Oral and Maxillofacial Department, Hospital Clínico Universitario de Valencia, Av. de Blasco Ibáñez, 17, 46010 Valencia, Spain.
Department of Radiology, Hospital Clínico Universitario de Valencia, Av. de Blasco Ibáñez, 17, 46010 Valencia, Spain.
J Stomatol Oral Maxillofac Surg. 2021 Sep;122(4):e27-e31. doi: 10.1016/j.jormas.2021.03.002. Epub 2021 Mar 8.
The temporomandibular joint (TMJ) arthrocentesis is a common procedure in maxillofacial surgery departments for the treatment of TMJ dysfunction. The use of ultrasonography in this area is rare, and in the vast majority of cases only as a diagnostic, and non-therapeutic use. Through this study we propose the equipment and ultrasound parameters necessary to obtain detailed and practical images when using ultrasonography as a therapeutic guide in arthrocentesis of TMJ. In addition, we provide data regarding the placement and working angulations of both the ultrasound probe and the needle that are ideal for facilitating image-guided puncture. It is a simple technique, with a relatively short learning curve, and that can provide considerable intraoperative help to the surgeon.
颞下颌关节（TMJ）关节腔穿刺术是颌面外科治疗 TMJ 功能障碍的常见手术。在该领域使用超声检查非常少见，绝大多数情况下仅作为诊断而非治疗用途。通过本研究，我们提出了在 TMJ 关节腔穿刺中使用超声作为治疗引导时获得详细实用图像所需的设备和超声参数。此外，我们还提供了有关超声探头和穿刺针的放置和工作角度的数据，这些数据对于促进图像引导穿刺非常理想。这是一种简单的技术，学习曲线相对较短，可以为外科医生提供术中很大的帮助。
