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

Author:

Monje Gil Florencio1,Martínez Artal Patricia1ORCID,Cuevas Queipo de Llano Alberto1,Muñoz Guerra Mario2,González Ballester David1,López Arcas José María3,López Cedrún José Luis4ORCID,Gutiérrez Pérez José Luis5,Martín-Granizo Rafael6,del Castillo Pardo de Vera José Luis7,García Medina Blas8,González-García Raúl2ORCID,Moreno Sánchez Manuel1,Rodríguez Ekaitz Valle9,Fernández Sanromán Jacinto10,López Martos Ricardo5,Peral Cagigal Beatriz11ORCID,Redondo Alamillos Marta12,Morey Mas Miguel13,Salcedo Gil Carlos14,Ramos Medina Benito15ORCID,Valls Ontañón Adaia16,Masià Gridilla Jorge17,Dean Ferrer Alicia18ORCID

Affiliation:

1. Oral and Maxillofacial Surgery Department, University Hospital Badajoz, 06080 Badajoz, Spain

2. Oral and Maxillofacial Surgery Department, La Princesa University Hospital, 28006 Madrid, Spain

3. Radiology Department, Infanta Leonor Hospital, 28032 Madrid, Spain

4. Oral and Maxillofacial Surgery Department, University Hospital A Coruña, 15008 A Coruña, Spain

5. Oral and Maxillofacial Surgery Department, University Hospital Virgen del Rocío, 41013 Sevilla, Spain

6. Oral and Maxillofacial Surgery Department, Hospital Clínico San Carlos, 28040 Madrid, Spain

7. Oral and Maxillofacial Surgery Department, La Paz University Hospital, 28046 Madrid, Spain

8. Oral and Maxillofacial Surgery Department, University Hospital Virgen de las Nieves, 18014 Granada, Spain

9. Oral and Maxillofacial Surgery Department, University Hospital Reina Sofía, 30003 Murcia, Spain

10. Oral and Maxillofacial Surgery Department, Hospital Povisa, 36211 Vigo, Spain

11. Oral and Maxillofacial Surgery Department, University Hospital Río Hortega, 47012 Valladolid, Spain

12. Oral and Maxillofacial Surgery Department, University Hospital 12 de Octubre, 28041 Madrid, Spain

13. GBCOM Dental and Maxillofacial Clinic, 07014 Palma de Mallorca, Spain

14. Oral and Maxillofacial Surgery Department, University Hospital Son Espases, 07120 Palma de Mallorca, Spain

15. Oral and Maxillofacial Surgery Department, University Hospital Santa Lucía, 30202 Cartagena, Spain

16. Oral and Maxillofacial Surgery Department, Hospital Sant Joan de Déu, 08950 Barcelona, Spain

17. Oral and Maxillofacial Surgery Department, University Hospital Vall d’Hebron, 08035 Barcelona, Spain

18. Oral and Maxillofacial Surgery Department, Hospital Reina Sofía, 14004 Córdoba, Spain

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.

Publisher

MDPI AG

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