Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative Disorder

Background. Temporomandibular joint (TMJ) arthritis is a degenerative pathology that may cause pain and dysfunction. Nonsurgical therapy is the traditional treatment of TMJ diseases but if ineffective, TMJ surgery can be performed and may include arthroplasty with interposition of autograft. The enc...

Full description

Saved in:
Bibliographic Details
Main Authors: Luca Guarda-Nardini, Diletta Trojan, Giulia Montagner, Elisa Cogliati, Matteo Bendini, Daniele Manfredini
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2019/6037191
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832547459115515904
author Luca Guarda-Nardini
Diletta Trojan
Giulia Montagner
Elisa Cogliati
Matteo Bendini
Daniele Manfredini
author_facet Luca Guarda-Nardini
Diletta Trojan
Giulia Montagner
Elisa Cogliati
Matteo Bendini
Daniele Manfredini
author_sort Luca Guarda-Nardini
collection DOAJ
description Background. Temporomandibular joint (TMJ) arthritis is a degenerative pathology that may cause pain and dysfunction. Nonsurgical therapy is the traditional treatment of TMJ diseases but if ineffective, TMJ surgery can be performed and may include arthroplasty with interposition of autograft. The encouraging results reported with the use of human amniotic membrane (HAM) in different surgical fields have highlighted its potential, but approaches providing the positioning of HAM within the intra-articular space of arthritic TMJs have never been investigated. Case Presentation. A 48-year-old woman was presented with limited mouth opening and pain with palpation at the left joint. A severe TMJ degeneration was diagnosed, and a surgical treatment was necessary. In the present case report, the authors describe the application of a cryopreserved HAM patch within the joint space as a disc-replacing film during major surgeries for discectomy and arthroplasty. Three months after the intervention, the patient reported an overall improvement in chewing efficiency as well as the absence of pain. Conclusions. According to the regenerative effects of HAM, the design of trials on the topic should be encouraged for its possible inclusion within the field of TMJ disease practice.
format Article
id doaj-art-b5e796acb7224ea5a841b9438eae013e
institution Kabale University
issn 2090-6900
2090-6919
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-b5e796acb7224ea5a841b9438eae013e2025-02-03T06:44:41ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/60371916037191Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative DisorderLuca Guarda-Nardini0Diletta Trojan1Giulia Montagner2Elisa Cogliati3Matteo Bendini4Daniele Manfredini5Section of Dentistry and Maxillofacial Surgery, Treviso Hospital, Treviso, ItalyTreviso Tissue Bank Foundation, Treviso, ItalyTreviso Tissue Bank Foundation, Treviso, ItalyTreviso Tissue Bank Foundation, Treviso, ItalySection of Neuroradiology, Treviso Hospital, Treviso, ItalySchool of Dentistry, Department of Neuroscience, University of Padova, Padova, ItalyBackground. Temporomandibular joint (TMJ) arthritis is a degenerative pathology that may cause pain and dysfunction. Nonsurgical therapy is the traditional treatment of TMJ diseases but if ineffective, TMJ surgery can be performed and may include arthroplasty with interposition of autograft. The encouraging results reported with the use of human amniotic membrane (HAM) in different surgical fields have highlighted its potential, but approaches providing the positioning of HAM within the intra-articular space of arthritic TMJs have never been investigated. Case Presentation. A 48-year-old woman was presented with limited mouth opening and pain with palpation at the left joint. A severe TMJ degeneration was diagnosed, and a surgical treatment was necessary. In the present case report, the authors describe the application of a cryopreserved HAM patch within the joint space as a disc-replacing film during major surgeries for discectomy and arthroplasty. Three months after the intervention, the patient reported an overall improvement in chewing efficiency as well as the absence of pain. Conclusions. According to the regenerative effects of HAM, the design of trials on the topic should be encouraged for its possible inclusion within the field of TMJ disease practice.http://dx.doi.org/10.1155/2019/6037191
spellingShingle Luca Guarda-Nardini
Diletta Trojan
Giulia Montagner
Elisa Cogliati
Matteo Bendini
Daniele Manfredini
Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative Disorder
Case Reports in Surgery
title Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative Disorder
title_full Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative Disorder
title_fullStr Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative Disorder
title_full_unstemmed Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative Disorder
title_short Human Amniotic Membrane Positioning in the Surgical Treatment of Temporomandibular Joint Degenerative Disorder
title_sort human amniotic membrane positioning in the surgical treatment of temporomandibular joint degenerative disorder
url http://dx.doi.org/10.1155/2019/6037191
work_keys_str_mv AT lucaguardanardini humanamnioticmembranepositioninginthesurgicaltreatmentoftemporomandibularjointdegenerativedisorder
AT dilettatrojan humanamnioticmembranepositioninginthesurgicaltreatmentoftemporomandibularjointdegenerativedisorder
AT giuliamontagner humanamnioticmembranepositioninginthesurgicaltreatmentoftemporomandibularjointdegenerativedisorder
AT elisacogliati humanamnioticmembranepositioninginthesurgicaltreatmentoftemporomandibularjointdegenerativedisorder
AT matteobendini humanamnioticmembranepositioninginthesurgicaltreatmentoftemporomandibularjointdegenerativedisorder
AT danielemanfredini humanamnioticmembranepositioninginthesurgicaltreatmentoftemporomandibularjointdegenerativedisorder