The ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation

The ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation

Although condylar dislocation is not uncommon, terminology, diagnostics, and treatment concepts vary considerably worldwide. This study aims to present a consensus recommendation based on systematically reviewed literature and approved by the European Society of TMJ Surgeons (ESTMJS). Based on the t...

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Autores principales: Andreas Neff, Niall McLeod, Frederik Spijkervet, Merle Riechmann, Ulla Vieth, Andreas Kolk, Andrew J. Sidebottom, Bernard Bonte, Bernard Speculand, Carrol Saridin, Christian T. Wilms, Constantinus Politis, David Faustino Ângelo, Dušan Hirjak, Esben Aagaard, Fabrizio Spallaccia, Florencio Monje, Gerhard Undt, Giovanni Gerbino, Hadas Lehman, Jacinto F. Sanromán, Louis G. Mercuri, Luke Cascarini, Mattias Ulmner, Maurice Mommaerts, Nadeem R. Saeed, Orhan Güven, Salvatore Sembronio, Vladimir Machoň, Linda Skroch
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
Materias:
temporomandibular joint
joint dislocations
condylar dislocation
terminology
clinical practice guideline
evidence-based medicine
Medicine
R
Acceso en línea:https://doaj.org/article/b5663e3754334150a6f10e785cc3352a
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Sumario:Although condylar dislocation is not uncommon, terminology, diagnostics, and treatment concepts vary considerably worldwide. This study aims to present a consensus recommendation based on systematically reviewed literature and approved by the European Society of TMJ Surgeons (ESTMJS). Based on the template of the evidence-based German guideline (register # 007-063) the ESTMJS members voted on 30 draft recommendations regarding terminology, diagnostics, and treatment initially via a blinded modified Delphi procedure. After unblinding, a discussion and voting followed, using a structured consensus process in 2019. An independent moderator documented and evaluated voting results and alterations from the original draft. Although the results of the preliminary voting were very heterogenous and differed significantly from the German S3 guideline (<i>p</i> < 0.0005), a strong consensus was achieved in the final voting on terminology, diagnostics, and treatment. In this voting, multiple alterations, including adding and discarding recommendations, led to 24 final recommendations on assessment and management of TMJ dislocation. To our knowledge, the ESTMJS condylar dislocation recommendations are the first both evidence and consensus-based international recommendations in the field of TMJ surgery. We recommend they form the basis for clinical practice guidelines for the management of dislocations of the mandibular condyle.

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