1
|
Yamane M, Yoshida H, Iseki T, Uemura M. Establishment of a selective puncture method of the temporomandibular joint targeting the superior and inferior joint spaces using a human cadaver under the guidance of an ultrasound device. Oral Surg Oral Med Oral Pathol Oral Radiol 2024:S2212-4403(24)00321-3. [PMID: 38997908 DOI: 10.1016/j.oooo.2024.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Revised: 05/29/2024] [Accepted: 06/01/2024] [Indexed: 07/14/2024]
Abstract
OBJECTIVE To investigate an ultrasound-guided selective puncture method for the temporomandibular joint (TMJ), targeting superior (SJS) and inferior joint spaces (IJS), using a human cadaver. STUDY DESIGN The study utilized five cadavers donated by members of our university. The cadaver's left side was aimed at the SJS, while the right side was at the IJS. Nonionic contrast was injected into each joint using a crossing technique, with the linear ultrasound probe placed parallel to the long axis of the mandibular branch and punctured perpendicularly into the joint cavity. Cone-beam computed tomography scans assessed both the TMJs examining discs and other components for damage using a gross anatomical technique. RESULTS Computed tomography images confirmed successful contrast agent injection into all joint spaces without damaging the articular discs or cartilage of the mandibular head. CONCLUSIONS Our findings suggest that the ultrasound device can selectively puncture the TMJ in the SJS and IJS. In the future, the success rate is expected to improve with additional cadaver punctures. We aim to establish this technique as a viable treatment method that can be performed by oral surgeons with limited clinical experience in cadaver surgery training and a surgical technique training program using human cadavers.
Collapse
Affiliation(s)
- Makoto Yamane
- Graduate School of Dentistry (Anatomy), Osaka Dental University, Osaka, Japan.
| | - Hiroaki Yoshida
- First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Osaka, Japan
| | - Tomio Iseki
- First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Osaka, Japan
| | - Mamoru Uemura
- Department of Anatomy, Osaka Dental University, Osaka, Japan
| |
Collapse
|
2
|
Rotolo RP, d'Apuzzo F, Femiano F, Nucci L, Minervini G, Grassia V. Comparison between ultrasound and magnetic resonance imaging of the temporomandibular joint in juvenile idiopathic arthritis: A systematic review. J Oral Rehabil 2023; 50:1082-1092. [PMID: 37301975 DOI: 10.1111/joor.13529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 03/03/2023] [Accepted: 06/01/2023] [Indexed: 06/12/2023]
Abstract
OBJECTIVES The objectives of this systematic review were to evaluate the correlation between Ultrasound (US) and Magnetic Resonance Imaging (MRI) in patients with JIA and to investigate the association with Temporomandibular Disorders (TMD). MATERIALS AND METHODS The protocol was registered in PROSPERO (CRD42022312734). Databases Medline, Embase, Cochrane Central Register of Controlled Trials, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature were searched. Eligibility criteria were patients with JIA subjected to diagnostic evaluation using US and MRI. No language restrictions were applied. After duplicate study selection, data extraction and risk of bias assessment according to Cochrane were conducted. Data extraction of patients was conducted by two independent authors. RESULTS Five observational studies were included with 217 participants (153 females and 64 males; mean age 11.3 years). The quality of the studies was overall satisfactory. The correlation between US and MRI in children with JIA was 'moderate' in acute arthritis while the chronic arthritis correlated positively in two studies. CONCLUSIONS Even if MRI remains the more accurate imaging modality for the detection of TMJ of patients with JIA, US may be useful to early detect pathological conditions and to address the patient with JIA and putative TMJ involvement to a more accurate diagnosis with MRI and consequent appropriate treatment management. CLINICAL RELEVANCE MRI should be deemed necessary only secondary to less-invasive assessments with US just to confirm the diagnosis or to increase sensitivity, accuracy of positive predictive values detected.
Collapse
Affiliation(s)
- Rossana Patricia Rotolo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Fabrizia d'Apuzzo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Felice Femiano
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Ludovica Nucci
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Giuseppe Minervini
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Vincenzo Grassia
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
| |
Collapse
|
3
|
Maranini B, Ciancio G, Mandrioli S, Galiè M, Govoni M. The Role of Ultrasound in Temporomandibular Joint Disorders: An Update and Future Perspectives. Front Med (Lausanne) 2022; 9:926573. [PMID: 35795636 PMCID: PMC9251198 DOI: 10.3389/fmed.2022.926573] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Accepted: 05/24/2022] [Indexed: 12/11/2022] Open
Abstract
Temporomandibular joint (TMJ) disorder is the second most common chronic pain condition affecting the general population after back pain. It encompasses a complex set of conditions, manifesting with jaw pain and limitation in mouth opening, influencing chewing, eating, speaking, and facial expression. TMJ dysfunction could be related to mechanical abnormalities or underlying inflammatory arthropathies, such as rheumatoid arthritis (RA) or juvenile idiopathic arthritis (JIA). TMJ exhibits a complex anatomy, and thus a thorough investigation is required to detect the TMJ abnormalities. Importantly, TMJ involvement can be completely asymptomatic during the early stages of the disease, showing no clinically detectable signs, exposing patients to delayed diagnosis, and progressive irreversible condylar damage. For the prevention of JIA complications, early diagnosis is therefore essential. Currently, magnetic resonance imaging (MRI) is described in the literature as the gold standard method to evaluate TMJ. However, it is a high-cost procedure, not available in all centers, and requires a long time for image acquisition, which could represent a problem notably in the pediatric population. It also suffers restricted usage in patients with claustrophobia. Ultrasonography (US) has emerged in recent years as an alternative diagnostic method, as it is less expensive, not invasive, and does not demand special facilities. In this narrative review, we will investigate the power of US in TMJ disorders based on the most relevant literature data, from an early screening of TMJ changes to differential diagnosis and monitoring. We then propose a potential algorithm to optimize the management of TMJ pathology, questioning what would be the role of ultrasonographic study.
