Functional surgery of the XXXX with conscious sedation for "closed lock" using eminectomy as a treatment: a case series.

@entity1 @entity158 @entity86 @entity1348
PURPOSE: The purpose of this case series study was to evaluate the advantages and disadvantages of using local anesthesia and conscious sedation (CS) rather than general anesthesia (GA) for performing functional surgery on @entity1 suffering from @entity1348 ( @entity1348 ) closed lock, using the eminectomy procedure. Performing this procedure using CS allows functional assessment of the @entity1348 meniscus at the time of surgery. The objectives of this study were to determine if this surgery is possible under CS, to determine the benefits of being able to see the meniscus in action, and to investigate the @entity1 ' acceptability for this form of anesthesia. @entity1 AND METHODS: Twenty-two @entity1 who underwent this eminectomy procedure under either CS or GA on a day-case basis participated in this retrospective case series study. All the recruited @entity1 had this procedure carried out after a course of nonsurgical conservative treatment that had failed to relieve the symptoms associated with their @entity1348 disorder--"closed lock." RESULTS: Objective results obtained were as follows: preoperative and @entity86 opening; preoperative investigations; preoperative treatments. Subjective results obtained were as follows: preoperative and postoperative @entity158 ; noises; clicks; hearing and deviation on opening; @entity1 rating of operation success. Paired t testing showed a significant change in mouth opening for both groups. The mean mouth opening change in the CS group (n = 9) was 10.6 mm (P = .014) and in the GA group (n = 13) was 13.7 mm (P < .001). An unpaired t test showed there is no statistical difference between these groups (P = .467). The subjective data recorded showed comparable outcomes and acceptance for the 2 techniques in terms of @entity158 and operation success. CONCLUSIONS: The use of local anesthesia and CS is an alternative to GA for performing @entity1348 procedures in appropriately selected @entity1 . The advantage of direct visualization of the meniscus and its movements in the nonasleep @entity1 requires further evaluation.
