Published January 30, 2026
| Version v1
Journal article
Open
A modified single-puncture technique for temporomandibular joint arthrocentesis using a peripheral intravenous catheter: Case Report
- 1. International Journal of Dental Science and Innovative Research (IJDSIR)
Description
Abstract
Arthrocentesis is a minimally invasive surgical procedure widely used for the management of inflammatory temporomandibular joint (TMJ) disorders. Although the conventional two-needle technique has been well established for over two decades, recent modifications have introduced single-puncture arthrocentesis to reduce procedural morbidity. This report describes a modified single-puncture technique employing a dual-peripheral intravenous catheter assembly. The proposed modifications facilitate effective joint lavage, improve procedural efficiency, and offer technical advantages over previously described single-puncture arthrocentesis methods.
Files
SWAGATAM.pdf
Additional details
Software
References
- 1. Nitzan DW, Dolwick MF, Martinez GA (1991) Temporomandibu lar joint arthrocentesis: a simplified treatment for severe, limited mouth opening. J Oral Maxillofac Surg 49(11):1163 2. Datarkar A, Purohit S, Relan P. Novel Modification of the Use of Peripheral Intravenous Catheters for Single Puncture Arthrocentesis of Temporomandibular Joint: A Technical Note. J Maxillofac Oral Surg. 2023 Mar;22(1):119-121. doi: 10.1007/s12663-021-01684-0. Epub 2022 Jan 18. PMID: 36703647; PMCID: PMC9871099. 3. Guarda-Nardini L, Manfredini D, Ferronato G. Arthrocentesis of the temporomandibular joint: a proposal for a single-needle technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106(4):483–486. doi: 10.1016/ j.tripleo.2007. 12.006. 4. Talaat W, Ghoneim MM, Elsholkamy M. Single-needle arthrocentesis Shepard cannula versus double-needle arthrocentesis for treating disc displacement without reduction. CRANIO®. 2016 doi: 10.1080/ 08869634.2015.1106810. 5. Holmlund A, Hellsing G. Arthroscopic surgery of the temporomandibular joint Internal derangement with persistent close lock. Oral Surg Oral Med Oral Pathol. 1986; 62:361. doi: 10.1016/0030-4220(86) 90282-3. 6. Rehman K-U, Hall T: Single needle arthrocentesis. Br J Oral Maxillofac Surg [Epub ahead of print] October 31, 2008. doi: 10.1016/j.bjoms.2008.09.014 7. Alkan A, Bas B: The use of double-needle canula method for temporomandibular joint arthrocentesis: Clinical report. Eur J Dent 1:1792, 2007 8. Emshoff R, Rudisch A. Are internal derangements and osteoarthrosis linked to changes inclinical outcome measures of arthrocentesis of the temporomandibular joint? J Oral Maxillofac Surg 2003;61:1162-7. 9. Nishimura M, Segami N, Kaneyama K, Sato J, Fujimura K. Comparison of cytokine level in synovial fluid between successful and unsuccessful cases in arthrocentesis of the temporomandibular joint. J Oral Maxillofac Surg 2004;62:284-7. 10. Carlsson GE. Epidemiology and treatment need for temporomandibular disorders. J Orofac Pain 1999; 13:232-7. 11. Greene CS. The etiology of temporomandibular disorders implications for treatment. J Orofac Pain 2001;15:93-105. 12. S¸entürk MF, Cambazo˘ glu M. A new classification for temporo mandibular joint arthrocentesis techniques. Int J Oral Maxillofac Surg 2015;44:417–8. 13. Tozoglu S, Al-Belasy FA, Dolwick MF. A review of techniques of lysis and lavage of the TMJ. Br J Oral Maxillofac Surg 2011;49: 302–9.