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999			_c13046 _d13046
008			220530s2021 ua a|||f bm|| 00| 0 eng d
040			_aEG-NcFUE _cEG-NcFUE _dEG-NcFUE _erda
041	0		_aeng _bara
082	0	4	_223 _a617.522 _bA.A.A
100	1		_aAbdel Malak, Abanoub Sliem Ghabious _eauthor.
245	1	0	_aAssessment of Arthroscopic Temporomandibular Joint Disc Repositioning / _cBy Abanoub Sliem Ghabious Abdel Malak B.D.S - Future University in Egypt ; Supervisors : Prof. Dr. Ahmed Barakat Professor and Head of Oral& Maxillofacial Surgery Department Faculty of Oral and Dental Medicine Future University in Egypt, Prof. Dr. Sameh Mekhemer Professor of Oral& Maxillofacial Surgery Faculty of Dentistry Cairo University, Prof. Dr. Reem Hossameldin Associate Professor of Oral& Maxillofacial Surgery Faculty of Dentistry Cairo University
246	3	5	_aتقيي تغيير وٍقع غضروف فٍصو اىفل اىصذغي تاى ظَْار
264		0	_c2021
300			_a139 pages : _billustrations (chiefly color) ; _c30 cm
336			_2rdacontent _atext
337			_2rdamedia _aunmediated
338			_2rdacarrier _avolume
500			_aSupervisors : Prof. Dr. Ahmed Barakat Professor and Head of Oral& Maxillofacial Surgery Department Faculty of Oral and Dental Medicine Future University in Egypt, Prof. Dr. Sameh Mekhemer Professor of Oral& Maxillofacial Surgery Faculty of Dentistry Cairo University, Prof. Dr. Reem Hossameldin Associate Professor of Oral& Maxillofacial Surgery Faculty of Dentistry Cairo University.
502			_aThesis (M. Sc.)-Future university in Egypt, faculty of oral and dental medicine, 2021.
504			_aBibbliography: (p.127-136)
520	3		_aThe aim of the present study was to clinically evaluate the outcomes of advanced arthroscopic disc repositioning (Discopexy) surgery for TMJ internal derangement, Wilkes stage III and early stage IV patients. Patients with unilateral or bilateral TMJ internal derangement who had unsuccessful conservative treatment for at least three months were randomly selected from the outpatient clinic of oral & maxillofacial surgery department of faculty of dentistry, Future University in Egypt and Cairo University. Exclusion criteria included patients with evidence of major jaw trauma, or deformities as well as systematic diseases affecting the joint. Arthroscopic disc repositioning was performed after unsuccessful conservative procedures with 6 months follow up period. Before arthroscopic treatment, the patients were examined clinically as well as radiographically using MRI. Based on the clinical and radiological findings, a Wilkes staging was assigned to each joint preoperatively. Under general anesthesia, arthroscopic discopexy was performed using an arthroscope of 1.9 mm diameter. after a double puncture arthroscopic examination of the superior joint space was performed , then anterior release of the superior belly of the lateral pterygoid muscle from the disc , followed by disc reduction by pressuring on the retrodiscal tissue , then using Meniscus Mender (Disc repositioning kit) the disc is fixed in the reduced position by stainless steel wire passing from the inferior to the superior joint space and the two wire ends attached to a metal button extra-orally to keep the disc reduced . Post-surgical treatment comprised of a soft diet and full coverage occlusal stabilization splints. Then, the patients did a panoramic x ray before wire removal to check the wire continuity. MRI was done six months postoperatively to check the changes in disc position. The number of treated patients was 4 patients (total of six joints) all were females; mean age of selected subjects was 20-30 years. The number of unilateral affected joints was two and two bilateral joints. No intra operative complications except one patient had a unilateral transient facial nerve affection which resolved after physiotherapy. There were no signs of infection, bleeding or hematoma. The main outcomes variable of the current study was to assess the degree of joint pain on VAS and MIO in mm at six months postoperatively. Results showed a statically significant improvement in MIO and a noticeable change in the disc position at the end of the follow up period. Other variables include, VAS, joint noise, joint loading and joint pain which all had insignificant changes.
650		0	_aTemporomandibular joint _xDiseases _xDiagnosis
650		0	_aTemporomandibular joint _xImaging
650		0	_aDiagnostic imaging
700	1		_929642 _aBarakat, Ahmed _esupervisor.
700	1		_929144 _aMekhemer, Sameh _esupervisor
700	1		_933940 _aHossameldin, Reem _esupervisor
856	4	0	_aDSpace electronic resources _uhttp://repository.fue.edu.eg/handle/123456789/6058
942			_cTHESIS