Collapse
Affiliation(s)
- Beatrice Maranini
- Rheumatology Unit, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
- *Correspondence: Beatrice Maranini
| | - Giovanni Ciancio
- Rheumatology Unit, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| | - Stefano Mandrioli
- Department of Cranio-Maxillofacial Surgery, Unit of Cranio-Maxillofacial Surgery, University of Ferrara, Ferrara, Italy
| | - Manlio Galiè
- Department of Cranio-Maxillofacial Surgery, Unit of Cranio-Maxillofacial Surgery, University of Ferrara, Ferrara, Italy
| | - Marcello Govoni
- Rheumatology Unit, Department of Medical Sciences, University of Ferrara, Ferrara, Italy
| |
Collapse
|
4
|
Pihut M, Gala A, Obuchowicz R, Chmura K. Influence of Ultrasound Examination on Diagnosis and Treatment of Temporomandibular Disorders. J Clin Med 2022; 11:jcm11051202. [PMID: 35268289 PMCID: PMC8911463 DOI: 10.3390/jcm11051202] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 01/28/2022] [Accepted: 02/21/2022] [Indexed: 12/15/2022] Open
Abstract
Background: Disorders of the masticatory muscles and temporomandibular joints as well as the surrounding craniofacial structures are called temporomandibular disorders. These are dental diseases affecting an increasing number of people with a multifactorial etiology. Noninvasive ultrasonography imaging of temporomandibular joints was performed to obtain more detailed information on joint pathologies. Material and Methods: The aim of the study was to assess the influence of ultrasound examinations of the temporomandibular joints on the diagnosis and treatment planning in patients with temporomandibular disorders. The study included 110 patients examined with the use of the Research Diagnostic Criteria for Temporomandibular Disorders questionnaire, axis I and II, after which the initial treatment plan was created. All patients underwent an ultrasound examination of the temporomandibular joints. Results: The results reveal numerous morphological changes within the joint structures in all treatment groups. Comparative statistical analyses of symptoms were performed between study groups. Conclusions: The number of pathologies in the myofascial pain group was much higher than expected and required introduction of additional treatment procedures. Further studies confirming these results and the effectiveness of ultrasound diagnostic of temporomandibular disorders are recommended.
Collapse
Affiliation(s)
- Małgorzata Pihut
- Prosthodontic Department, Dental Institute, Jagiellonian University Medical College, 30-663 Krakow, Poland; (M.P.); (A.G.)
| | - Andrzej Gala
- Prosthodontic Department, Dental Institute, Jagiellonian University Medical College, 30-663 Krakow, Poland; (M.P.); (A.G.)
| | - Rafał Obuchowicz
- Department of Diagnostic Imaging, Jagiellonian University Medical College, 30-663 Krakow, Poland;
| | - Karolina Chmura
- Prosthodontic Department, Dental Institute, Jagiellonian University Medical College, 30-663 Krakow, Poland; (M.P.); (A.G.)
- Correspondence:
| |
Collapse
|
5
|
Severino M, Caruso S, Rastelli S, Gatto R, Cutilli T, Pittari L, Nota A, Tecco S. Hand-Carried Ultrasonography Instrumentation in the Diagnosis of Temporomandibular Joint Dysfunction. Methods Protoc 2021; 4:mps4040081. [PMID: 34842776 PMCID: PMC8629014 DOI: 10.3390/mps4040081] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 10/25/2021] [Accepted: 11/01/2021] [Indexed: 12/30/2022] Open
Abstract
Internal derangement (ID) in the temporomandibular joint (TMJ) is defined as a mechanical problem of the joint that interferes with its function. It is attributed to an abnormal interaction among the articular disc, condyle, and joint eminence. The aim of this study is to evaluate diagnostic efficacy of non-invasive hand-carried ultrasonography instrumentation (US) to provide high-level images for a correct diagnosis of ID. Twenty-eight ID patients, 15 female and 13 males, were examined both clinically and by MRI images in order to achieve a diagnosis of ID (using Helkimo index). Then, they were submitted to US examination with a 12 MHz transducer by using hand-carried instrumentation by a clinician that was blind to their diagnosis and clinical data. TMJ US examination was performed with the mouth closed and mouth open, with proper technique. Each position was then evaluated with two different orientations of the transducer. US showed acceptable results in identifying bone structures. Lower values of diagnostic efficacy were obtained for disc position during joint movements with respect to MRI images. MRI still represents the gold standard for the identification of joint structures. If not corroborated by clinical and anamnestic data, the diagnostic efficacy of US in identifying the position of the disc during opening and closing jaw movements appears limited than compared to MRI.
