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Ultrasound-guided arthrocentesis of the temporomandibular joint

      Lysis and lavage of the upper joint space is a safe and effective way of managing disorders of the temporomandibular joint (TMJ), and some studies have attempted to find ways of making arthrocentesis comfortable.
      • Alkan A.
      • Kilic E.
      A new approach to arthrocentesis of the temporomandibular joint.
      Identification of the upper joint space is important for successful lysis and lavage, so reference points have been laid down.
      • Alkan A.
      • Etoz O.A.
      A new anatomical landmark to simplify temporomandibular joint arthrocentesis.
      However, use of the “blind” technique to reach the upper joint space requires experience, and carries a risk of damage to the collateral ligaments of the disc and the adjacent soft tissue. In addition, extra-articular or intra-articular injections affect the success of treatments such as prolotherapy, injection of autologous blood, and arthrocentesis.

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