Relationship between intra-articular adhesions and disc position in temporomandibular joints: Magnetic resonance and arthroscopic findings and clinical results

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
Alejandrina Millon-CruzAlberto Berguer

Abstract

The objective of this study was to evaluate the relationship between intra-articular adhesions (IA) and disc position on magnetic resonance imaging (MRI) and direct arthroscopic vision, and to compare the presence of IA and clinical symptoms in patients diagnosed with internal derangements (ID) of temporomandibular joint (TMJ), along with their clinical outcomes. A total of 67 patients (134 TMJs) were included in the study. All patients were refractory to previous conservative treatment, and MRI was performed before surgery in all cases. The incidence of IA was evaluated in relation to disc displacement, type of displacement (with or without reduction), and stage of ID according to the Wilkes-Bronstein classification. Patients were divided into an adhesion and non-adhesion group. The association between the two groups with respect to preoperative clinical parameters (maximal interincisal opening, locking duration, joint pain, patient age) and postoperative parameters at 6 and 12 months was evaluated. The incidence of IA was 44% and the most common location was the anterior recess of the joint. IA were found in 58.3% of the joints with disc displacement without reduction, and in 28.9% of those with disc displacement with reducti...Continue Reading

References

Jul 1, 1992·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·K MurakamiT Iizuka
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Oct 31, 2008·The British Journal of Oral & Maxillofacial Surgery·ShanYong ZhangDan Yuan
Mar 26, 2010·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Edvitar LeiburUlle Voog-Oras
Apr 8, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Shanyong ZhangZhuozhi Chen
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Feb 18, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Pei ShenXiu Ming Liu

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Citations

Oct 5, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Pei ShenChi Yang
Jul 11, 2006·International Journal of Oral and Maxillofacial Surgery·G CledesP Carpentier
Nov 30, 2020·International Journal of Oral and Maxillofacial Surgery·P-J VerhelstR Jacobs
Jan 13, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Mario Fernando Muñoz-GuerraLuis Naval-Gías
Mar 16, 2021·Cranio : the Journal of Craniomandibular Practice·Andre Luiz Ferreira CostaSérgio Lucio Pereira de Castro Lopes

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