J Dent Anesth Pain Med.  2019 Feb;19(1):37-44. 10.17245/jdapm.2019.19.1.37.

Investigation of the effects of temporomandibular joint arthrocentesis on blood volume of the retinal structures

• Keskinruzgar A
• Cankal DA
• Koparal M
• Simsek A
• Karadag AS

• KMID: 2439034
• DOI: http://doi.org/10.17245/jdapm.2019.19.1.37

Abstract

OBJECTIVE
Arthrocentesis is a minimally invasive surgical procedure that is used to alleviate the symptoms of temporomandibular joint (TMJ) disorders. The aim of this study was to investigate the effect of arthrocentesis on the blood supply to the retinal structures.
MATERIALS AND METHODS
Arthrocentesis was performed on 20 patients with TMJ disorders, and choroidal thickness (CT) in patients was measured to evaluate retinal blood circulation. The blood volume of the retinal structures was evaluated ipsilaterally before and after arthrocentesis, and these measurements were then compared with measurements obtained from the contralateral side.
RESULTS
Before arthrocentesis, there were no differences in retinal blood volumes between the ipsilateral and contralateral sides (P = 0.96). When ipsilateral CT measurements taken before and after arthrocentesis were compared, retinal blood supply was found to have significantly decreased after arthrocentesis (P = 0.04). When contralateral CT measurements taken before and after arthrocentesis were compared, retinal blood supply was also found to have decreased after arthrocentesis, but not significantly (P = 0.19).
CONCLUSION
The solution of local anesthesia with epinephrine applied before the arthrocentesis procedure was found to reduce the blood volume of the retinal structures. To the best of our knowledge, this is the first study that has investigated the blood volume of the retinal structures following arthrocentesis.

Keyword

Anesthesia; Arthrocentesis; Epinephrine; Retinal Structure; Temporomandibular Joint

MeSH Terms

Anesthesia
Anesthesia, Local
Arthrocentesis*
Blood Circulation
Blood Volume*
Choroid
Epinephrine
Humans
Retinaldehyde*
Temporomandibular Joint Disorders
Temporomandibular Joint*
Epinephrine
Retinaldehyde

Figure

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  Fig. 1 Retinal blood volumes in the right eye shown before arthrocentesis (ipsilateral side).

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  Fig. 2 Retinal blood volumes in the left eye shown before arthrocentesis (contralateral side).

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  Fig. 3 Retinal blood volumes in the right eye shown after arthrocentesis (ipsilateral side).

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  Fig. 4 Retinal blood volumes in the left eye shown after arthrocentesis (contralateral side).

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  Fig. 5 Retinal blood volumes in the ipsilateral and contralateral sides shown before and after arthrocentesis.

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