{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T12:27:09Z","timestamp":1746102429825,"version":"3.37.3"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T00:00:00Z","timestamp":1633996800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T00:00:00Z","timestamp":1633996800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Maxillofac Plast Reconstr Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Arthrocentesis of the temporomandibular joint (TMJ) is an easy, highly efficient, minimally invasive procedure for treating temporomandibular joint disorders (TMDs). However, in some cases of mouth opening limitation (MOL), routine arthrocentesis is ineffective due to severe fibrotic adhesion in the superior joint space of the TMJ. In this condition, mechanical lysis of the adhesions might be needed to resolve the MOL, as well as other symptoms, such as chronic pain. Currently, this can be achieved by arthroscopic surgery or open TMJ surgery. The objective of this study was to introduce and evaluate our trial of the adhesion lysis procedure during arthrocentesis of the TMJ using normal 18-gauge needles.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In this study, 40 patients with MOL due to disc derangement underwent conventional arthrocentesis at first and then physical detachment was conducted using the same needle. The change in maximum mouth opening (MMO) and the pain at the TMJ were recorded before, during, and after treatment according to our protocol. The mean increase in MMO after conventional arthrocentesis was 6.6 \u00b1 4.2mm. The mean increase in MMO after the detachment procedure with the same needle was 4.2 \u00b1 2.0 mm. The MMO in ten patients was significantly increased after the detachment procedure than after arthrocentesis alone. In all cases, the pain intensity in the TMJ significantly decreased over time, whereas the MMO increased over time. No adverse effect was observed in all joints during our observation periods.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>We confirmed that our simple lysis procedure with the same needle of the arthrocentesis of the TMJ could not only improve the MMO more than after a conventional arthrocentesis but also resolve severe adhesion of the joint space that was ineffective by conventional arthrocentesis. Although this additional lysis procedure is simple, it might reduce the number of cases of more invasive procedures such as arthroscopic surgery or open TMJ surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40902-021-00324-4","type":"journal-article","created":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T17:01:11Z","timestamp":1634058071000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["An additional lysis procedure during arthrocentesis of the temporomandibular joint"],"prefix":"10.1186","volume":"43","author":[{"given":"Keon-Mo","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan-Hee","family":"Jang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myoung-Sang","family":"You","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8888-1719","authenticated-orcid":false,"given":"Bu-Kyu","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,10,12]]},"reference":[{"issue":"5","key":"324_CR1","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1016\/S0278-2391(99)90080-0","volume":"57","author":"DE Frost","year":"1999","unstructured":"Frost DE, Kendell BD (1999) Part II: The use of arthrocentesis for treatment of temporomandibular joint disorders. J Oral Maxillofac Surg 57(5):583\u2013587. https:\/\/doi.org\/10.1016\/S0278-2391(99)90080-0","journal-title":"J Oral Maxillofac Surg"},{"issue":"4","key":"324_CR2","first-page":"199","volume":"66","author":"S Barkin","year":"2000","unstructured":"Barkin S, Weinberg S (2000) Internal derangements of the temporomandibular joint: the role of arthroscopic surgery and arthrocentesis. J Can Dent Assoc 66(4):199\u2013203","journal-title":"J Can Dent Assoc"},{"key":"324_CR3","first-page":"97","volume":"26","author":"AN Yi","year":"2000","unstructured":"Yi AN, Han SY, Yun KI (2000) Clinical aspect of arthrocentesis. J Korean Assoc Oral Maxillofac Surg 26:97\u2013104","journal-title":"J Korean Assoc Oral Maxillofac Surg"},{"issue":"1","key":"324_CR4","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 (2015) The current role and the future of minimally invasive temporomandibular joint surgery. Oral Maxillofac Surg Clin North Am 27(1):69\u201384. https:\/\/doi.org\/10.1016\/j.coms.2014.09.006","journal-title":"Oral Maxillofac Surg Clin North Am"},{"issue":"4","key":"324_CR5","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1001\/archotol.1989.01860280067019","volume":"115","author":"CH