Publicado Jun 25, 2015



PLUMX
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar
Descargas


Luis Vicente González Rodríguez

Liz Beth Bello Cubillos

##plugins.themes.bootstrap3.article.details##

Resumen

Antecedentes: Diferentes estudios actuales identifican la artroscopia temporomandibular como una técnica operatoria. Sin embargo, la gran utilidad diagnóstica de este método es muy poco abordada en la literatura. Asimismo, pocas investigaciones describen su precisión diagnóstica en el manejo de las alteraciones degenerativas intrarticulares. Propósito: Determinar la eficacia de la artroscopia temporomandibular en el diagnóstico de patologías articulares frente a la resonancia magnética nuclear, por medio de una revisión sistemática de la literatura. Métodos: Se realizó una búsqueda de artículos en diferentes bases de datos. Se aplicaron los siguientes criterios de inclusión: estudios clínicos abiertos en humanos, estudios con enfoque diagnóstico que mostraran especificidad y sensibilidad de la técnica de artroscopia diagnóstica y resonancia magnética nuclear, referentes a patologías de desplazamiento anterior del disco con reducción o sin esta, adherencias del espacio articular superior y perforaciones discales, e idioma inglés. La búsqueda inicial arrojó un total de 632 títulos, de los cuales se seleccionaron 3 artículos a los cuales se les realizó análisis de calidad. Resultados: Los estudios muestran una eficacia diagnóstica del 92,39 % de perforaciones discales y del 61 % para adherencias intrarticulares con resonancia magnética. El diagnóstico con artroscopia de adherencias y perforaciones discales tuvo una sensibilidad y especificidad del 97 %. Conclusiones: Los estudios analizados muestran una baja precisión diagnóstica con deficiente sensibilidad y especificidad de la resonancia magnética nuclear para el diagnóstico de adherencias. Por otra parte, la artroscopia presentó una especificidad y sensibilidad diagnóstica elevada. Sin embargo, no hubo diferencias significativas entre ambas técnicas.

Background: Several recent studies describe temporomandibular arthroscopy as an operatory technique. However, the diagnostic usefulness of this method has not been examined much in the literature. Likewise, a few studies describe its accuracy to diagnose intra-articular degenerative anomalies. Purpose: To determine the effectiveness of temporomandibular arthroscopy to diagnose articular pathologies, when compared to nuclear magnetic resonance, through a systematic review of literature. Methods: An article search was conducted using several databases. The inclusion criteria included: open clinical studies; in humans; diagnostic studies that show specificity and sensitivity of diagnostic arthroscopy and nuclear magnetic resonance regarding articular disc anterior displacement with or without reduction, upper joint space adherence and disc perforations; and English language. The initial search showed 632 titles, of which 3 were chosen to conduct the quality analysis. Results: Studies show 92.39% diagnostic effectiveness of magnetic resonance for disc perforations and 61% for intra-articular adherences. Diagnostics of adherences and perforations with arthroscopy had a sensitivity and specificity of 97%. Conclusions: Studies analyzed show low diagnostic accuracy with low sensitivity and specificity of nuclear magnetic resonance to diagnose adherences. On the other side, arthroscopy showed high specificity and sensitivity. However, there were not statistically significant differences between both techniques.

