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Ultrasound for TMD

Preethi B Reddy, Pankaj Punetha, Kolli S Chalam
BACKGROUND AND AIMS: Accurate prediction of the Cormack-Lehane (CL) grade preoperatively can help in better airway management of the patient during induction of anaesthesia. Our aim was to determine the utility of ultrasonography in predicting CL grade. METHODS: We studied 100 patients undergoing general endotracheal anaesthesia. Mallampati (MP) class, thyromental distance (TMD) and sternomental distance (SMD) were noted. Ultrasound measurements of the anterior neck soft tissue thickness at the level of the hyoid (ANS-Hyoid), anterior neck soft tissue thickness at the level of the vocal cords (ANS-VC) and ratio of the depth of the pre-epiglottic space (Pre-E) to the distance from the epiglottis to the mid-point of the distance between the vocal cords (E-VC) were obtained...
November 2016: Indian Journal of Anaesthesia
Marcelo Oliveira Mazzetto, Mateus Aparecido Anacleto, Carolina Almeida Rodrigues, Rafaella Mariana Fontes Bragança, Guiovaldo Paiva, Laís Valencise Magri
OBJECTIVE: To compare the amplitude of mandibular movement measurements obtained by two different methods: the ultrasound JAM system and digital caliper rule in individuals with temporomandibular disorder (TMD) vs. CONTROLS: HASH(0x40db120) METHOD: Sixty individuals, without distinction between sex and age were evaluated: 30 with diagnosis of TMD (RDC/TMD) and 30 controls. Mandibular movements of opening, protrusion, and left and right laterality were measured by means of two Instruments: Digital caliper rule and 3D ultrasonic Jaw Motion Analyzer (JMA-Zebris Medizintechnik, Isny/Allgäu, Germany)...
March 25, 2016: Cranio: the Journal of Craniomandibular Practice
Shalu Rai, Vikash Ranjan, Deepankar Misra, Sapna Panjwani
OBJECTIVE: The present comparative study was aimed to determine the effectiveness of Th US and TENS in the management of myofascial pain in TMD patients. MATERIALS AND METHODS: The present randomized comparative study was on 90 patients who were further assigned in three different groups each having 30 patients; Group I was healthy control patients, Group II was receiving Th US therapy, and Group III was receiving TENS therapy. All the 90 patients were further evaluated for maximum inter incisor subjective evaluation regarding muscle pain, impediment to daily life, massage impression on visual analog scale (VAS) scale, and intensity and duration used in Th US massage...
January 2016: European Journal of Dentistry
Anna Sójka, Juliusz Huber, Elżbieta Kaczmarek, Wiesław Hędzelek
PURPOSE: The article deals with routinely performed instrumental temporomandibular joint (TMJ) examinations and interpretation of findings obtained from the Arcus Digma ultrasound device in individuals with or without clinical symptoms of temporomandibular disorders (TMD). The aim of this study was to analyze mandibular movement functions and the relationship between incisors and condylar movement parameters during jaw opening, which may be helpful for clinical evaluation in these patients...
October 21, 2015: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Bernd Kordaß, Sebastian Ruge
Analysis of temporomandibular joint (TMJ) function using condylar path tracings is a challenge in functionally oriented dentistry. In most cases, reference points on the skin surface over the TMJ region are defined as "arbitrary", "individual" or "kinematic" condylar hinge axis points, which are displayed as "condylar paths" in motion. To what extent these reference points represent the actual condylar paths in each individual patient is ultimately unclear because the geometric relationship of the actual condyle to the selected reference point is usually unknown...
2015: International Journal of Computerized Dentistry
P Thoenissen, G Bittermann, R Schmelzeisen, T Oshima, T Fretwurst
INTRODUCTION: This article unveils a case of the classic styloid syndrome and states that panoramic imaging and ultrasound can be an alternative to computed tomography. In addition, the endoscope-assisted extraoral approach using CT-based navigation is useful. Eagle's Syndrome is an aggregate of symptoms described by Eagle in 1937. He described different forms: the classic styloid syndrome consisting of elongation of the styloid process which causes pain. Second, the stylo-carotid-artery syndrome which is responsible for transient ischemic attack or stroke...
2015: International Journal of Surgery Case Reports
Sardar M Z Uddin, Yi-Xian Qin
Disuse osteopenia and bone loss have been extensively reported in long duration space mission and long term bed rest. The pathology of the bone loss is similar to osteoporosis but highly confined to weight bearing bones. The current anabolic and/or anti-resorptive drugs have systemic effects and are costly over extended time, with concerns of long term fracture risk. This study use Low Intensity Pulsed Ultrasound (LIPUS) as a non-invasive acoustic force and anabolic stimulus to countermeasure disuse induced bone loss...
