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‘Yorkshireman’ temporomandibular joint discopexy: a technical note

Published:September 29, 2020DOI:https://doi.org/10.1016/j.bjoms.2020.08.067
      Disc repositioning to re-establish the relationship of the condylar head with the fossa is a common step in several temporomandibular joint (TMJ) surgical procedures. Discopexy has been described both as part of an open procedure, and endoscopically.
      • McCain J.P.
      • Podrasky A.E.
      • Zabiegalski N.A.
      Arthroscopic disc repositioning and suturing: a preliminary report.
      Multiple techniques and systems such as the Mitek system
      • Mehra P.
      • Wolford L.M.
      The Mitek mini anchor for TMJ disc repositioning: surgical technique and results.
      (mini anchor, Mitex Products Inc) and Arthrex system
      • Ryba F.M.
      • Ali A.
      • Matthews N.S.
      Temporomandibular joint meniscopexy using the Arthrex Corkscrew® mini anchor system: technical note.
      (Arthrex Corkscrew® mini anchor system) have been described. These devices have limitations in the requirement for specialised equipment and associated cost. Here, a technique for discopexy is described using standard 1.5mm mandibular screws and PDS (polydioxanone) as a cost-effective alternative.

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      References

        • McCain J.P.
        • Podrasky A.E.
        • Zabiegalski N.A.
        Arthroscopic disc repositioning and suturing: a preliminary report.
        J Oral Maxillofac Surg. 1992; 50: 568-579
        • Mehra P.
        • Wolford L.M.
        The Mitek mini anchor for TMJ disc repositioning: surgical technique and results.
        Int J Oral Maxillofac Surg. 2001; 30: 497-503
        • Ryba F.M.
        • Ali A.
        • Matthews N.S.
        Temporomandibular joint meniscopexy using the Arthrex Corkscrew® mini anchor system: technical note.
        Br J Oral Maxillofac Surg. 2015; 53: 299-300