World J Oral Maxillofac Surg | Volume 3, Issue 1 | Research Article | Open Access
Surabhi V1, Rithesh KB2 and Ganesh GK3*
1Department of Surgery, Centre for Cleft Services at St Joseph's Hospital Mysore, India
2Department of Oral and Maxillofacial Surgery, AJ Dental College and Hospital, Mangalore, India
3Department of Dentistry, Karwar Institute of Medical Sciences, Karwar, India
Introduction: Purpose of this study is to assess the outcome of autologous blood injection to the
temporomandibular joint in treating chronic recurrent dislocation.
Material and Methods: 15 patients with chronic recurrent temporomandibular joint dislocation
considered in the study underwent single needle arthrocentesis followed by autologous blood
injection in upper joint cavity. The pre-operative findings of patient’s maximum mouth opening
and an evaluation of temporomandibular joint radiograph compared post operatively.
Results: All the patients tolerated the arthrocentesis and intra articular autologous blood injection
without any serious complications.The mean age group was 32.37 years. The mean difference
between the pre and post-operative mouth opening was 2.46 ± 1.96 mm and was assessed by paired t
test. Among the 8 patients who had 2 episodes of dislocation pre operatively only 2 patients continue
to have repeated dislocation (25%) at the end of 3 months post-operatively. Remaining 7 patients
out of 15, who had more than 3 episodes of dislocation pre operatively, experienced no dislocation
during the follow up (100%).
Conclusion: Intra-articular autologous blood injection following single needle arthrocentesis is
simple, minimally invasive and cost effective procedure. The treatment was successful in 86.3% of
cases without any serious complications both during the procedure and during follow up period.
Arthrocentesis; Autologous Blood; Recurrent Dislocation; Temperomandibular Join
Surabhi V, Rithesh KB, Ganesh GK. Intra-articular Autologous Blood Injection Following Arthrocentesis in the Management of Chronic Recurrent Temporomandibular Joint Dislocation - A Prospective Study. World J Oral Maxillofac Surg. 2020; 3(1): 1039. Copyright © 2020 Ganesh GK..