Wilkes","year":"1989","unstructured":"Wilkes CH (1989) Internal derangements of the temporomandibular joint: pathological variations. Arch Otolaryngol Head Neck Surg 115(4):469\u2013477. https:\/\/doi.org\/10.1001\/archotol.1989.01860280067019","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"2","key":"324_CR6","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/S0278-2391(97)90233-0","volume":"55","author":"DW Nitzan","year":"1997","unstructured":"Nitzan DW, Samson B, Better H (1997) Long-term outcome of arthrocentesis for sudden-onset, persistent, severe closed lock of the temporomandibular joint. J Oral Maxillofac Surg 55(2):151\u2013157; discussion 157-158. https:\/\/doi.org\/10.1016\/S0278-2391(97)90233-0","journal-title":"J Oral Maxillofac Surg"},{"issue":"4","key":"324_CR7","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.bjoms.2010.03.008","volume":"49","author":"S Tozoglu","year":"2011","unstructured":"Tozoglu S, Al-Belasy FA, Dolwick MF (2011) A review of techniques of lysis and lavage of the TMJ. Br J Oral Maxillofac Surg 49(4):302\u2013309. https:\/\/doi.org\/10.1016\/j.bjoms.2010.03.008","journal-title":"Br J Oral Maxillofac Surg"},{"issue":"8","key":"324_CR8","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1016\/0278-2391(90)90335-Y","volume":"48","author":"DW Nitzan","year":"1990","unstructured":"Nitzan DW, Dolwick MF, Heft MW (1990) Arthroscopic lavage and lysis of the temporomandibular joint: a change in perspective. J Oral Maxillofac Surg 48(8):798\u2013801; discussion 802. https:\/\/doi.org\/10.1016\/0278-2391(90)90335-Y","journal-title":"J Oral Maxillofac Surg"},{"issue":"11","key":"324_CR9","doi-asserted-by":"publisher","first-page":"1163","DOI":"10.1016\/0278-2391(91)90409-F","volume":"49","author":"DW Nitzan","year":"1991","unstructured":"Nitzan DW, Dolwick MF, Martinez GA (1991) Temporomandibular joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg 49(11):1163\u20131167; discussion 1168-1170. https:\/\/doi.org\/10.1016\/0278-2391(91)90409-F","journal-title":"J Oral Maxillofac Surg"},{"issue":"1","key":"324_CR10","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/s40902-019-0227-z","volume":"41","author":"CW Kim","year":"2019","unstructured":"Kim CW, Lee SJ, Kim EH, Lee DK, Kang MH, Song IS, Jun SH (2019) Effect of arthrocentesis on the clinical outcome of various treatment methods for temporomandibular joint disorders. Maxillofac Plast Reconstr Surg 41(1):44. https:\/\/doi.org\/10.1186\/s40902-019-0227-z","journal-title":"Maxillofac Plast Reconstr Surg"},{"issue":"311-328","key":"324_CR11","doi-asserted-by":"publisher","first-page":"vi","DOI":"10.1016\/j.coms.2006.03.005","volume":"18","author":"DW Nitzan","year":"2006","unstructured":"Nitzan DW (2006) Arthrocentesis--incentives for using this minimally invasive approach for temporomandibular disorders. Oral Maxillofac Surg Clin North Am 18(311-328):vi\u2013328. https:\/\/doi.org\/10.1016\/j.coms.2006.03.005","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"324_CR12","doi-asserted-by":"crossref","unstructured":"Dolwick MF (2007) Temporomandibular joint surgery for internal derangement. Dent Clin North Am 51:195-208, vii-viii.","DOI":"10.1016\/j.cden.2006.10.003"},{"key":"324_CR13","first-page":"392","volume":"29","author":"CH Kim","year":"2003","unstructured":"Kim CH, Hwang HS, Sin SH (2003) The study of the predictors in arthrocentesis and lavage of temporomandibular joint disorder: retrospective evaluation of anterior disc displacement without reduction. J Korean Assoc Oral Maxillofac Surg 29:392\u2013396","journal-title":"J Korean Assoc Oral Maxillofac Surg"},{"issue":"2","key":"324_CR14","first-page":"143","volume":"91","author":"M Ohnishi","year":"1990","unstructured":"Ohnishi M (1990) Arthroscopy and arthroscopic surgery of the temporomandibular joint (T.M.J.). Rev Stomatol Chir Maxillofac 91(2):143\u2013150","journal-title":"Rev Stomatol Chir Maxillofac"},{"issue":"3","key":"324_CR15","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1016\/S1010-5182(96)80051-5","volume":"24","author":"T Warnke","year":"1996","unstructured":"Warnke T, Carls FR, Sailer HF (1996) A new method for assessing the temporomandibular joint quantitatively by dental scan. J Craniomaxillofac Surg 24(3):168\u2013172. https:\/\/doi.org\/10.1016\/S1010-5182(96)80051-5","journal-title":"J Craniomaxillofac Surg"},{"issue":"4","key":"324_CR16","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1016\/j.ijom.2011.11.007","volume":"41","author":"L Guarda-Nardini","year":"2012","unstructured":"Guarda-Nardini L, Ferronato G, Manfredini D (2012) Two-needle