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September 1989

Temporomandibular Joint Arthroscopic Surgery

Author Affiliations

San Diego, Calif

Arch Otolaryngol Head Neck Surg. 1989;115(9):1025-1027. doi:10.1001/archotol.1989.01860330015003

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Louis Gallia, DDS, MD, Sacramento, Calif, at the meeting of the Western Section of the Triological Society in Laguna Niguel, Calif, reported his experience in arthroscopic surgery of the temporomandibular joint (TMJ). He has performed 700 arthroscopic procedures on the TMJ since 1986, at which time the procedure was introduced into the United States. Arthroplasty for meniscectomy was first reported in 1887 by Pringle, who used it for meniscectomy in the knee joint. In 1975, Onishi, in Tokyo, Japan, first reported arthroscopy of the TMJ.

The technique uses a preauricular incision (2 to 3 mm) and a shortened arthroscope (2.5 mm in diameter). A variety of instruments are used that are, essentially, miniaturizations of the instruments used for arthroscopic surgery of the knee. Indications for arthroscopy of the TMJ include internal derangements of the joint, including disk displacements anteriorly with and without reduction, perforation, and cases in which diagnosis is

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