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Temporomandibular joint diagnosis

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https://www.readbyqxmd.com/read/29336283/headaches-and-facial-pain-in-rhinology
#1
Asitha D L Jayawardena, Rakesh Chandra
"Sinus headache" is a common chief complaint that often leads patients to an otolaryngologist's office. Because facial pain may or may not be sinogenic in origin, the otolaryngologist should be equipped to evaluate and treat or to appropriately refer these patients. Analysis of current data indicates that the majority of patients who present with sinus headaches actually have migraines. Furthermore, the downstream effect of the cytokine cascade initiated in migraine physiology can cause rhinologic symptoms, including rhinorrhea, congestion, and lacrimation, which may also confound diagnosis...
January 1, 2018: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/29303858/surgical-treatment-of-synovial-chondromatosis-in-the-inferior-compartment-of-the-temporomandibular-joint-with-articular-disc-involvement
#2
Pablo Cornelius Comelli Leite, Elen de Souza Tolentino, Amanda Lury Yamashita, Lilian Cristina Vessoni Iwaki, Liogi Iwaki Filho
The authors report an unusual case of painful synovial chondromatosis originated in the inferior compartment of the temporomandibular joint (TMJ) with articular disc involvement in a 56-year-old woman with complaint of severe pain in the right preauricular region. Magnetic resonance images showed advanced destruction of the right articular disc anteriorly displaced, condylar erosion, and distinct nodules within an extremely expanded inferior joint compartment with large amount of fluid, as well as a large TMJ effusion...
January 4, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29303139/temporomandibular-joint-involvement-in-psoriatic-arthritis
#3
Alime Okkesim, Mehmet Zahit Adisen, Melda Misirlioglu
Psoriasis is a chronic, papulosquamous, and an inflammatory skin disease. It has been found that between 5% and 24% of patients develop psoriatic arthritis (PA) at the same time after or even prior to skin findings. The involvement of temporomandibular joint (TMJ) is a rare condition. In this report, a-46-year-old male patient was referred to our clinic with the complaint of pain in the bilateral TMJs, and a limited jaw movement. Medical anamnesis revealed he had psoriasis for the last 21 years, and developed a seronegative polyarthritis with destructive changes for 8 years...
November 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29299192/an-atypical-case-of-craniometaphyseal-dysplasia-case-report-and-surgical-treatment
#4
Giorgio Novelli, Emanuela Ardito, Fabio Mazzoleni, Alberto Bozzetti, Davide Sozzi
Introduction: Craniometaphyseal dysplasia is a rare hereditary bone disease presenting metaphyseal widening of the tubular bones, sclerosis of craniofacial bones and bony overgrowth of the facial and skull bones. Craniometaphyseal dysplasia occurs in an autosomal dominant (AD) and an autosomal recessive (AR) form. Case report: We present a 32-year-old patient arrived at our unit in May 2009. His main discomfort was a major limitation of the mouth opening, in the context of a craniofacial deformity...
April 2017: Annali di Stomatologia
https://www.readbyqxmd.com/read/29279827/parotid-mandibular-bone-defect-a-case-report-emphasizing-imaging-features-in-plain-radiographs-and-magnetic-resonance-imaging
#5
Miki Hisatomi, Luciana Munhoz, Junichi Asaumi, Emiko Saito Arita
Mandibular bone depression, also known as Stafne bone cavity, is defined as a bone depression filled mainly with salivary gland tissue. Parotid gland bone defects are infrequently observed. We report the case of a 52-year-old male patient who underwent radiographic examinations due to temporomandibular joint dysfunction, and a radiolucent area was detected in the mandibular ramus, with a provisional diagnosis of traumatic bone cyst or parotid mandibular bone defect. The patient was then referred for magnetic resonance imaging, which demonstrated a hyperintense area eroding the mandibular ramus, which corresponded to glandular tissue...
