{Reference Type}: Journal Article {Title}: Consensus Report and Recommendations on the Management of Late-stage Internal Derangement of the Temporomandibular Joint. {Author}: Monje Gil F;Martínez Artal P;Cuevas Queipo de Llano A;Muñoz Guerra M;González Ballester D;López Arcas JM;López Cedrún JL;Gutiérrez Pérez JL;Martín-Granizo R;Del Castillo Pardo de Vera JL;García Medina B;González-García R;Moreno Sánchez M;Rodríguez EV;Fernández Sanromán J;López Martos R;Peral Cagigal B;Redondo Alamillos M;Morey Mas M;Salcedo Gil C;Ramos Medina B;Valls Ontañón A;Masià Gridilla J;Dean Ferrer A; {Journal}: J Clin Med {Volume}: 13 {Issue}: 11 {Year}: 2024 Jun 4 {Factor}: 4.964 {DOI}: 10.3390/jcm13113319 {Abstract}: Introduction: This report investigates late-stage internal derangement (ID) of the temporomandibular joint (TMJ) with the aim of establishing a more effective and personalized treatment protocol to improve patients' quality of life (QoL). Material and methods: A consensus was reached among maxillofacial surgeons specializing in LSID, based on a literature research and collective expert experience following the Delphi method. Consensus was considered to be achieved when a response received at least 80% of votes. Results: Four expert groups were established, respectively, focusing on diagnosis, minimally invasive surgery (MIS), open surgery and joint replacement. A comprehensive approach to late-stage ID of the TMJ requires a consensus report. This underscores the need for a personalized treatment plan, considering the variability in clinical presentations and progression of this pathology. Our recommendations aim to optimize clinical outcomes and enhance patient QoL.