June 2015: Bone
Mehmet Ucar, Ümit Sarp, İrfan Koca, Selma Eroğlu, Alparslan Yetisgin, Ahmet Tutoglu, Ahmet Boyacı
[Purpose] This study compared the effectiveness of home exercise alone versus home exercise combined with ultrasound for patients with temporomandibular joint disorders. [Subjects and Methods] This study enrolled 23 female and 15 male patients who were divided randomly into two groups. The home exercise group performed a home exercise program consisting of an exercise program and patient education, and the home exercise combined with ultrasound group received ultrasound therapy in addition to the home exercise program...
December 2014: Journal of Physical Therapy Science
Vijai P Sinha, Harsha Pradhan, Hemant Gupta, Shadab Mohammad, R K Singh, Divya Mehrotra, M C Pant, R Pradhan
The complexity of structure and functions of the Temporomandibular Joint (TMJ) make the diagnosis of its diseases/disorders difficult. Remarkable progress made in the field of imaging of this joint led us to compare four imaging modalities viz. plain radiographs, CT scan, MRI and ultrasound. We found that MRI was most specific and sensitive for interpretation of soft tissue and inflammatory conditions in the joint, whereas CT examination produced excellent image for osseous morphology and pathology. Plain X-rays are useful for destructive bony changes and sonography is a good in aid in diagnosing disc derangement and is very economical...
January 2012: National Journal of Maxillofacial Surgery
Isabelle Dupuy-Bonafé, Marie-Christine Picot, Igor L Maldonado, Virginie Lachiche, Isabelle Granier, Alain Bonafé
OBJECTIVE: The aim of this study was to assess the diagnostic value of articular sounds, standardized clinical examination, and standardized articular ultrasound in the detection of internal derangements of the temporomandibular joint. STUDY DESIGN: Forty patients and 20 asymptomatic volunteers underwent a standardized interview, physical examination, and static and dynamic articular ultrasound. Sensitivity, specificity, and predictive values were calculated using magnetic resonance as the reference test...
June 2012: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Arif Rashid, Nigel Shaun Matthews, Helen Cowgill
Up to a quarter of the general population has experienced temporomandibular joint disorder (TMD) at some point in time. Physiotherapy has been used in the management of TMD for many years, but evidence supporting its clinical effectiveness is limited. We investigated the perceived effectiveness of physiotherapy for patients with TMD among consultants in oral and maxillofacial surgery (OMFS) and the accessibility of these services in the United Kingdom (UK). Information was gathered from a postal or electronic questionnaire sent to the 356 OMFS consultants listed on the British Association of Oral and Maxillofacial Surgeons' website...
January 2013: British Journal of Oral & Maxillofacial Surgery
Y N Kami, T Chikui, K Okamura, Y Kubota, K Oobu, H Yabuuchi, E Nakayama, K Hashimoto, K Yoshiura
OBJECTIVE: The aim of this study was to describe the CT, MRI and ultrasonography findings of five cases of neurogenic tumours in the head and neck region. METHODS: Five neurogenic tumours were analysed with respect to their CT value, the presence of cystic change, target sign, lobulation, connection to the nerve and vascularity. RESULTS: The contrast-enhanced CT (ECT) of the schwannomas demonstrated either a mass with low enhancement (two out of three cases), which reflected the predominant Antoni B components, or a mass with cystic changes, which was an Antoni A-based schwannoma displaying cystic changes (one out of three cases)...
January 2012: Dento Maxillo Facial Radiology
Burcu Bas, Nergiz Yılmaz, Erkan Gökce, Hüseyin Akan
OBJECTIVE: The relationship between radiologic evidence of effusion in the temporomandibular joint (TMJ) and the occurrence of clinical symptoms (e.g., pain) is still unclear. Increased capsular width (CW) measured in ultrasonographic imaging (USI) of the TMJ was considered to be an indirect marker of TMJ effusion. The purpose of this study was to evaluate the relationship between the grades of magnetic resonance imaging (MRI)-depicted joint effusion (JE), increased CW measured in USI, and joint pain in TMJ internal derangement (ID) patients...
