{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T13:09:47Z","timestamp":1776085787281,"version":"3.50.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T00:00:00Z","timestamp":1613692800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T00:00:00Z","timestamp":1613692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Projekt DEAL"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Digitally designed surgical templates for minimally invasive temporomandibular joint (TMJ) surgery (MITMJS) are a promising tool for improving the safety of these procedures. Given the TMJ anatomy, the template fitting and intraoperative overview are the most important issues for a safe surgery. This article is a technical advance article that aims to describe an endaural surgical template based on the Moses approach as a possible solution in TMJ surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three patients with internal derangement were treated with the guidance of a MITMJS template based on cone beam computed tomography (CBCT) and a surface imprint of the periauricular region. None of the patients needed an additional open surgical procedure. Fitting of the templates was judged in terms of position and rotational stability. Surgical side effects and complications were recorded for each patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The template design and clinical use were satisfactory for MITMJS. The templates showed satisfying fit and good visibility. In the study cohort, no bleeding, facial nerve injury, or other complications occurred after the procedure, and no visible scars were noted postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our feasibility report on template-guided MITMJS shows a promising new application of templates. It points to improved access in arthroscopy or arthrocentesis of TMJ surgery through endaural access with an increased level of safety during surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12893-021-01098-2","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T15:13:38Z","timestamp":1613834018000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Improved access in minimally invasive temporomandibular joint surgery through a novel endaural template"],"prefix":"10.1186","volume":"21","author":[{"given":"Matthias","family":"Krause","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Kamal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Kruber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Halama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Hierl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernd","family":"Lethaus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3545-1341","authenticated-orcid":false,"given":"Alexander K.","family":"Bartella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,2,19]]},"reference":[{"issue":"2","key":"1098_CR1","doi-asserted-by":"publisher","first-page":"207","DOI":"10.5357\/koubyou.42.207","volume":"42","author":"M Onishi","year":"1975","unstructured":"Onishi M. Arthroscopy of the temporomandibular joint (author\u2019s transl). Kokubyo Gakkai Zasshi. 1975;42(2):207\u201313.","journal-title":"Kokubyo Gakkai Zasshi"},{"issue":"11","key":"1098_CR2","doi-asserted-by":"publisher","first-page":"1587","DOI":"10.1016\/j.joms.2005.12.058","volume":"64","author":"R Gonzalez-Garcia","year":"2006","unstructured":"Gonzalez-Garcia R, Rodriguez-Campo FJ, Escorial-Hernandez V, Munoz-Guerra MF, Sastre-Perez J, Naval-Gias L, Gil-Diez Usandizaga JL. Complications of temporomandibular joint arthroscopy: a retrospective analytic study of 670 arthroscopic procedures. J Oral Maxillofac Surg. 2006;64(11):1587\u201391.","journal-title":"J Oral Maxillofac Surg"},{"issue":"1","key":"1098_CR3","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.coms.2014.09.006","volume":"27","author":"R Gonzalez-Garcia","year":"2015","unstructured":"Gonzalez-Garcia R. The current role and the future of minimally invasive temporomandibular joint surgery. Oral Maxillofac Surg Clin North Am. 2015;27(1):69\u201384.","journal-title":"Oral Maxillofac Surg Clin North Am"},{"issue":"1","key":"1098_CR4","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/s13005-019-0194-8","volume":"15","author":"M Krause","year":"2019","unstructured":"Krause M, Dorfler HM, Kruber D, Humpfner-Hierl H, Hierl T. Template-based temporomandibular joint puncturing and access in minimally invasive TMJ surgery (MITMJS) - a technical note and first clinical results. Head Face Med. 2019;15(1):10.","journal-title":"Head Face Med"},{"issue":"6","key":"1098_CR5","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1016\/S0901-5027(89)80031-1","volume":"18","author":"JJ Moses","year":"1989","unstructured":"Moses JJ, Poker ID. Temporomandibular joint arthroscopy: the endaural approach. Int J Oral Maxillofac Surg. 1989;18(6):347\u201351.","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"4","key":"1098_CR6","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1001\/archotol.1989.01860280067019","volume":"115","author":"CH Wilkes","year":"1989","unstructured":"Wilkes CH. Internal derangements of the temporomandibular joint. Pathological variations. Arch Otolaryngol Head Neck Surg. 1989;115(4):469\u201377.","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"2","key":"1098_CR7","doi-asserted-by":"publisher","first-page":"e0193379","DOI":"10.1371\/journal.pone.0193379","volume":"13","author":"HF Lin","year":"2018","unstructured":"Lin HF, Chen YD, Chen SC. Value of diagnostic and therapeutic laparoscopy for patients with blunt abdominal trauma: A 10-year medical center experience. PLoS ONE. 2018;13(2):e0193379.","journal-title":"PLoS ONE"},{"issue":"20","key":"1098_CR8","doi-asserted-by":"publisher","first-page":"e3655","DOI":"10.1097\/MD.0000000000003655","volume":"95","author":"Q Lu","year":"2016","unstructured":"Lu Q, Qu H, Liu C, Wang S, Zhang Z, Zhang Z. Comparison of laparoscopy and laparotomy in surgical staging of apparent early ovarian cancer: 13-year experience. Medicine. 2016;95(20):e3655.","journal-title":"Medicine"},{"issue":"3","key":"1098_CR9","first-page":"305","volume":"9","author":"A Al-Juburi","year":"2005","unstructured":"Al-Juburi A, Granger S, Barnes J, Voeller G, Beech D, Amiri H, Abell TL. Laparoscopy shortens length of stay in patients with gastric electrical stimulators. JSLS. 2005;9(3):305\u201310.","journal-title":"JSLS"},{"issue":"1","key":"1098_CR10","doi-asserted-by":"publisher","first-page":"158","DOI":"10.4103\/ams.ams_160_17","volume":"9","author":"A Soni","year":"2019","unstructured":"Soni A. Arthrocentesis of temporomandibular joint- bridging the gap between non-surgical and surgical treatment. Ann Maxillofac Surg. 2019;9(1):158\u201367.","journal-title":"Ann Maxillofac Surg"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01098-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12893-021-01098-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-021-01098-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T04:05:37Z","timestamp":1617854737000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-021-01098-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,19]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1098"],"URL":"https:\/\/doi.org\/10.1186\/s12893-021-01098-2","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-101466\/v1","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.3.rs-101466\/v2","asserted-by":"object"}]},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,19]]},"assertion":[{"value":"28 September 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 April 2021","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The Funding note has been updated.","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was approved by the Ethics Committee of the Berlin Medical Chamber (Eth-30\/17, 12\/06\/2017). This report followed the Declaration of Helsinki on medical protocols and ethics. Written informed consent to participate was obtained from all patients.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All authors consent for publication. Written informed consent to publish personal data and use their images was obtained by all patients.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no conflicts of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"93"}}