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Temporomandibular joint diagnosis

Aaron P Kamer, Jose M Bonnin, Robert J Spinner, Aaron A Cohen-Gadol
Intracranial extension of temporomandibular joint (TMJ) ganglion cysts is very rare. Two previously reported cases presented clinically due to effects on cranial nerves and had obvious association with the TMJ on imaging. To the authors' knowledge, intracranial extension of a TMJ ganglion cyst presenting with seizures and mimicking a primary brain tumor has not been previously reported. The patient underwent resection of a presumptive primary cystic temporal lobe tumor, but the lesion had histopathological features of a nonneoplastic cyst with a myxoid content...
February 8, 2019: Journal of Neurosurgery
Srinivas Ganti, Prashant Shriram, Arsalan Sa Ansari, Junaid Mh Kapadia, Anurag Azad, Abhinav Dubey
AIM: Evaluation of the effect of glucosamine-chondroitin combination, tramadol, and sodium hyaluronic acid in temporomandibular joint (TMJ) disorders and its impact on the expression of various cytokines such as IL-6, IL-1β, TNF-α, and PGE2. MATERIALS AND METHODS: The present study was conducted on 60 patients (males-30, females-30) suffering from internal derangement such as disc displacement with reduction of TMJ. The patients were divided into three groups of 20 each...
December 1, 2018: Journal of Contemporary Dental Practice
Peggy P Lee, Alexander R Stanton, Austin E Schumacher, Edmond Truelove, Lars G Hollender
OBJECTIVE: Our previous study of patients with unilateral temporomandibular joint (TMJ) osteoarthritis (OA) showed that the affected joints had greater horizontal condylar angle (HCA) compared with the contralateral unaffected joints. However, it was unclear whether the HCA changes preceded or were the result of OA changes. The aim of this longitudinal study was to investigate the relationship between HCA and OA progression. STUDY DESIGN: In total, 127 patients (with or without TMJ disorders) completed baseline and follow-up examinations (average time to follow-up 7...
December 31, 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
P Frid, C Resnick, S Abramowicz, P Stoustrup, S E Nørholt
The aim of this study was to assess current evidence for the surgical correction of dentofacial deformities in patients with temporomandibular joint (TMJ) involvement from juvenile idiopathic arthritis (JIA). A systematic literature review, according to the PRISMA guidelines, was conducted. Meta-analyses, randomized controlled trials, cohort studies, observational studies, and case reports were eligible for inclusion. Exclusion criteria were no JIA diagnosis, no clearly defined outcomes, dual publications (except meta-analyses), non peer-reviewed studies, non English language publications, and animal studies...
January 28, 2019: International Journal of Oral and Maxillofacial Surgery
Andrea M Trescot, Helen W Karl
BACKGROUND: Temple headaches are common, yet the anatomic etiology of headaches in this region is often confusing. One possible cause of temple headaches is dysfunction of the auriculotemporal nerve (ATN), a branch of the third division of the trigeminal nerve. However, the site of pain is often anterior to the described path of the ATN, and corresponds more closely to a portion of the path of a small branch of the second division of the trigeminal nerve called the zygomaticotemporal nerve (ZTN)...
January 2019: Pain Physician
Victor Moreira Leamari, Alex de Freitas Rodrigues, Rubens Camino Junior, João Gualberto C Luz
Temporomandibular disorders (TMD) may present with diverse signs and symptoms, and one very significant is the limitation of mandibular movements. Additionally, the Helkimo indices allow for the reliable quantification of the signs and symptoms of TMD. The purpose of this study was to ascertain whether there are any correlations between the Helkimo indices and the maximal mandibular excursion capacity in a group of patients with TMD. Eighty patients (72 women and 8 men, mean age 33.6 years) with diagnosis of TMD according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were evaluated to obtain the Helkimo indices and their maximal mandibular excursion capacities...
January 2019: Journal of Bodywork and Movement Therapies
Roberto Rongo, Per Alstergren, Lucia Ammendola, Rosaria Bucci, Maria Alessio, Vincenzo D'Antò, Ambra Michelotti
BACKGROUND: Diagnostic Criteria reported in the expanded taxonomy for Temporomandibular Disorders include a standardised clinical examination and diagnosis (DC/TMD 3.B) of temporomandibular joint (TMJ) damage in patients with juvenile idiopathic arthritis (JIA), however their validity is unknown. OBJECTIVES: to assess the validity of DC/TMD 3.B for the identification of TMJ damage in JIA-patients, using magnetic resonance imaging (MRI) as gold standard; to investigate the relation between clinical findings and TMJ damage...