Collapse
Affiliation(s)
- Marco Severino
- Department of Life, Health and Environmental Science, University of L’Aquila, 67100 L’Aquila, Italy; (M.S.); (S.C.); (S.R.); (R.G.); (T.C.)
| | - Silvia Caruso
- Department of Life, Health and Environmental Science, University of L’Aquila, 67100 L’Aquila, Italy; (M.S.); (S.C.); (S.R.); (R.G.); (T.C.)
| | - Sofia Rastelli
- Department of Life, Health and Environmental Science, University of L’Aquila, 67100 L’Aquila, Italy; (M.S.); (S.C.); (S.R.); (R.G.); (T.C.)
| | - Roberto Gatto
- Department of Life, Health and Environmental Science, University of L’Aquila, 67100 L’Aquila, Italy; (M.S.); (S.C.); (S.R.); (R.G.); (T.C.)
| | - Tommaso Cutilli
- Department of Life, Health and Environmental Science, University of L’Aquila, 67100 L’Aquila, Italy; (M.S.); (S.C.); (S.R.); (R.G.); (T.C.)
| | - Laura Pittari
- I.R.C.C.S. San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy; (L.P.); (A.N.)
| | - Alessandro Nota
- I.R.C.C.S. San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy; (L.P.); (A.N.)
| | - Simona Tecco
- I.R.C.C.S. San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy; (L.P.); (A.N.)
- Correspondence:
| |
Collapse
|
6
|
Kim JH, Park JH, Kim JW, Kim SJ. Can ultrasonography be used to assess capsular distention in the painful temporomandibular joint? BMC Oral Health 2021; 21:497. [PMID: 34615517 PMCID: PMC8493706 DOI: 10.1186/s12903-021-01853-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 09/21/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To determine whether capsular distention in the painful temporomandibular joint (TMJ) can be assessed by ultrasonography, we compared the capsular width between painful TMJs and painless TMJ. The risk factors for TMJ pain were also investigated including capsular width and other clinical factors such as TMJ sounds that may affect the occurrence and persistence of TMJ pain. METHODS TMJ ultrasonography was performed on 87 temporomandibular disorder (TMD) patients, including 47 unilateral and 29 bilateral TMJ pain patients, and 11 patients without TMJ pain. RESULTS The capsular width was greater in the 105 painful joints than in the 69 painless joints. Considering individual anatomical variations, the differences between painful and painless joints in unilateral TMJ pain patients were also analyzed, revealing a greater width in painful joints. Capsular width was a risk factor for TMJ pain with an adjusted odds ratio of 1.496 (95% confidence interval 1.312-1.706; p < 0.001) and was significantly correlated with pain scores. CONCLUSION This correlation may suggest that pain intensity is associated with widened capsular width because of joint effusion or synovitis. Further studies are required to refine and establish the protocols for standard examinations using ultrasound imaging.
Collapse
Affiliation(s)
- Ji-Hoi Kim
- Department of Oral Health Science, Ewha Womans University Graduate School of Clinical Dentistry , Seoul, Republic of Korea.,Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry, Seoul, Republic of Korea
| | - Jung-Hyun Park
- Department of Oral and Maxillofacial Surgery, College of Medicine, Ewha Womans University, Mok-Dong Hospital, 1071, Anyangcheon-ro, Yangcheon-gu, Seoul, 07985, Republic of Korea.
| | - Jin-Woo Kim
- Department of Oral and Maxillofacial Surgery, College of Medicine, Ewha Womans University, Mok-Dong Hospital, 1071, Anyangcheon-ro, Yangcheon-gu, Seoul, 07985, Republic of Korea
| | - Sun-Jong Kim
- Department of Oral and Maxillofacial Surgery, College of Medicine, Ewha Womans University, Mok-Dong Hospital, 1071, Anyangcheon-ro, Yangcheon-gu, Seoul, 07985, Republic of Korea
| |
Collapse
|
7
|
Tominna M, Vega-Fernandez P, McLaurin W, Meyers AB. Imaging of the Pediatric Temporomandibular Joint. Semin Roentgenol 2021; 56:307-324. [PMID: 34281682 DOI: 10.1053/j.ro.2021.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Marie Tominna
- Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | | | - Wallace McLaurin
- Division of Oral and Maxillofacial Surgery, University of Cincinnati, Cincinnati, OH
| | - Arthur B Meyers
- Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
| |
Collapse
|
8
|
Thirunavukarasu AJ, Ferro A, Sardesai A, Biyani G, Dubb SS, Brassett C, Hamilton DL. Temporomandibular joint anatomy: Ultrasonographic appearances and sexual dimorphism. Clin Anat 2021; 34:1043-1049. [PMID: 33421181 DOI: 10.1002/ca.23719] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 10/15/2020] [Accepted: 01/04/2021] [Indexed: 11/07/2022]
Abstract
INTRODUCTION Temporomandibular joint (TMJ) dysfunction is common, with a greater prevalence in females. While magnetic resonance imaging (MRI) is commonly used for clinical investigation, ultrasonography represents a potential alternative in some clinical scenarios. We designed a protocol for ultrasonographic evaluation of the TMJ and assessed its reliability. Presentation was compared between the sexes to establish whether an anatomical dichotomy underlies the female preponderance of TMJ dysfunction. MATERIALS AND METHODS Ultrasound imaging of the TMJ was carried out in the longitudinal and oblique planes. Standard images were produced using model skulls and healthy volunteers. Measurements were made between the temporal bone, mandibular condyle, joint capsule and overlying skin, as well as of condylar translation during mouth opening. Both joints were scanned in 50 healthy volunteers. Measurements were repeated to evaluate reliability. A novel classification system was used to assess lateral condylar morphology. RESULTS The protocol facilitated reliable visualization of key anatomical features of the TMJ (average intraclass correlation coefficient = 0.75, p ¯ = 5.4E-03). Distribution of condylar morphology differed between the sexes. The capsular-cutaneous distance ('joint depth') and condylar-temporal bone distance ('interarticular distance') were significantly greater in males than in females. CONCLUSIONS Ultrasonography provides reliable views of the TMJ in two planes: longitudinal and oblique. Observed sexual dimorphism in TMJ anatomy might be associated with the female preponderance of dysfunction. With a standardized scanning protocol, ultrasound could provide a rapid, cost-effective alternative to MRI as a point-of-care imaging tool in TMJ clinics.