Keywords
References
1. Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am. 2013 Jul; 57(3): 465-79.
2. Tucker M, Farrel B, Farrel B. Tratamiento de los trastornos temporomandibulares. En Hupp J, Ellis E, Tuker M, editores. Cirugía oral y maxilofacial contemporánea. 5a ed. Madrid: Elsevier; 2010.
3. Paesani DI, Westesson PL, Hatala MP, Tallents RH, Brooks SL Accuracy of clinical diagnosis for TMJ internal derangement and arthrosis. Oral Surg Oral Med Oral Pathol. 1992 Mar; 73(3): 360-3.
4. Ahmad M, Hollender L, Anderson Q, Kartha K, Ohrbach R, Truelove EL, John MT, Schiffman EL. Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Jun; 107(6): 844-60.
5. Segami N, Suzuki T, Sato J, Miyamaru M, Nishimura M, Yoshimura H. Does joint effusion on T2 magnetic resonance images reflect synovitis? Part 3. Comparison of histologic findings of arthroscopically obtained synovium in internal derangements of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 95: 761-6.
6. Westesson P. Imaging of the temporomandibular joint. En Thomas M, Bronstein SL, editores. Arthroscopy of the temporomandibular joint. 1a ed. Philadelphia: Saunders; 1991.
7. Aiken A, Bouloux G, Hudgins P. MR imaging of the temporomandibular joint. Magn Reson Imaging Clin N Am. 2012 Aug; 20(3): 397-412.
8. Sidney L. Development of temporomandibular joint arthroscopy. En Thomas M, Bronstein SL, editores. Arthroscopy of the temporomandibular joint. 1a ed. Philadelphia: Saunders; 1991.
9. McCain J. Arthroscopy. J Oral Maxillofac Surg. 2009 Sep; 67(9): 15-6.
10. Holmlund A, Hellsing G, Wredmark T. Arthroscopy of the temporomandibular joint. A clinical study. Int J Oral Maxillofac Surg. 1986 Dec; 15(6): 715-21.
11. Monges Gil F. Artroscopia diagnóstica de la articulación temporomandibular. En López R, editor. Diagnóstico y tratamiento de la patología de la articulación temporomandibular. 1a ed. Madrid: Ripano; 2009.
12. González-García R, Gil-Díez Usandizaga JL, Rodríguez-Campo FJ. Arthroscopic anatomy and lysis and lavage of the temporomandibular joint. Atlas Oral Maxillofac Surg Clin North Am. 2011 Sep; 19(2): 131-44.
13. Martín-Granizo R. Hallazgos artroscópicos en un caso de disco articular adherido de la ATM. Rev Esp Cir Oral Maxilofac. 2005 Nov; 27(6): 344-50.
14. Nitzan DW. Arthrocentesis--incentives for using this minimally invasive approach for temporomandibular disorders. Oral Maxillofac Surg Clin North Am. 2006 Aug; 18(3): 311-28.
15. Tomida M, Ishimaru J, Miyamoto K, Mizui T, Esaki Y, Hayashi T, Murayama K, Era S, Shibata T. Biochemical aspects of the patogénesis of temporomandibular joint disorders. Asian J Oral Maxilofac Surg. 2003 Jun; 15(2): 118-27.
16. Kaminishi R, Davis C. Intracapsular fibrosis of the superior compartment of the temporomandibular joint. En Thomas M, Bronstein SL, editores. Arthroscopy of the temporomandibular joint. 1a ed. Philadelphia: Saunders; 1991.
17. Mukarami K, Segami N. Intraarticular adhesions of the temporomandibular joint. En: Clark GT, Sanders B, Bertolami CN, editores. Advance in diagnostic and surgical arthroscopy of the temporomandibular joint. 1a ed. Philadelphia: Saunders; 1993.
18. Quinn J. Chondromalacia: pain mediator identification and significance in TMJ arthralgia. En Bell W, editor. Modern practice in orthognathic and reconstructive surgery. 9a ed. Philadelphia: Saunders; 1992.
19. Jiang Q, Qiu YT, Chen MJ, Zhang ZY, Yang C. Synovial TGF-β1 and MMP-3 levels and their correlation with the progression of temporomandibular joint osteoarthritis combined with disc displacement: A preliminary study. Biomed Rep. 2013 Mar; 1(2): 218-22.
20. Bronstein SL. Diagnostic and operative arthroscopy. Historical perspectives and indications. Oral Maxillofac Clin North Am. 1989 Sep; 1(1): 59-68.
21. Jaeschke R, Guyatt G, Sackett DL Users’ guides to the medical literature. III. How to use an article about a diagnostic test. A. Are the results of the study valid? Evidence-Based Medicine Working Group. J Am Med Assoc. 1994 Feb 2; 271(5): 389-91.
22. Zhang S, Yang C, Chen M, Fan X, Yun B, Peng Y, Yuan D. Magnetic resonance imaging in the diagnosis of intra-articular adhesions of the temporomandibular joint. Br J Oral Maxillofac Surg. 2009 Jul; 47(5): 389-92.
23. Shen P, Huo L, Zhang SY, Yang C, Cai XY, Liu XM. Magnetic resonance imaging applied to the diagnosis of perforation of the temporomandibular joint. J Craniomaxillofac Surg. 2014 Sep; 42(6): 874-8.
24. Tzanidakis K, Sidebottom AJ. How accurate is arthroscopy of the temporomandibular joint? A comparison of findings in patients who had open operations after arthroscopic management failed. Br J Oral Maxillofac Surg. 2013 Dec; 51(8): 968-70.
25. Rao VM, Farole A, Karasick D. Temporomandibular joint dysfunction: correlation of MR imaging, arthrography, and arthroscopy. Radiology. 1990 Mar; 174(3 Pt 1): 663-7.
26. Kuribayashi A, Okochi K, Kobayashi K, Kurabayashi T. MRI findings of temporomandibular joints with disk perforation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Sep; 106(3): 419-25.
27. Santler G, Kärcher H, Simbrunner J. MR imaging of the TMJ. MR diagnosis and intraoperative findings. J Craniomaxillofac Surg. 1993 Oct; 21(7): 284-8.
28. Wilkes CH. Internal derangements of the temporomandibular joint. Arch Otolaryngol Head Neck Surg 1989; 115: 469.
29. Bronstein SL, Merrill RG. Clinical staging for TMJ internal derangement: Application to arthroscopy. J Craniomandib Disord Facial Oral Pain. 1992; 6(1): 7-16.
30. Israel HA, Langevin CJ, Singer MD, Behrman DA. The relationship between temporomandibular joint synovitis and adhesions: pathogenic mechanisms and clinical implications for surgical management. J Oral Maxillofac Surg. 2006 Jul; 64(7): 1066-74.
31. Venetis G, Pilavaki M, Triantafyllidou K, Papachristodoulou A, Lazaridis N, Palladas P. The value of magnetic resonance arthrography of the temporomandibular joint in imaging disc adhesions and perforations. Dentomaxillofac Radiol. 2011 Feb; 40(2): 84-90.
32. Zhang S, Liu X, Yang C, Cai X, Chen M, Haddad MS, Yun B, Chen Z. Intra-articular adhesions of the temporomandibular joint: Relation between arthroscopic findings and clinical symptoms. BMC Musculoskelet Disord. 2009 Jun; 17(10): 1-6.
33. Kurita K, Bronstein SL, Westesson PL, Sternby NH. Arthroscopic diagnosis of perforation and adhesions of the temporomandibular joint: correlation with postmortem morphology. Oral Surg Oral Med Oral Pathol. 1989 Aug; 68(2): 130-4.
Cómo citar
González Rodríguez, L. V., & Bello Cubillos, L. B. (2015). Efectividad de la artroscopia temporomandibular para el diagnóstico de adherencias intrarticulares y perforaciones discales: revisión sistemática de la literatura / Effectiveness of Temporomandibular Arthroscopy for the Diagnosis of Intra-articular. Universitas Odontologica, 34(72), 47-56. https://doi.org/10.11144/Javeriana.uo34-72.eatd
Sección
Dossier Temático