January 21, 2019: Journal of Oral Rehabilitation
Mohammad S Alrashdan, Amjad Nuseir, Mahmoud K Al-Omiri
AIM: The aim of the present study was to document the prevalence and possible correlations of temporomandibular disorders (TMD) in a sample of participants from Northern Jordan. METHODS: A total of 368 adult participants were consecutively selected from visitors to a major health facility in Northern Jordan and examined according to the diagnostic criteria (DC) for TMD (DC/TMD) protocol. Patients with conditions that could interfere with TMD diagnosis were excluded...
January 20, 2019: Journal of Investigative and Clinical Dentistry
Hisashi Ozaki, Kazuyuki Yusa, Yoshioki Hamamoto, Mitsuyoshi Iino
Osseous choristoma is a rare entity in the oral and maxillofacial region. The most common site is the tongue, followed by the buccal mucosa. Osseous choristoma of the muscle is unusual and few cases have been described in the literature. No reports have described osseous choristoma arising on the medial side of the lateral pterygoid muscle. Herein, we report the first such case. A 61-year-old woman was referred to our facility for treatment of temporomandibular joint disorder. Computed tomography (CT) revealed two osseous lesions on the medial side of the lateral pterygoid muscle...
January 16, 2019: Oral Radiology
Margareth Kristensen Ottersen, Anna-Karin Abrahamsson, Tore Arne Larheim, Linda Zamoline Arvidsson
OBJECTIVES: To characterize osteoarthritis (OA) in the temporomandibular joints (TMJs) by means of cone beam computed tomography (CBCT) in a hand OA population, and identify interpretation challenges. METHODS: The TMJs of 54 individuals (mean age 71.3) recruited from the "The Oslo hand OA cohort", independently of TMJ related symptoms, were examined with CBCT (ProMax MidCBCT). Images were analyzed for bone change characteristics and each joint was diagnosed with either OA, no OA or as indeterminate for OA...
January 11, 2019: Dento Maxillo Facial Radiology
Nikolaos Christidis, Elisande Lindström Ndanshau, Amanda Sandberg, Georgios Tsilingaridis
AIMS: Temporomandibular disorders (TMD) in children/adolescents are very common. Yet, there is a lack of consensus regarding which clinical interventions are appropriate. The aim of this systematic review was to gather and assess the quality of the available literature on the prevalence and evidence-based treatment-strategies in children and adolescents suffering from TMD. METHODS: A systematic literature review was conducted including articles from 1992 to 2016...
December 26, 2018: Journal of Oral Rehabilitation
Roberta Gualtierotti, Angelo Valerio Marzano, Francesco Spadari, Massimo Cugno
Oral manifestations are frequent in patients with rheumatic diseases. The aim of this review is to offer readers practical advice concerning the onset, diagnosis and treatment of the main oral manifestations encountered in rheumatological and dental clinics. Signs and symptoms such as oral hyposalivation, xerostomia, temporomandibular joint disorders, periodontal disease, and dysphagia may be the first expression of a number of rheumatic diseases. Some of these manifestations are aspecific and very frequent, such as oral aphthosis, which can be the first manifestation in patients with systemic lupus erythematosus; some are potentially dangerous, such as jaw claudication during the course of giant cell arteritis; and some are very rare but peculiar, such as strawberry-like gingivitis in patients with granulomatosis with polyangiitis...
December 25, 2018: Journal of Clinical Medicine
Roger Lanes Silveira, Ivan Ranuzia, Marcelo Fernandes S Melo, Rogerio Araujo de Oliveira, Antonio Alburquerque de Brito, Victor Laviola Vidigal
Temporomandibular joint (TMJ) dislocation, or luxation, occurs when the condyle crosses the articular eminence in such a way that it does not return to its correct anatomical position, unless aided by a reduction in external forces for TMJ. The diagnosis of condylar luxation is clinical; however, image exams are important in classifying the types of condylar luxation and associated fractures. Displacement of the TMJ can occur due to either an exaggerated mouth opening or a forced opening and occasionally is associated with a high-impact trauma to the jaw, the latter being an extremely rare condition...