Collapse
Affiliation(s)
- Arun J Thirunavukarasu
- Corpus Christi College, University of Cambridge, Cambridge, United Kingdom
- Human Anatomy Centre, Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, United Kingdom
| | - Ashley Ferro
- Human Anatomy Centre, Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, United Kingdom
| | - Anand Sardesai
- Department of Anaesthesia, Addenbrooke's Hospital, Cambridge, United Kingdom
| | - Ghansham Biyani
- Department of Anaesthesia, Addenbrooke's Hospital, Cambridge, United Kingdom
| | - Sukhpreet Singh Dubb
- Department of Oral and Maxillofacial Surgery, Addenbrooke's Hospital, Cambridge, United Kingdom
| | - Cecilia Brassett
- Human Anatomy Centre, Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, United Kingdom
| | - Duncan L Hamilton
- Department of Anaesthesia, James Cook University Hospital, Middlesbrough, United Kingdom
- University of Sunderland School of Medicine, Sunderland, United Kingdom
| |
Collapse
|
9
|
Advanced Ultrasound Screening for Temporomandibular Joint (TMJ) Internal Derangement. Radiol Res Pract 2020; 2020:1809690. [PMID: 32426167 PMCID: PMC7218967 DOI: 10.1155/2020/1809690] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2019] [Accepted: 02/17/2020] [Indexed: 11/30/2022] Open
Abstract
Purpose To present an advanced ultrasound (US) technique and propose its use as a screening diagnostic tool for temporomandibular joint (TMJ) internal derangement. Materials and Methods The technique is based on maintaining the US probe parallel to the articular disc, rather than traditional axial and coronal views, with the position described relative to a clock face. Validation was achieved by direct comparison with magnetic resonance imaging (MRI). A total of 61 patients, with age ranging from 13 to 67 years, were prescreened for TMJ pain and internal derangement, underwent US imaging for screening, and MRI evaluation for final diagnosis. Results 29 of the 61 patients had disc pathology on MRI. US screening produced no false positive results and only 6 false negative results, corresponding to a sensitivity of 79% and specificity of 100%. Half of the false negative cases involved disc pathology with a medial component to the disc displacement. Conclusion US is both a sensitive and a specific screening tool for TMJ dysfunction when used by an appropriately trained operator, with the exception of medially displaced discs. If TMJ assessment is found to be abnormal, the patient should be referred for MRI, and any patient scheduled for surgery must have the diagnosis confirmed by MRI. If a component of medial disc displacement is suspected, MRI should be performed despite a normal screening US.
Collapse
|
10
|
Poluha RL, Canales GDLT, Costa YM, Grossmann E, Bonjardim LR, Conti PCR. Temporomandibular joint disc displacement with reduction: a review of mechanisms and clinical presentation. J Appl Oral Sci 2019; 27:e20180433. [PMID: 30810641 PMCID: PMC6382319 DOI: 10.1590/1678-7757-2018-0433] [Citation(s) in RCA: 65] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 10/02/2018] [Indexed: 11/25/2022] Open
Abstract
Disc displacement with reduction (DDWR) is one of the most common intra-articular disorders of the temporomandibular joint (TMJ). Factors related to the etiology, progression and treatment of such condition is still a subject of discussion. This literature review aimed to address etiology, development, related factors, diagnosis, natural course, and treatment of DDWR. A non-systematic search was conducted within PubMed, Scopus, SciELO, Medline, LILACS and Science Direct using the Medical Subjective Headings (MeSH) terms “temporomandibular disorders”, “temporomandibular joint”, “disc displacement” and “disc displacement with reduction”. No time restriction was applied. Literature reviews, systematic reviews, meta-analysis and clinical trials were included. DDWR is usually asymptomatic and requires no treatment, since the TMJ structures adapt very well and painlessly to different disc positions. Yet, long-term studies have shown the favorable progression of this condition, with no pain and/or jaw locking occurring in most of the patients.
Collapse
Affiliation(s)
- Rodrigo Lorenzi Poluha
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Prótese, Grupo de Dor Orofacial de Bauru, Bauru, São Paulo, Brasil
| | - Giancarlo De la Torre Canales
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Prótese, Grupo de Dor Orofacial de Bauru, Bauru, São Paulo, Brasil
| | - Yuri Martins Costa
- Universidade de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Ciências Fisiológicas, Piracicaba, São Paulo, Brasil
| | - Eduardo Grossmann
- Universidade Federal do Rio Grande do Sul, Faculdade de Odontologia, Departamento de Ciências Morfológicas, Porto Alegre, Rio Grande do Sul, Brasil
| | - Leonardo Rigoldi Bonjardim
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Ciências Biológicas, Seção de Fisiologia da Cabeça e da Face, Bauru, São Paulo, Brasil
| | - Paulo César Rodrigues Conti
- Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Prótese, Grupo de Dor Orofacial de Bauru, Bauru, São Paulo, Brasil
| |
Collapse
|
11
|
Almeida FT, Pacheco-Pereira C, Flores-Mir C, Le LH, Jaremko JL, Major PW. Diagnostic ultrasound assessment of temporomandibular joints: a systematic review and meta-analysis. Dentomaxillofac Radiol 2018; 48:20180144. [PMID: 30285469 DOI: 10.1259/dmfr.20180144] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVES: The purpose of this systematic review was to determine the diagnostic capability of ultrasound to assess TMJ alterations as disc displacement (DD), joint effusion (JE) and condylar changes (CC) using 3D imaging modalities as reference standard. METHODS: Studies were gathered by searching several electronic databases and partial grey literature up to January eighth, 2018 without restrictions of language and time. The risk of bias was evaluated using the second version of Quality Assessment Tool for Diagnostic of Accuracy Studies-2 (QUADAS-2). The grading of Recommendation, Assessment, Development and Evaluation (GRADEpro system) instrument was applied to assess the level of evidence across the studies. RESULTS: After applying the eligibility criteria, 28 studies were identified and synthesized. All studies were methodologically acceptable presenting low applicability concerns, although none of them fulfilled all QUADAS-2 criteria. The quantitative analysis included 22 studies, 2829 joints in total. The quality of the evidence evaluated by GRADE system suggested moderate confidence in estimating the outcomes. CONCLUSION: This systematic review demonstrated the ultrasound has acceptable capability to screen for DD and JE in TMD patients. For screening of condylar changes, ultrasound needs further studies using CT or CBCT as reference standard to support its use. More advanced imaging such as MRI can thereafter be used to confirm the diagnosis if deemed necessary.
