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. 2024 Jun 4;13(11):3319.
doi: 10.3390/jcm13113319.

Consensus Report and Recommendations on the Management of Late-stage Internal Derangement of the Temporomandibular Joint

Florencio Monje Gil  1 , Patricia Martínez Artal  1 , Alberto Cuevas Queipo de Llano  1 , Mario Muñoz Guerra  2 , David González Ballester  1 , José María López Arcas  3 , José Luis López Cedrún  4 , José Luis Gutiérrez Pérez  5 , Rafael Martín-Granizo  6 , José Luis Del Castillo Pardo de Vera  7 , Blas García Medina  8 , Raúl González-García  2 , Manuel Moreno Sánchez  1 , Ekaitz Valle Rodríguez  9 , Jacinto Fernández Sanromán  10 , Ricardo López Martos  5 , Beatriz Peral Cagigal  11 , Marta Redondo Alamillos  12 , Miguel Morey Mas  13 , Carlos Salcedo Gil  14 , Benito Ramos Medina  15 , Adaia Valls Ontañón  16 , Jorge Masià Gridilla  17 , Alicia Dean Ferrer  18
Affiliations

Consensus Report and Recommendations on the Management of Late-stage Internal Derangement of the Temporomandibular Joint

Florencio Monje Gil et al. J Clin Med. .

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.

Keywords: temporomandibular joint diagnosis and temporomandibular joint surgery; temporomandibular joint disk; temporomandibular joint disorders.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 6
Figure 6
Delphi results: What arthroscopic finding would you expect in a patient with late-stage ID of TMJ? Strong consensus.
Figure 7
Figure 7
Delphi results: What arthroscopic finding would you expect in a patient with late-stage ID of TMJ? Strong consensus.
Figure 1
Figure 1
Delphi results regarding use of CT scan in late-stage ID of TMJ.
Figure 2
Figure 2
Delphi results regarding use of MRI in late-stage ID of TMJ. Consensus.
Figure 3
Figure 3
Delphi results: What arthroscopic finding would you expect in a patient with late–stage ID of TMJ? Consensus.
Figure 4
Figure 4
Delphi results: What arthroscopic finding would you expect in a patient with late-stage ID of TMJ? Strong consensus.
Figure 5
Figure 5
Delphi results: What arthroscopic finding would you expect in a patient with late-stage ID of TMJ? Consensus.
Figure 8
Figure 8
Delphi results: What arthroscopic finding would you expect in a patient with late-stage ID of TMJ? Strong consensus.
Figure 9
Figure 9
Delphi results: Are opiates without side effects in the TMJ? Strong consensus.
Figure 10
Figure 10
Delphi results: Is hyaluronic acid a valid option in late-stage ID of TMJ? Consensus.
Figure 11
Figure 11
Delphi results: Are there benefits with platelet-rich plasma (PRP) infiltration in arthroscopy of the TMJ?
See this image and copyright information in PMC

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