-Granizo
- Oral and Maxillofacial Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain;
| | | | - Blas García Medina
- Oral and Maxillofacial Surgery Department, University Hospital Virgen de las Nieves, 18014 Granada, Spain;
| | - Raúl González-García
- Oral and Maxillofacial Surgery Department, La Princesa University Hospital, 28006 Madrid, Spain; (M.M.G.); (R.G.-G.)
| | - Manuel Moreno Sánchez
- Oral and Maxillofacial Surgery Department, University Hospital Badajoz, 06080 Badajoz, Spain; (A.C.Q.d.L.); (D.G.B.); (M.M.S.)
| | - Ekaitz Valle Rodríguez
- Oral and Maxillofacial Surgery Department, University Hospital Reina Sofía, 30003 Murcia, Spain;
| | | | - Ricardo López Martos
- Oral and Maxillofacial Surgery Department, University Hospital Virgen del Rocío, 41013 Sevilla, Spain; (J.L.G.P.); (R.L.M.)
| | - Beatriz Peral Cagigal
- Oral and Maxillofacial Surgery Department, University Hospital Río Hortega, 47012 Valladolid, Spain;
| | - Marta Redondo Alamillos
- Oral and Maxillofacial Surgery Department, University Hospital 12 de Octubre, 28041 Madrid, Spain;
| | - Miguel Morey Mas
- GBCOM Dental and Maxillofacial Clinic, 07014 Palma de Mallorca, Spain;
| | - Carlos Salcedo Gil
- Oral and Maxillofacial Surgery Department, University Hospital Son Espases, 07120 Palma de Mallorca, Spain
| | - Benito Ramos Medina
- Oral and Maxillofacial Surgery Department, University Hospital Santa Lucía, 30202 Cartagena, Spain;
| | - Adaia Valls Ontañón
- Oral and Maxillofacial Surgery Department, Hospital Sant Joan de Déu, 08950 Barcelona, Spain;
| | - Jorge Masià Gridilla
- Oral and Maxillofacial Surgery Department, University Hospital Vall d’Hebron, 08035 Barcelona, Spain;
| | - Alicia Dean Ferrer
- Oral and Maxillofacial Surgery Department, Hospital Reina Sofía, 14004 Córdoba, Spain;
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Bhagat B, Bhagat S, Sachdev M, Pandey ND. Desideratum of corroboration-based management for temporomandibular joint disorders: pressing priority in oral surgery. J Korean Assoc Oral Maxillofac Surg 2023; 49:53-54. [PMID: 36859376 PMCID: PMC9986000 DOI: 10.5125/jkaoms.2023.49.1.53] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023] Open
Affiliation(s)
- Bhushan Bhagat
- Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth, India
| | - Shubhangi Bhagat
- Department of Pharmacutics, Dr. D. Y. Patil College of Pharmacy, Akurdi, India
| | - Muskaan Sachdev
- Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Dental College & Hospital, Dr. D. Y. Patil Vidyapeeth, India
| | - Narayan Dutt Pandey
- Department of Oral and Maxillofacial Surgery, Sinhgad Dental College & Hospital, Pune, India
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