Collapse
Affiliation(s)
| | | | - Carlos Flores-Mir
- 1 School of Dentistry, University of Alberta , Edmonton, AB , Canada
| | - Lawrence H Le
- 2 Radiology and Diagnostic Imaging, University of Alberta , Edmonton, AB , Canada
| | - Jacob L Jaremko
- 2 Radiology and Diagnostic Imaging, University of Alberta , Edmonton, AB , Canada
| | - Paul W Major
- 1 School of Dentistry, University of Alberta , Edmonton, AB , Canada
| |
Collapse
|
12
|
Lee KH, Jeong HG, Kwak EJ, Park W, Kim KD. Ultrasound Guided Free Gingival Graft: Case Report. J ORAL IMPLANTOL 2018; 44:385-388. [DOI: 10.1563/aaid-joi-d-17-00298] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Kang-Hee Lee
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea
| | - Ho-Gul Jeong
- Department of Oral and Maxillofacial Radiology, College of Dentistry, Yonsei University, Seoul, Korea
| | | | - Wonse Park
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea
| | - Kee-Deog Kim
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea
| |
Collapse
|
13
|
Tu KH, Chuang HJ, Lai LA, Hsiao MY. Ultrasound Imaging for Temporomandibular Joint Disc Anterior Displacement. J Med Ultrasound 2018; 26:109-110. [PMID: 30065531 PMCID: PMC6029202 DOI: 10.4103/jmu.jmu_18_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2017] [Accepted: 01/05/2018] [Indexed: 11/04/2022] Open
Affiliation(s)
- Keng-Hua Tu
- Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.,Department of Physical Medicine and Rehabilitation, Cathay General Hospital, Taipei, Taiwan
| | - Hung-Jui Chuang
- Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan
| | - Li-An Lai
- Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan
| | - Ming-Yen Hsiao
- Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan
| |
Collapse
|
14
|
Rinchuse DJ, Greene CS. Scoping review of systematic review abstracts about temporomandibular disorders: Comparison of search years 2004 and 2017. Am J Orthod Dentofacial Orthop 2018; 154:35-46.e9. [DOI: 10.1016/j.ajodo.2017.12.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2017] [Revised: 12/01/2017] [Accepted: 12/01/2017] [Indexed: 02/07/2023]
|
15
|
Abstract
Internal maxillary artery (IMA) bypass has gained momentum in the last 5 years for the treatment of complex cerebrovascular disorders and skull base tumors. However, some issues regarding this treatment modality have been proposed. As one of the most experienced neurosurgical teams to perform internal maxillary artery bypass in the world (>100 clinical cases), we reviewed the literature in aspects of basic anatomy of maxillary artery with its variations to the lateral pterygoid muscle, initial anastomosis modalities, and subsequent exposure techniques in cadaver studies, preoperative arterial evaluation methods, optimal interposed graft selections, and surgical outcome in the management of complex aneurysms, skull base tumors, and steno-occlusive disorders.
Collapse
|
16
|
Diagnostic value of ultrasonography for the detection of disc displacements in the temporomandibular joint: a systematic review and meta-analysis. Clin Oral Investig 2018; 22:2599-2614. [PMID: 29455373 PMCID: PMC6097040 DOI: 10.1007/s00784-018-2359-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2016] [Accepted: 01/23/2018] [Indexed: 02/07/2023]
Abstract
Objectives The aim was to assess the added diagnostic value of ultrasonography (US) for establishing the presence or absence of disc displacements (DDs) in temporomandibular joints (TMJs). Materials and methods Pubmed and EMBASE were searched electronically to identify diagnostic accuracy studies that assessed the diagnostic value of US for the diagnosis of DD, using Magnetic resonance imaging (MRI) as the reference standard. Meta-analyses were performed with Metadisc 1.4 and RevMan 5.3. Results A total of 16 studies qualified for meta-analyses. For the diagnosis of DD at closed mouth position (DD-CM) and DD at maximum mouth-opening position (DD-MMO), the added values of a positive result with US for ruling in DD-CM and DD-MMO were 22 and 41%, while those of a negative result with US for ruling out DD-CM and DD-MMO were 30 and 20%. For the diagnosis of DD with reduction (DDWR) and DD without reduction (DDWoR), the added values of a positive result in US for ruling in DDWR and DDWoR were 35 and 41%, while those of a negative result in US for ruling out DDWR and DDWoR were 21 and 27%. Conclusions Using MRI as reference standard, the added values of both positive predictive values and negative predictive values of US for ruling in and ruling out DDs are sufficient in the decision-making in dental practice. Clinical relevance US can be a good imaging tool to supplement clinical examination findings in patients with suspected DDs. Combined static and dynamic examinations using high-resolution US should be preferred.
