Surgical Management of Oral and Maxillofacial Lesions

**101**

**Chapter 6**

**Abstract**

Review of Current Practice

Meniscopexy Surgery

high-level evidence to further support this.

temporomandibular joint dysfunction

**1. Introduction**

quality of life [1].

opening or closing [2].

for Temporomandibular Joint

*Omar Sheikh, Matin Ali Madadian and Amanveer Benning*

Disc repositioning for temporomandibular joint dysfunction (TMD) is a known and established procedure. Indications for the surgery and outcomes vary. A review of the available literature on the indications, surgical technique, and outcomes of TMJ Meniscopexy as a means of management of temporomandibular joint disease was performed. This was carried out using PubMed, MEDLINE, Scopus, and Google Scholar and was limited to the past 11 years using key medical search terms relevant to the subject area while being consistent with our exclusion criteria. The search yielded a total of 23 articles containing 3 reviews, 6 technical notes, 11 retrospective studies, and 3 prospective studies. Multiple techniques were described in the literature including arthroscopic techniques (n = 4), open suturing techniques (n = 4), mini-anchor techniques (n = 9), and splint-assisted surgery (n = 1). Several variables were used to determine success including both qualitative and quantitative measures determined clinically, through MRI or via patient questionnaire. When considering various combinations of these functional outcomes, all studies showed a significant improvement post-operatively. This demonstrates the success of disc repositioning procedures as an option in certain cases of TMD. Although there is evidence to show improvement in functional outcomes associated with Meniscopexy as a means of TMD management, there remains to be a lack of

**Keywords:** temporomandibular joint, meniscoplasty, meniscopexy, disc repositioning,

Temporomandibular joint dysfunction (TMD) is the most common cause of non-odontogenic pain in the oro-facial region, having a significant impact on

TMD is a common term used to describe a range of disorders affecting the temporomandibular joint. TMD can affect the temporomandibular joint (TMJ), the jaw muscles, or both, TMD has also been associated with ear and neck pain. Patients demonstrate clinical signs such as pain from the TMJ, muscle pain, TMJ sounds including clicking and crepitus, restricted mouth opening and deviation on mouth

The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/ TMD) presented by Dworkin and LeResche in 1992 classified TMD patients