vs. single-needle technique for TMJ arthrocentesis plus hyaluronic acid injections: a comparative trial over a six-month follow up. Int J Oral Maxillofac Surg 41(4):506\u2013513. https:\/\/doi.org\/10.1016\/j.ijom.2011.11.007","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"2","key":"324_CR17","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1080\/02688690050004633","volume":"14","author":"TA Carroll","year":"2000","unstructured":"Carroll TA, Smith K, Jakubowski J (2000) Extradural haematoma following temporomandibular joint arthrocentesis and lavage. Br J Neurosurg 14(2):152\u2013154. https:\/\/doi.org\/10.1080\/02688690050004633","journal-title":"Br J Neurosurg"},{"key":"324_CR18","first-page":"453","volume":"32","author":"JJ Kim","year":"2006","unstructured":"Kim JJ (2006) The effect of intra-articular injection of hyaluronic acid after arthrocentesis in treatment of internal derangements of the TMJ. J Korean Assoc Oral Maxillofac Surg 32:453\u2013457","journal-title":"J Korean Assoc Oral Maxillofac Surg"},{"issue":"9","key":"324_CR19","doi-asserted-by":"publisher","first-page":"2048","DOI":"10.1016\/j.joms.2012.05.018","volume":"70","author":"L Guarda-Nardini","year":"2012","unstructured":"Guarda-Nardini L, Olivo M, Ferronato G, Salmaso L, Bonnini S, Manfredini D (2012) Treatment effectiveness of arthrocentesis plus hyaluronic acid injections in different age groups of patients with temporomandibular joint osteoarthritis. J Oral Maxillofac Surg 70(9):2048\u20132056. https:\/\/doi.org\/10.1016\/j.joms.2012.05.018","journal-title":"J Oral Maxillofac Surg"},{"issue":"6","key":"324_CR20","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1053\/joms.2001.23368","volume":"59","author":"GH Alpaslan","year":"2001","unstructured":"Alpaslan GH, Alpaslan C (2001) Efficacy of temporomandibular joint arthrocentesis with and without injection of sodium hyaluronate in treatment of internal derangements. J Oral Maxillofac Surg 59(6):613\u2013618; discussion 618-619. https:\/\/doi.org\/10.1053\/joms.2001.23368","journal-title":"J Oral Maxillofac Surg"},{"issue":"5","key":"324_CR21","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1007\/s00264-010-0959-y","volume":"34","author":"M Falah","year":"2010","unstructured":"Falah M, Nierenberg G, Soudry M, Hayden M, Volpin G (2010) Treatment of articular cartilage lesions of the knee. Int Orthop 34(5):621\u2013630. https:\/\/doi.org\/10.1007\/s00264-010-0959-y","journal-title":"Int Orthop"},{"issue":"03n04","key":"324_CR22","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1142\/S0218957703001125","volume":"7","author":"C Willers","year":"2003","unstructured":"Willers C, Wood DJ, Zheng MH (2003) A current review on the biology and treatment of articular cartilage defects (Part I & Part II). J Musculoskelet Res 7(03n04):157\u2013181. https:\/\/doi.org\/10.1142\/S0218957703001125","journal-title":"J Musculoskelet Res"},{"issue":"11","key":"324_CR23","doi-asserted-by":"publisher","first-page":"1576","DOI":"10.1016\/j.joms.2005.05.318","volume":"63","author":"PY Yun","year":"2005","unstructured":"Yun PY, Kim YK (2005) The role of facial trauma as a possible etiologic factor in temporomandibular joint disorder. J Oral Maxillofac Surg 63(11):1576\u20131583. https:\/\/doi.org\/10.1016\/j.joms.2005.05.318","journal-title":"J Oral Maxillofac Surg"}],"container-title":["Maxillofacial Plastic and Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-021-00324-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40902-021-00324-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40902-021-00324-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,12]],"date-time":"2021-10-12T17:30:57Z","timestamp":1634059857000},"score":1,"resource":{"primary":{"URL":"https:\/\/jkamprs.springeropen.com\/articles\/10.1186\/s40902-021-00324-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,12]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["324"],"URL":"https:\/\/doi.org\/10.1186\/s40902-021-00324-4","relation":{},"ISSN":["2288-8586"],"issn-type":[{"type":"electronic","value":"2288-8586"}],"subject":[],"published":{"date-parts":[[2021,10,12]]},"assertion":[{"value":"7 August 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 September 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 October 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the institutional review board of the Asan Medical Center (S2019-2473-0003). Informed written consent was provided by each patient involved in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All authors were consented for publication of this article.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"38"}}