Temporomandibular joint surgery: open discopexy and "Functional Arthroplasty"

TMJ open surgery is reserved in patients with chronic pain, irreversible TMJ damage and/or a perforation supposed. “Functional Arthroplasty” (FA) is a surgical procedure including upper compartment arthroscopy, access to the lower compartment with condyle condylar shaving, retrodiscal perforations repair, disc repositioning and its stabilization through a resorbable anchor. The disk has to be repositioned from its pathologic position to a more correct position over the condylar head and the posterolateral side of the disk sutured above the condyle. The patient generally discharged the day after the operation with painkiller therapy (NSAID) and the prescription of a semi liquid diet.