July 2011: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Kazuro Shimokawa, Kaoru Mogushi, Satoshi Shoji, Atsuko Hiraishi, Keisuke Ido, Hiroshi Mizushima, Hiroshi Tanaka
BACKGROUND: Variety of information relating between genome and the pathological findings in disease will yield a wealth of clues to discover new function, the role of genes and pathways, and future medicine. In addition to molecular information such as gene expression and genome copy number, detailed clinical information is essential for such systematic omics analysis. RESULTS: In order to provide a basic platform to realize a future medicine based on the integration of molecular and clinico-pathological information of disease, we have developed an integrated clinical omics database (iCOD) in which comprehensive disease information of the patients is collected, including not only molecular omics data such as CGH (Comparative Genomic Hybridization) and gene expression profiles but also comprehensive clinical information such as clinical manifestations, medical images (CT, X-ray, ultrasounds, etc), laboratory tests, drug histories, pathological findings and even life-style/environmental information...
2010: BMC Genomics
Lukas Müller, Christian J Kellenberger, Elvira Cannizzaro, Dominik Ettlin, Thomas Schraner, Isabel B Bolt, Timo Peltomäki, Rotraud K Saurenmann
OBJECTIVES: To study the validity of both rheumatological and orthodontic examinations and ultrasound (US) as screening methods for early diagnosis of TMJ arthritis against the gold standard MRI. METHODS: Thirty consecutive juvenile idiopathic arthritis (JIA) patients were included in this pilot study. Rheumatological and orthodontic examinations as well as US were performed within 1 month of the MRI in a blinded fashion. Joint effusion and/or increased contrast enhancement of synovium or bone were considered signs of active arthritis on MRI...
June 2009: Rheumatology
A M Hussain, G Packota, P W Major, C Flores-Mir
OBJECTIVES: To evaluate the ability of different diagnostic imaging techniques for diagnosing the presence of erosions and osteophytes in the temporomandibular joint (TMJ). METHODS: A systematic search of PubMed, Medline, all Evidence Based Medicine (EBM) reviews, Embase, Web of Sciences and Lilacs identified nine articles that met the selection criteria: some type of TMJ diagnostic imaging, data from autopsy or dry skull TMJs as gold standard, absence of diagnosed systemic arthritis and evaluation of the presence of erosions and/or osteophytes...
February 2008: Dento Maxillo Facial Radiology
J Markwardt, E Klemm, D Aust, G Lauer
A 39-year-old male patient suffered from pain in the right temporo-mandibular-joint (TMJ) region for more than one year particular when chewing. He was suspected of having a parotis gland tumor and was admitted to the ENT Department. Three months prior to admission there was an increasing swelling. MRT contrast enhanced scan proofed a partly cystic partly soft tissue dense tumor in the regions of the masseter and pterygoideus medialis muscles and the cranial parts of the parotic gland. Ultrasound scan confirmed these findings and showed in addition a suspect lymph node at level II...
October 2007: Laryngo- Rhino- Otologie
Siegfried Jank, Stephan Haase, Heinrich Strobl, Hartmut Michels, Renate Häfner, Martin Missmann, Gerd Bodner, Erich Mur, Dominik Schroeder
OBJECTIVE: To evaluate whether there are any correlations between the clinical parameters of temporomandibular joint (TMJ) arthritis and pathologic ultrasound (US) findings of the TMJ in patients with juvenile idiopathic arthritis (JIA). METHODS: We conducted prospective clinical and US investigations of the TMJs of 48 patients with JIA. The US investigation was performed by a 12-MHz high-resolution transducer, which was positioned parallel to the ramus of the mandible overlying the zygomatic arch in a closed-mouth position and maximum open-mouth position...
March 15, 2007: Arthritis and Rheumatism
Werner Shintaku, Reyes Enciso, Jack Broussard, Glenn T Clark
Since dentists can be faced by unusual cases during their professional life, this article reviews the common orofacial disorders that are of concern to a dentist trying to diagnose the source of pain or dysfunction symptoms, providing an overview of the essential knowledge and usage of nowadays available advanced diagnostic imaging modalities. In addition to symptom-driven diagnostic dilemmas, where such imaging is utilized, occasionally there are asymptomatic anomalies discovered by routine clinical care and/or on dental or panoramic images that need more discussion...
August 2006: Journal of the California Dental Association
H Mohammad Ali
Varieties of injuries have been reported as a result of the deployment of the airbag/s following road traffic accidents. The purpose of this case-report is to present a physiotherapist's perspective of a patient who was diagnosed as having temporomandibular pain and dysfunction following the deployment of the airbag on the face and its implications for the dental profession. The patient was assessed using a modified Maitland assessment procedure to establish the diagnosis and the treatment consisted of Maitland mobilisation techniques, pulsed short wave diathermy and ultrasound as and when indicated directed to the upper cervical spine...
August 14, 2004: British Dental Journal
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