Morphological evaluation of temporomandibular joint after open and closed treatment of type B diacapsular condylar fractures in sheep

2009 ◽  
Vol 191 (3) ◽  
pp. 288-293 ◽  
Author(s):  
Fan-Wen Meng ◽  
Kai-Jin Hu ◽  
Liang Kong ◽  
Yan-Tao Zhao ◽  
Yan-Pu Liu ◽  
...  
Author(s):  
Özlem Akkemik ◽  
Harald Kugel ◽  
Roman Fischbach

Objective: Evaluation of acute soft tissue injury of the temporomandibular joint (TMJ) with type I-VI fractures immediately after trauma and investigation of the longitudinal evolution including response to conservative treatment using MRI. Methods: The joints of 24 patients with 33 condylar fractures (15 unilateral, nine bilateral) were imaged on a 1 Tesla MR system within the first 24 h post-trauma. 12 of these patients with 16 condylar fractures (eight unilateral, four bilateral) were clinically re-evaluated using MRI after 3 months of closed treatment. The position, morphology and signal intensities of the disc, capsule, retrodiscal tissue, and osseous structures were documented. Results: In the acute phase, disc displacements (DDs) were diagnosed in 8 out of 33 joints with fracture, including posterior DDs in two joints and tears of the inferior retrodiscal lamina in 11 joints. The follow-up MRI in 12 patients revealed new DD in four joints on the fractured side (FS) including a posterior DD and an increased degree of displacement, and new DDs in two joints in the non-fractured side (NFS). Conclusion: Preexisting and traumatic DD and soft tissue injuries are frequent findings in patients with condylar fracture. Independent of the degree of trauma, condylar fractures may determine the subsequent development of DD on both FS and NFS. Early MR imaging may help initiate well-directed specific measures for better outcomes in the acutely injured TMJ.


2004 ◽  
Vol 46 (6) ◽  
pp. 519-522
Author(s):  
Kayoko Nozawa-Inoue ◽  
Nobuyuki Ikeda ◽  
Akiko Suzuki ◽  
Norio Amizuka ◽  
Takeyasu Maeda

2005 ◽  
Vol 63 (9) ◽  
pp. 1304-1309 ◽  
Author(s):  
Meike Stiesch-Scholz ◽  
Stephan Schmidt ◽  
André Eckardt

1987 ◽  
Vol 16 (2) ◽  
pp. 91-98 ◽  
Author(s):  
Z-J Zou ◽  
W-T Wu ◽  
G-X Sun ◽  
X-P Zhu ◽  
K-H Zhang ◽  
...  

2015 ◽  
Vol 59 (4) ◽  
Author(s):  
L.O. Carvalho de Moraes ◽  
R.C. Tedesco ◽  
L.A. Arraez-Aybar ◽  
O. Klein ◽  
J.R. Mérida-Velasco ◽  
...  

The development of the synovial membrane was analyzed in serial sections of 21 temporomandibular joints of human fetuses at 9 to 13 weeks of gestation. Sections of two fetuses at 12 weeks of development were used to perform immunohistochemical expression of the markers CD68 and Hsp27 on the synovial lining. Macrophage-like type A and fibroblast-like type B cells, which express CD68 and Hsp27, respectively, were observed at the twelfth week of development. Our results suggest that the development of the synovial membrane is related to the vascularization of the joint and the formation of the articular cavities.


2009 ◽  
Vol 2 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Edward Ellis ◽  
Robert V. Walker

Unfavorable sequelae from mandibular fractures includes malocclusion and temporomandibular joint dysfunction. The management of these complications is presented in this article and is largely based on the authors’ experience. Cases that provide details on treatment methods are shown. Finally, an algorithm for treatment is suggested.


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