December 2017: Imaging Science in Dentistry
https://www.readbyqxmd.com/read/29249414/correlation-between-severity-of-temporomandibular-disorder-pain-intensity-and-pressure-pain-threshold
#6
Carolina Marciela Herpich, Cid André Fidelis de Paula Gomes, Almir Vieira Dibai-Filho, Fabiano Politti, Cesário da Silva Souza, Daniela Aparecida Biasotto-Gonzalez
OBJECTIVE: The aim of the present study was to correlate the severity of temporomandibular disorder (TMD) with the pressure pain threshold over the temporomandibular joint and masticatory muscles. METHODS: A blind, cross-sectional study was conducted involving 60 women ages 18 to 40 years with a diagnosis of myogenous TMD. Evaluations were performed using the Fonseca Anamnestic Index (FAI), the visual analogue scale, and algometry over the temporomandibular joint and masticatory muscles...
December 14, 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29225364/a-young-patient-with-temporomandibular-joint-osteoarthritis-case-report
#7
Ema Vrbanović, Iva Z Alajbeg
This paper describes a case of a young patient who sought help because of pain in the right temporomandibular joint (TMJ). She also reported increasing of pain during chewing. Clinical examination revealed limited mouth opening with uncorrected deviation to the ipsilateral side. Palpation of the lateral pole of the right condyle discovered crepitus, and maximum assisted opening elicited a report of "familiar pain". The diagnosis of osteoarthritis of the TMJ (RDC / TMD criteria, Axis I, Group III) was confirmed by CBCT of TMJ...
September 2017: Acta Stomatologica Croatica
https://www.readbyqxmd.com/read/29215692/chondroid-tenosynovial-giant-cell-tumor-of-the-temporomandibular-joint-a-rare-case-report
#8
Ana Lia Anbinder, Barbara Maria Corrêa Geraldo, Rubens Guimarães, Débora Lima Pereira, Oslei Paes de Almeida, Yasmin Rodarte Carvalho
Tenosynovial giant cell tumor of diffuse type (TGCT-d) or pigmented villonodular synovitis (PVNS) is a locally aggressive lesion that mostly affects the joints of long bones. Chondroid tenosynovial giant cell tumor (CTGCT) or PVNS with chondroid metaplasia is a rare distinct subset of synovial tumors that has a predilection for the TMJ. We report a rare case of CTGCT in the TMJ, initially misdiagnosed as temporomandibular disorder (TMD). A 51-year-old woman was referred to the surgeon with the chief complaint of TMJ pain for 5 years and a past history of an unsuccessful TMD treatment...
September 2017: Brazilian Dental Journal
https://www.readbyqxmd.com/read/29198485/nodular-fasciitis-of-the-temporomandibular-joint-a-case-report
#9
I Jenkyn, A King, K A Moutasim, S Sharma
Nodular fasciitis is a relatively rare benign lesion of the soft tissue, which often presents in the fascia or deep subcutaneous tissues. It most commonly presents in the upper extremities and trunk and the head and neck region, particularly in younger patients. Its pathogenesis is poorly understood and it is predominantly thought to be a reactive lesion, although some have suggested that it may be a benign neoplasm. Advances in molecular testing and imaging have greatly assisted diagnosis. We discuss the benefits of ubiquitin-specific protease 6 (USP6) gene rearrangement testing and magnetic resonance imaging (MRI) to aid this uncommon diagnosis...
November 29, 2017: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29193882/giant-cell-tumor-of-temporomandibular-joint-presenting-as-a-parotid-tumor-challenges-in-the-accurate-subclassification-of-giant-cell-tumors-in-an-unusual-location
#10
Rongqin Ren, Sandra Mueller, Adele O Kraft, Celeste N Powers
Fine needle aspiration is frequently used as the initial diagnostic procedure in the work-up of head and neck lesions, including soft tissue masses and salivary gland neoplasms. Giant cell tumors (GCTs), both osseous and extraosseous, are benign tumors that occur, albeit rarely, in the head and neck region. Extraosseous GCTs may be further classified based on their tissue of origin and specific anatomic location. Regardless of location, giant cell tumors are morphologically similar and share cytologic and histologic diagnostic criteria...
