Aim This study assessed the patients' and clinicians' perception of the outcome Of temporomandibular joint arthroscopy. Method All patients who underwent TMT arthroscopy for both diagnostic and therapeutic pur...
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Aim This study assessed the patients' and clinicians' perception of the outcome Of temporomandibular joint arthroscopy. Method All patients who underwent TMT arthroscopy for both diagnostic and therapeutic purposes over a 6-year period were sent a questionnaire that asked about various symptoms attributable to the TMJ. Additionally a review of the clinical notes was performed. Results 83 patients underwent arthroscopy to 127 temporomandibular joints. The mean follow up was 3.6 years. 55% of patients assessed their jaw function as being effective, jaw movement, pain control, and overall satisfaction were satisfactory in 37%;57%, and 48% of cases respectively The clinicians' assessment revealed that 45% of patients had no joint tenderness, 74% of patients were able to open to >35 mm and 74% of patients were free of any joint noise. 65% of patients were prepared to undergo a second procedure if indicated. Conclusion Overall, 50% of patients seemed to view arthroscopy favourably although many patients still felt that jaw opening was restricted. The outcome was not related to the position and:reducibility of the disc at surgery and other variables may be responsible. The disparity between the clinical evaluation and the patients' perception of effectiveness emphasises the importance of patient feedback.
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