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
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spelling oai:doaj.org-article:b5663e3754334150a6f10e785cc3352a2021-11-11T17:41:25ZThe ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation10.3390/jcm102150682077-0383https://doaj.org/article/b5663e3754334150a6f10e785cc3352a2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5068https://doaj.org/toc/2077-0383Although 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.Andreas NeffNiall McLeodFrederik SpijkervetMerle RiechmannUlla ViethAndreas KolkAndrew J. SidebottomBernard BonteBernard SpeculandCarrol SaridinChristian T. WilmsConstantinus PolitisDavid Faustino ÂngeloDušan HirjakEsben AagaardFabrizio SpallacciaFlorencio MonjeGerhard UndtGiovanni GerbinoHadas LehmanJacinto F. SanrománLouis G. MercuriLuke CascariniMattias UlmnerMaurice MommaertsNadeem R. SaeedOrhan GüvenSalvatore SembronioVladimir MachoňLinda SkrochMDPI AGarticletemporomandibular jointjoint dislocationscondylar dislocationterminologyclinical practice guidelineevidence-based medicineMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5068, p 5068 (2021)
institution DOAJ
collection DOAJ
language EN
topic temporomandibular joint
joint dislocations
condylar dislocation
terminology
clinical practice guideline
evidence-based medicine
Medicine
R
spellingShingle temporomandibular joint
joint dislocations
condylar dislocation
terminology
clinical practice guideline
evidence-based medicine
Medicine
R
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
The ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation
description 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.
format article
author 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
author_facet 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
author_sort Andreas Neff
title The ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation
title_short The ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation
title_full The ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation
title_fullStr The ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation
title_full_unstemmed The ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation
title_sort estmjs (european society of temporomandibular joint surgeons) consensus and evidence-based recommendations on management of condylar dislocation
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/b5663e3754334150a6f10e785cc3352a
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