November 30, 2017: Diagnostic Cytopathology
https://www.readbyqxmd.com/read/29188656/-features-of-condylography-curves
#11
Zhao Hanchi, Lan Tingting, Xiang Bilu, Li Zhongjie, Liu Yang
With the kinematic face bow, the condyle movements representing temporomandibular joint function can be recorded instantly. The condylography curves can be utilized for diagnostic analysis, as different pathophysiological conditions have unique curve patterns. By tracing the specific alterations on the curves, the structural and functional statuses of the temporomandibular joint can be predicted. However, to the best of our knowledge, no standardized and practicable evaluation protocol for jaw movement tracing exists...
October 1, 2017: Hua Xi Kou Qiang Yi Xue za Zhi, Huaxi Kouqiang Yixue Zazhi, West China Journal of Stomatology
https://www.readbyqxmd.com/read/29170273/optimization-of-quantitative-dynamic-postgadolinium-mri-technique-using-normalized-ratios-for-the-evaluation-of-temporomandibular-joint-synovitis-in-patients-with-juvenile-idiopathic-arthritis
#12
P Caruso, K Buch, S Rincon, R Hakimelahi, Z S Peacock, C M Resnick, C Foster, L Guidoboni, T Donahue, R Macdonald, H Rothermel, H D Curtin, L B Kaban
BACKGROUND AND PURPOSE: MR imaging has been shown to be useful in the diagnosis of juvenile idiopathic arthritis of the temporomandibular joint. Prior MR imaging approaches have relied mainly on the subjective interpretation of synovial enhancement as a marker for synovial inflammation. Although, more recently, several attempts have been made to quantify synovial enhancement, these methods have not taken into account the dynamic enhancement characteristics of the temporomandibular joint and the effect of sampling time...
December 2017: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/29162786/are-there-early-signs-that-predict-development-of-temporomandibular-joint-disease
#13
Adrian Salinas Fredricson, Farid Khodabandehlou, Carina Krüger Weiner, Aron Naimi-Akbar, Johanna Adami, Annika Rosén
Temporomandibular joint disorders (TMJD) involve orofacial pain and functional limitations that may limit important daily activities such as chewing and speaking. This observational case-control study attempted to identify factors associated with TMJD development, particularly inflammation. The study participants were patients treated at Karolinska University Hospital, Stockholm, Sweden. The cases were patients who received a diagnosis of TMJD, chronic closed lock, or painful clicking and were treated surgically during the period from 2007 through 2011...
November 22, 2017: Journal of Oral Science
https://www.readbyqxmd.com/read/29153240/acquired-abnormalities-of-the-temporomandibular-joint
#14
REVIEW
Anne-Frédérique Chouinard, Leonard B Kaban, Zachary S Peacock
Mandibular growth is a complex process that involves the "functional matrix," an interaction of the muscles of mastication, occlusion, and jaw function. Although not a typical growth center, the mandibular condyle has a significant effect on the ultimate size, shape and function of the mandible and secondarily on overall facial form. Acquired temporomandibular joint (TMJ)/condylar abnormalities, such as juvenile idiopathic arthritis, idiopathic condylar resorption, TMJ ankylosis, and condylar hyperplasia, often result in facial deformity and functional deficits...
February 2018: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/29153234/evaluation-of-pain-syndromes-headache-and-temporomandibular-joint-disorders-in-children
#15
REVIEW
Bruce B Horswell, Jason Sheikh
After a thorough review of the history and presentation of a child's facial pain, a targeted head and neck examination is critical to the appropriate diagnosis of facial pain and temporomandibular joint disorders. It is critical to distinguish between the structural (trauma, degenerative disease, and tumor) and nonstructural (neurogenic, myogenic, and psychological) causes of pain, which will allow for incorporation of appropriate strategies of medical, psychological, dental, and surgical therapies.
