Year : 2019

Volume : Volume 10

Issue : Issue 2s

Address for correspondence :
Dr. Abin Varghese.
vargheseabin25@yahoo.com

Abstract

Background:  Arthrocentesis, as applied to the TMJ, involves irrigation of the superior joint space for removal of synovial fluid and other elements from the joint1. It’s a minimally invasive chairside procedure and has documented to relieve symptoms. The most widely accepted and classical manner in which this technique is performed is through two-needle access to the superior joint space and it has been reported in the literature that this technique is challenging and has several limitations. 2Thus, the use of a single-puncture approach has been proposed, which represents a less traumatic and more comfortable to perform the technique. The singlepuncture approach may have several advantages over the classical two-needle approach in regard to completion time, tolerability, stabilization of the needle, and retention of the intra-articular medication. 2This comprehensive review emphasize on the indications, different methods, various points of insertion, types of lavage solutions, potential complications and their management, contraindications and a technical note on the fabrication of Dual cannula for the Single puncture technique.

Keywords: Arthrocentesis, SPA, DPA, Dual cannula.