Collapse
|
17
|
Bressler HB, Friedman T, Friedman L. Ultrasound-Guided Injection of the Temporalis Tendon: A Novel Technique. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2017; 36:2125-2131. [PMID: 28504311 DOI: 10.1002/jum.14232] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Accepted: 12/13/2016] [Indexed: 06/07/2023]
Abstract
A novel technique, ultrasound-guided injection of the temporalis tendon in adults, is described. Ultrasound-guided injection of the temporalis tendon is based on visualization of the temporalis muscle, temporalis tendon, and coronoid process. A practical step-by-step guide to doing the procedure is given. This technique is effective and reproducible. Two patients successfully treated with this technique will be briefly discussed. The anatomic location and size of the temporalis tendon make it mandatory to use ultrasound to ensure precision.
Collapse
Affiliation(s)
- Hart B Bressler
- Department of Family and Community Medicine, University of Toronto, Mount Sinai Hospital, Toronto, Ontario, Canada
| | | | - Lawrence Friedman
- Department of Medical Imaging, North York General, Toronto, Ontario, Canada
| |
Collapse
|
18
|
Katzberg RW, Conway WF, Ackerman SJ, Gonzales TS, Kheyfits V, Cronan MS. Pilot Study to Show the Feasibility of High-Resolution Sagittal Ultrasound Imaging of the Temporomandibular Joint. J Oral Maxillofac Surg 2016; 75:1151-1162. [PMID: 28039006 DOI: 10.1016/j.joms.2016.12.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Revised: 12/03/2016] [Accepted: 12/03/2016] [Indexed: 11/16/2022]
Abstract
PURPOSE To show the feasibility of acquiring high-resolution sagittal ultrasound (US) images of the temporomandibular joint (TMJ). PATIENTS AND METHODS We used commercially available US probes to assess the TMJ via a transoral soft tissue window to acquire sagittal images. Magnetic resonance imaging and clinical correlation were compared with the US findings by the consensus assessment of 2 of the senior investigators. RESULTS The sample was composed of 10 TMJs (6 participants) with an age range of 34 to 71 years and a male-female ratio of 3:1. The condyle and subcondylar surface were visible in 10 of 10 joints (100%), the disc in 7 of 10 joints (70%), and the pterygoid muscles in 6 of 10 joints (60%). In the 5 joints with magnetic resonance correlation, disc position and configuration were confirmed in all cases. CONCLUSIONS We show the first sagittal transoral sonograms of the TMJ disc and associated joint components.
Collapse
Affiliation(s)
- Richard W Katzberg
- Research Professor of Radiology, Department of Radiology, Medical University of South Carolina, Charleston, SC.
| | - William F Conway
- Professor of Radiology and Chief of Musculoskeletal Radiology, Department of Radiology, Medical University of South Carolina, Charleston, SC
| | - Susan J Ackerman
- Professor of Radiology, Vice Chair of Clinical Radiology, and Chief of Ultrasound, Department of Radiology, Medical University of South Carolina, Charleston, SC
| | - Theresa S Gonzales
- Professor, Department of Stomatology, and Director of Chronic Orofacial Pain Management, Department of Stomatology, James B. Edwards College of Dental Medicine, Medical University of South Carolina, Charleston, SC
| | - Valeriy Kheyfits
- Assistant Professor of Radiology, Department of Radiology, University of Rochester School of Medicine, Rochester, NY
| | - Michael S Cronan
- Chief Sonographer, Department of Radiology, University of California Davis Medical Center, Sacramento, CA
| |
Collapse
|
19
|
Su Z, Duan Z, Pan W, Wu C, Jia Y, Han B, Li C. Predicting extracapsular spread of head and neck cancers using different imaging techniques: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 2016; 45:413-21. [DOI: 10.1016/j.ijom.2015.11.021] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Revised: 11/22/2015] [Accepted: 11/27/2015] [Indexed: 02/06/2023]
|
20
|
Gaitini D, Habashi H, Blumenfeld I, Eran A. Reply. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2016; 35:453-454. [PMID: 26795043 DOI: 10.7863/ultra.15.10002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
|
21
|
Meyers AB, Oberle EJ. Sonographic Evaluation of the Temporomandibular Joint: Uses and Limitations. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2016; 35:452-453. [PMID: 26795042 DOI: 10.7863/ultra.15.07015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- Arthur B Meyers
- Department of Radiology, Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, Wisconsin USA (A.B.M.) Department of Rheumatology, Ohio State University Nationwide Children's Hospital, Columbus, Ohio USA (E.J.O.)
| | - Edward J Oberle
- Department of Radiology, Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, Wisconsin USA (A.B.M.) Department of Rheumatology, Ohio State University Nationwide Children's Hospital, Columbus, Ohio USA (E.J.O.)
| |
Collapse
|
22
|
Evirgen Ş, Kamburoğlu K. Review on the applications of ultrasonography in dentomaxillofacial region. World J Radiol 2016; 8:50-58. [PMID: 26834943 PMCID: PMC4731348 DOI: 10.4329/wjr.v8.i1.50] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2015] [Revised: 10/06/2015] [Accepted: 12/04/2015] [Indexed: 02/06/2023] Open
Abstract
Use of ultrasonography (US) in dentomaxillofacial region became popular in recent years owing to increasing radiation dose concerns and economic limitations. It helps to visualize fine detail of the surface structure of the oral and maxillofacial tissues without ionizing radiation. In diagnostic ultrasound, high frequency sound waves are transmitted into the body by a transducer and echoes from tissue interface are detected and displayed on a screen. Sound waves are emitted via piezoelectric crystals from the ultrasound transducer. US technique can be used in dentomaxillofacial region for the examination of bone and superficial soft tissue, detection of major salivary gland lesions, temporomandibular joint imaging, assessment of fractures and vascular lesions, lymph node examination, measurement of the thickness of muscles and visualization of vessels of the neck. It has the potential to be used in the evaluation of periapical lesions and follow up of periapical bone healing. Also, it may be used for the evaluation of periodontal pocket depth and for the determination of gingival thickness before dental implantology.