February 2018: Oral and Maxillofacial Surgery Clinics of North America
https://www.readbyqxmd.com/read/29135060/a-study-to-determine-the-prevalence-of-temporomandibular-disorders-in-a-young-adult-population-and-its-association-with-psychological-and-functional-occlusal-parameters
#16
Hemant Maheshkumar Jivnani, Shuchi Tripathi, Rama Shanker, Balendra Pratap Singh, Kaushal Kishor Agrawal, Rameshwari Singhal
PURPOSE: To determine the prevalence of temporomandibular disorders (TMD) in medical university students and to analyze the relationship of TMD with psychological and functional occlusal parameters. MATERIALS AND METHODS: 200 students (mean age 21.81 ± 1.99) were screened for TMD with the TMD Pain Screener. Clinical examinations identified the participants with TMD. Based on their diagnostic criteria for TMD (DC/TMD) axis I diagnosis, participants were divided into three groups: group 1- non-TMD, group 2- pain related TMD and headaches, and group 3- intra-articular joint disorders...
November 14, 2017: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
https://www.readbyqxmd.com/read/29125402/adolescent-internal-condylar-resorption-aicr-of-the-temporomandibular-joint-part-1-a-review-for-diagnosis-and-treatment-considerations
#17
Larry M Wolford, Aluisio Galiano
Background Adolescent internal condylar resorption (AICR) is a temporomandibular joint (TMJ) pathology that develops predominately in teenage females during pubertal growth (onset between ages 11 and 15 years), with a distinct clinical, radiographic, and magnetic resonance imaging (MRI) presentation. Clinical and imaging presentation The condition usually occurs bilaterally with: (1) Progressive retrusion of the mandible; (2) High occlusal plane angle facial morphology; (3) Worsening Class II occlusion; and (4) TMJ symptoms such as pain, headaches, noises, etc...
November 10, 2017: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/29115902/open-mouth-jaw-locking-in-cats-a-literature-review-and-use-of-computed-tomography-in-three-cases
#18
Anna E Nutt, Thomas Anderson, Margherita Gracis, Ivan Doran, Chris Warren-Smith, Sorrel J Langley-Hobbs
Case series summary This report summarises and reviews the published cases of open-mouth jaw locking in cats and describes three further cases. Case 1 was a 5-year-old, 5.3 kg male neutered domestic shorthair cat. CT identified changes consistent with temporomandibular joint (TMJ) dysplasia with osseous degenerative changes, and the cat subsequently underwent bilateral partial zygomectomy with bilateral partial coronoidectomy. Case 2 was a 10-year-old, 6.0 kg male neutered Exotic Shorthair. Aside from a fracture of the left maxillary canine tooth crown and absence of the left maxillary fourth premolar tooth, no abnormalities were found on CT scan...
November 1, 2017: Journal of Feline Medicine and Surgery
https://www.readbyqxmd.com/read/29112190/jaw-biodynamic-data-for-24-patients-with-chronic-unilateral-temporomandibular-disorder
#19
José López-Cedrún, Urbano Santana-Mora, María Pombo, Amaya Pérez Del Palomar, Víctor Alonso De la Peña, María Jesús Mora, Urbano Santana
This study assessed 24 adult patients, suffering from severe chronic unilateral pain diagnosed as temporomandibular joint (TMJ) disorder (TMD). The full dentate patients had normal occlusion and had never received an occlusal therapy, i.e., were with natural dental evolution/maturation. The following functional and dynamic factors were assessed: (1) chewing function; (2) TMJ remodeling or the condylar path (CP); and (3) lateral jaw motion or lateral guidance (LG). CPs were assessed using conventional axiography, and LG was assessed by K7 jaw tracking...
November 7, 2017: Scientific Data
https://www.readbyqxmd.com/read/29078737/adolescent-internal-condylar-resorption-aicr-of-the-temporomandibular-joint-can-be-successfully-treated-by-disc-repositioning-and-orthognathic-surgery-part-2-treatment-outcomes
#20
Aluisio Galiano, Larry Wolford, João Gonçalves, Daniela Gonçalves
Objective To evaluate treatment outcomes for patients with TMJ adolescent internal condylar resorption (AICR) treated by a specific surgical protocol, including: (1) Removal of bilaminar tissue surrounding the condyle, (2) Articular disc repositioning with Mitek anchor technique, and (3) Concomitant orthognathic surgery. Methods This study evaluated 24 AICR patients treated by the specific surgical protocol with clinical subjective and objective examinations and lateral cephalogram assessments for surgical changes and long-term outcomes...
October 27, 2017: Cranio: the Journal of Craniomandibular Practice
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