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

Keskinruzgar, Aydin (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Adiyaman University)
Cankal, Dilek Aynur (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University)
Koparal, Mahmut (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Adiyaman University)
Simsek, Ali (Department of Ophthalmology, Medical School, Adiyaman University)
Karadag, Ayse Sevgi (Department of Ophthalmology, Medical School, Adiyaman University)
Publication Information
Journal of Dental Anesthesia and Pain Medicine / v.19, no.1, 2019 , pp. 37-44 More about this Journal
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.
Anesthesia; Arthrocentesis; Epinephrine; Retinal Structure; Temporomandibular Joint;
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