Collapse
|
23
|
Diagnostic efficiency of high-resolution ultrasonography in patients with chronic temporomandibular disorders. Oral Radiol 2015. [DOI: 10.1007/s11282-015-0224-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
24
|
Determining the location of the internal maxillary artery on ultrasonography and unenhanced magnetic resonance imaging before orthognathic surgery. Int J Oral Maxillofac Surg 2015; 44:977-83. [DOI: 10.1016/j.ijom.2015.04.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Revised: 02/17/2015] [Accepted: 04/16/2015] [Indexed: 11/17/2022]
|
25
|
Dong XY, He S, Zhu L, Dong TY, Pan SS, Tang LJ, Zhu ZF. The diagnostic value of high-resolution ultrasonography for the detection of anterior disc displacement of the temporomandibular joint: a meta-analysis employing the HSROC statistical model. Int J Oral Maxillofac Surg 2015; 44:852-8. [PMID: 25702588 DOI: 10.1016/j.ijom.2015.01.012] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Revised: 10/29/2014] [Accepted: 01/16/2015] [Indexed: 12/16/2022]
Abstract
The study aimed to assess the diagnostic value of high-resolution ultrasonography (HR-US) in the detection of anterior disc displacement (ADD) of the temporomandibular joint. Relevant trials reported in MEDLINE, the Chinese National Knowledge Infrastructure Database, the Chinese Biomedical Literature Database, and Embase were identified. A manual search was also performed. The quality of retrieved data was evaluated using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) criteria. Data were extracted and cross-checked, and a statistically rigorous meta-analysis was performed using a hierarchical summary receiver operating characteristic model (HSROC). The clinical utility of results was assessed using Fagan nomograms (Bayes theory). All data were evaluated using Stata software. A total 11 studies including 1096 subjects were included in the analysis; all reported the utility of HR-US for the diagnosis of ADD with reduction (ADDWR) and without reduction (ADDWoR). For ADDWR, the weighted sensitivity and specificity were 0.83 (95% confidence interval (CI) 0.78-0.88) and 0.85 (95% CI 0.76-0.92) respectively. The lambda value was 3.41 (95% CI 2.37-4.46) and the Fagan nomogram pre-test probability 58%, with a positive likelihood ratio (LR) of 6.01. The positive post-test probability was 89%, with a negative LR of 0.20. The negative post-test probability was 21%. The positive increase in diagnostic utility was 31% and the negative decrement in that value 37%. For ADDWoR, the weighted sensitivity and specificity values were 0.72 (95% CI 0.59-0.81) and 0.90 (95% CI 0.86-0.93), respectively. The lambda value was 3.69 (95% CI 2.39-4.99) and the Fagan nomogram pre-test probability 38%, with a positive LR of 7.00. The positive post-test probability was 82%, with a negative LR of 0.32. The negative post-test probability was 16%. The increase in diagnostic utility was 44% and the negative decrement in that value 22%. HR-US delivers acceptable performance when used to diagnose ADD, being superior for the detection of ADDWoR than ADDWR, and exhibiting a lower negative diagnostic value in the detection of ADDWoR than ADDWR. HR-US may serve as a new method for the rapid diagnosis of ADD. The method has the advantages of simplicity and low cost. Given the uncertainty in some of the estimated values, more high-quality studies are needed to assess that diagnostic efficacy.
Collapse
Affiliation(s)
- X Y Dong
- Department of Stomatology, Wenzhou Integration Traditional Chinese and Western Medicine Hospital Affiliated to Zhejiang Chinese Medicine University, Wenzhou, China
| | - S He
- Department of Stomatology, No.118th Hospital of PLA, Wenzhou, China.
| | - L Zhu
- School & Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China
| | - T Y Dong
- Department of Laboratory, People's Hospital of Haining, Haining, China
| | - S S Pan
- School & Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China
| | - L J Tang
- Department of Stomatology, People's Hospital of Lishui, Lishui, China
| | - Z F Zhu
- Department of Stomatology, Xiaoshan Traditional Chinese Medicine Hospital, Hangzhou, China
| |
Collapse
|
26
|
Razek AAKA, Al Mahdy Al Belasy F, Ahmed WMS, Haggag MA. Assessment of articular disc displacement of temporomandibular joint with ultrasound. J Ultrasound 2014; 18:159-63. [PMID: 26191103 DOI: 10.1007/s40477-014-0133-2] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2014] [Accepted: 09/20/2014] [Indexed: 12/14/2022] Open
Abstract
PURPOSE To assess pattern of articular disc displacement in patients with internal derangement (ID) of temporomandibular joint (TMJ) with ultrasound. MATERIALS AND METHODS Prospective study was conducted upon 40 TMJ of 20 patients (3 male, 17 female with mean age of 26.1 years) with ID of TMJ. They underwent high-resolution ultrasound and MR imaging of TMJ. The MR images were used as the gold standard for calculating sensitivity, specificity, accuracy, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), and negative likelihood ratio (NLR) of ultrasound for diagnosis of anterior or sideway displacement of the disc. RESULTS The anterior displaced disc was seen in 26 joints at MR and 22 joints at ultrasound. The diagnostic efficacy of ultrasound for anterior displacement has sensitivity of 79.3 %, specificity of 72.7 %, accuracy of 77.5 %, PPV of 88.5 %, NPV of 57.1 %, PLR of 2.9 and NLR of 0.34. The sideway displacement of disc was seen in four joints at MR and three joints at ultrasound. The diagnostic efficacy of ultrasound for sideway displacement has a sensitivity of 75 %, specificity of 63.6 %, accuracy of 66.7 %, PPV of 42.8, NPV of 87.5 %, PLR of 2.06, and NLR of 0.39. CONCLUSION We concluded that ultrasound is a non-invasive imaging modality used for assessment of anterior and sideway displacement of the articular disc in patients with ID of TMJ.
