Journal of Clinical Medicine (Oct 2021)
The ESTMJS (European Society of Temporomandibular Joint Surgeons) Consensus and Evidence-Based Recommendations on Management of Condylar Dislocation
- 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
Affiliations
- Andreas Neff
- Department of Oral and Craniomaxillofacial Surgery, Philipps University Marburg, 35043 Marburg, Germany
- Niall McLeod
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Frederik Spijkervet
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Merle Riechmann
- Department of Oral and Craniomaxillofacial Surgery, Philipps University Marburg, 35043 Marburg, Germany
- Ulla Vieth
- Department of Oral and Craniomaxillofacial Surgery, Philipps University Marburg, 35043 Marburg, Germany
- Andreas Kolk
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Andrew J. Sidebottom
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Bernard Bonte
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Bernard Speculand
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Carrol Saridin
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Christian T. Wilms
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Constantinus Politis
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- David Faustino Ângelo
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Dušan Hirjak
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Esben Aagaard
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Fabrizio Spallaccia
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Florencio Monje
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Gerhard Undt
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Giovanni Gerbino
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Hadas Lehman
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Jacinto F. Sanromán
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Louis G. Mercuri
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Luke Cascarini
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Mattias Ulmner
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Maurice Mommaerts
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Nadeem R. Saeed
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Orhan Güven
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Salvatore Sembronio
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Vladimir Machoň
- The European Society of Temporomandibular Joint Surgeons (ESTMJS), c/o Secretariat: 16 Hemlegh Vale, Helsby, Cheshire WA6 0DB, UK
- Linda Skroch
- Department of Oral and Craniomaxillofacial Surgery, Philipps University Marburg, 35043 Marburg, Germany
- DOI
- https://doi.org/10.3390/jcm10215068
- Journal volume & issue
-
Vol. 10,
no. 21
p. 5068
Abstract
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 (p < 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.
Keywords
- temporomandibular joint
- joint dislocations
- condylar dislocation
- terminology
- clinical practice guideline
- evidence-based medicine