December 2018: Craniomaxillofacial Trauma & Reconstruction
L Benslama, T Schouman, S Toure, J Chardain, P Goudot
OBJECTIVE - We had for aim to study the clinical manifestations, diagnostic imaging techniques, histopathological and therapeutic findings of patients presenting with synovial chondromatosis (CS) of the temporomandibular joint (TMJ). MATERIAL AND METHODS - We reviewed the clinical history of all our patients who were diagnosed with CS between 2009 and 2013. RESULTS - We identified 12 cases of TMJ-CS, in 4 male and 8 female patients, with a mean aged of 50.5 years at diagnosis (range: 43-86 years). The average symptom duration prior to diagnosis was 11 months (range: 1-24 months)...
December 14, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
Sagit Stern Shavit, Hanna Bernstine, Vladimir Sopov, Ben Nageris, Ohad Hilly
OBJECTIVE: Imaging is important for the diagnosis and follow-up of necrotizing external otitis (NEO). The best imaging modality is controversy. To suggest 2-deoxy-2-[fluorine-18] fluoro-D-glucose-positron emission tomography/computed tomography (18F-FDG-PET/CT) as an alternative to technetium-99m and gallium-67 scans for diagnosis and assessment of response to treatment for patients with NEO. STUDY DESIGN: Case series. METHODS: Tertiary referral center...
December 14, 2018: Laryngoscope
Sharon Ovnat Tamir, Tal Marom, Sagit Shushan, Abraham Goldfarb, Udi Cinamon, Ophir Handzel, Ofer Gluck, Yahav Oron
OBJECTIVES: To study the compliance of ear, nose, and throat (ENT) physicians to the American Association Otolaryngology-Head - Neck Surgery (AAO-HNS) clinical practice guidelines (CPG) for tinnitus and to identify the disparity of both diagnosis and management options in the absence of a local protocol for the management of adult tinnitus. MATERIALS AND METHODS: A voluntary and anonymous questionnaire was emailed in a Google spread-out sheet format to all practicing ENT physicians across the country (n=370)...
December 12, 2018: Journal of International Advanced Otology
Jessica B Howell, Yula A Indeyeva, Stephanie E Ambrose, Evan R Reiter
Tophaceous pseudogout of the temporomandibular joint is a rare entity that clinically and radiographically mimics neoplastic or infectious conditions. Diagnosis requires histopathologic examination. Given the rarity of this condition, there is a paucity of information pertaining to the surgical approach, reconstructive options, and postoperative outcomes.
December 2018: Ear, Nose, & Throat Journal
Sheldon P Hersh, Joshua N Hersh
Red ear syndrome (RES) is an unusual, often unrecognized condition that has rarely been reported in the otolaryngology literature despite the presence of symptoms and associated disorders of relevance to the otolaryngologist. When present, RES may have diagnostic value when uncertainties arise in cases of sinus headache and referred otalgia. Despite the appearance of a distinctive red ear, as well as symptoms and associated disorders relating to otolaryngology, discussion of RES is generally limited to neurology-based publications...
December 2018: Ear, Nose, & Throat Journal
Kai Becker, Holger A Jakstat, M Oliver Ahlers
Functional diagnostic examinations such as clinical functional analysis and manual structural analysis ('orthopedic tests') allow the dentist to establish a structured diagnosis. Previously, the process of correlating findings with the appropriate diagnoses was guided by human thought processes alone. The experimental diagnostic randomized controlled trial (RCT) in this study investigated whether computer-aided diagnosis (CADx) of temporomandibular disorders (TMD) offers quality advantages over traditional diagnosis (TRAD)...
2018: International Journal of Computerized Dentistry
Ilga Urtane, Iveta Jankovska, Hadeel Al-Shwaikh, Zane Krisjane
OBJECTIVE: Patients with juvenile idiopathic arthritis (JIA) have a high risk of temporomandibular joint (TMJ) involvement. Early detection of osseous destruction of the TMJ that can be seen radiographically is vital to provide appropriate treatment before significant craniofacial deformities and problems with occlusion arise. The aim of study was to evaluate whether there is a correlation between the clinical signs and cone beam computed tomography (CBCT) radiologic features of TMJ in patients with JIA...
2018: Stomatologija
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