Collapse
Affiliation(s)
| | | | - Wael Mohamed Said Ahmed
- Department of Oral and Maxillofacial Surgery, Mansoura Faculty of Dentistry, Mansoura, Egypt
| | - Mai Ahmed Haggag
- Department of Oral and Maxillofacial Surgery, Mansoura Faculty of Dentistry, Mansoura, Egypt
| |
Collapse
|
27
|
Diagnosis of Giant Cell Tumor of Temporomandibular Joint with Ultrasound-guided Core Needle Biopsy. J Med Ultrasound 2014. [DOI: 10.1016/j.jmu.2014.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
|
28
|
Li C, Men Y, Yang W, Pan J, Sun J, Li L. Computed Tomography for the Diagnosis of Mandibular Invasion Caused by Head and Neck Cancer: A Systematic Review Comparing Contrast-Enhanced and Plain Computed Tomography. J Oral Maxillofac Surg 2014; 72:1601-15. [DOI: 10.1016/j.joms.2014.02.014] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2013] [Revised: 02/04/2014] [Accepted: 02/09/2014] [Indexed: 01/18/2023]
|
29
|
Kundu H, Basavaraj P, Kote S, Singla A, Singh S. Assessment of TMJ Disorders Using Ultrasonography as a Diagnostic Tool: A Review. J Clin Diagn Res 2013; 7:3116-20. [PMID: 24551747 DOI: 10.7860/jcdr/2013/6678.3874] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2013] [Accepted: 10/28/2013] [Indexed: 01/28/2023]
Abstract
Temporomandibular disorders affect nearly 10-70% of population. Hence, a proper diagnosis of temporomandibular disorders using appropriate diagnostic aids is required. Thus, the purpose of this review was to check the use of ultrasonography as a diagnostic aid in the detection of TMJ disorders.A literature review was performed in Pub Med Central and Cochrane library using Mesh Terms - 'ultrasonography' and 'TMJ disorders'. Out of the total 113 titles appeared, 38 were related to the research question. Further search criteria were applied to the articles, out of which 11 articles fulfilled the criteria and were selected for the review. Two articles which were hand searched were also included. Sensitivity of ultrasonography in detecting TMJ disorders in a majority of articles ranged from 41%-90% in disc displacement, when MRI was taken as the gold standard. In case of TMJ Effusion and Condylar effusion, sensitivities ranged from 20-80% and 83% respectively. It was also seen that sensitivity increased with increase in frequency of transducer. In the available literature, it was found that ultrasonography was an acceptable diagnostic tool for detection of disc displacement, condylar erosion and articular effusion.
Collapse
Affiliation(s)
- Hansa Kundu
- Postgraduate Student, Department of Public Health Dentistry, D.J College of Dental Sciences and Research , Modinagar, Ghaziabad, Uttar Pradesh, India
| | - P Basavaraj
- Professor and Head of Department, Department of Public Health Dentistry, D.J College of Dental Sciences and Research , Modinagar, Ghaziabad, Uttar Pradesh, India
| | - Sowmya Kote
- Reader, Department of Public Health Dentistry, D.J College of Dental Sciences and Research , Modinagar, Ghaziabad, Uttar Pradesh, India
| | - Ashish Singla
- Senior Lecturer, Department of Public Health Dentistry, D.J College of Dental Sciences and Research , Modinagar, Ghaziabad, Uttar Pradesh, India
| | - Shilpi Singh
- Senior Lecturer, Department of Public Health Dentistry, D.J College of Dental Sciences and Research , Modinagar, Ghaziabad, Uttar Pradesh, India
| |
Collapse
|
30
|
Outcomes of open temporomandibular joint surgery following failure to improve after arthroscopy: is there an algorithm for success? Br J Oral Maxillofac Surg 2013; 51:818-21. [DOI: 10.1016/j.bjoms.2013.04.013] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2012] [Accepted: 04/23/2013] [Indexed: 11/24/2022]
|
31
|
Accuracy and Reliability of Infrared Thermography in the Diagnosis of Arthralgia in Women With Temporomandibular Disorder. J Manipulative Physiol Ther 2013; 36:253-8. [DOI: 10.1016/j.jmpt.2013.04.006] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2013] [Revised: 02/23/2013] [Accepted: 04/03/2013] [Indexed: 11/22/2022]
|
32
|
Pauwels R, Jacobs R, Bosmans H, Schulze R. Future prospects for dental cone beam CT imaging. ACTA ACUST UNITED AC 2012. [DOI: 10.2217/iim.12.45] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
|