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

Journal: Journal Of Clinical Medicine
Published:
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.

Authors
Florencio Monje Gil, Patricia Martínez Artal, Alberto Cuevas Queipo De Llano, Mario Muñoz Guerra, David González Ballester, José López Arcas, José López Cedrún, José Gutiérrez Pérez, Rafael Martín Granizo, José Del Castillo Pardo De Vera, Blas García Medina, Raúl González García, Manuel Moreno Sánchez, Ekaitz Rodríguez, Jacinto Fernández Sanromán, Ricardo López Martos, Beatriz Peral Cagigal, Marta Redondo Alamillos, Miguel Morey Mas, Carlos Salcedo Gil, Benito Ramos Medina, Adaia Valls Ontañón, Jorge Masià Gridilla, Alicia Dean Ferrer