Open AccessSingle puncture for TMJ arthrocentesis: An effective technique for hydraulic distention of the superior joint space
Author(s) -
Élio Hitoshi Shinohara,
Shajadi Carlos Pardo-Kaba,
Marcelo Zillo Martini,
Fernando Kendi Horikawa
Publication year - 2012
Publication title -
national journal of maxillofacial surgery
Language(s) - English
Resource type - Journals
eISSN - 2229-3418
pISSN - 0975-5950
DOI - 10.4103/0975-5950.102177
Subject(s) - medicine , arthrocentesis , temporomandibular joint , tolerability , joint (building) , surgery , flushing , synovial fluid , orthodontics , adverse effect , osteoarthritis , alternative medicine , pathology , architectural engineering , engineering , endocrinology
Temporomandibular joint arthrocentesis is a method of flushing out the synovial fluid that is currently performed by providing a double puncture to the upper joint space. The traditional 2-needle technique has some restrictions, such as the difficulty in performing it in the presence of intra-articular adherences and in the female patients, because the space is very small. The adoption of a single-needle for fluid injection might have some advantages with respect to the traditional 2-needle approach in terms of easily, time of execution and tolerability. We describe a single needle technique and we recommend the use.