scholarly journals Disc stability after condylar discopexy with open surgery technique. A case report.

2019 ◽  
Vol 6 (3) ◽  
pp. 92-95
Author(s):  
Angélica Valenzuela ◽  
Jorge Beltrán
Keyword(s):  
Joint Pain ◽  
Open Surgery ◽  
Functional Limitation ◽  
Clinical Signs ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Disc Displacement ◽  
Imaging Evaluation ◽  
Lateral Dislocation ◽  
Clinical Signs And Symptoms

Of the temporomandibular joint (TMJ) pathologies, temporomandibular disorders (TMD) of disc displacement present several clinical signs and symptoms, the main ones being joint pain measured with the visual analogue scale (VAS) reporting on average VAS>6, and functional incapacity measured in mm of mouth opening, reporting on average <30mm in cases of TMD. The present case corresponds to a patient with limitation of mouth opening <15mm, joint pain VAS= 8, and functional limitation. The subject’s condition was diagnosed clinically and by magnetic resonance imaging (MRI). The patient presented a Wilkes VI lateral dislocation of the left condyle disc without reduction, treated with open surgery discopexy, with disc fixation by monocryl suture and retrodiscal thermocoagulation. The patient showed a significant improvement in the removal of pain and in joint function. In clinical checkups at 1 month, 3 months, 6 months and 1 year, the patient showed decrease of pain levels, from VAS= 8 to VAS= 0, and mouth opening of <15mm to 36mm in the last checkup. Clinical and imaging evaluation at 4 years shows disc stability, with maximum mouth opening of 36 mm, with no disc displacement and clinically asymptomatic VAS = 0. In this case, discopexy with open surgery achieved improvements in functional capacity and removal of pain at short term. Long-term stability was associated with anatomical functions without alteration and without relapse of the symptomatology.

scholarly journals Correlation Between Clinical Findings of Temporomandibular Disorders and MRI Characteristics of Disc Displacement

2015 ◽  
Vol 9 (1) ◽  
pp. 273-281 ◽  
Author(s):  
Raman Kumar ◽  
Shambulingappa Pallagatti ◽  
Soheyl Sheikh ◽  
Amit Mittal ◽  
Deepak Gupta ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Temporomandibular Disorders ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Clinical Findings ◽  
Disc Displacement ◽  
Disk Displacement ◽  
Anterior Disc Displacement ◽  
Group 2 ◽  
Clinical Signs And Symptoms

Objectives: Temporomandibular joint (TMJ) dysfunction is a common condition that is best evaluated with magnetic resonance (MR) imaging. The first step in MR imaging of the TMJ is to evaluate the articular disk, or meniscus, in terms of its morphologic features and its location relative to the condyle in both closed- and open-mouth positions. Disk location is of prime importance because the presence of a displaced disk is a critical sign of TMJ dysfunction. However, disk displacement is also frequently seen in asymptomatic volunteers. It is important for the maxillofacial radiologist to detect early MR imaging signs of dysfunction, thereby avoiding the evolution of this condition to its advanced and irreversible phase which is characterized by osteoarthritic changes such as condylar flattening or osteophytes. Further the MR imaging techniques will allow a better understanding of the sources of TMJ pain and of any discrepancy between imaging findings and patient symptoms. Henceforth, the aim of the study was to evaluate whether MRI findings of various degrees of disk displacement could be correlated with the presence or absence of clinical signs and symptoms of temporomandibular disorders in symptomatic and asymptomatic subjects.Materials and Methods:In this clinical study, 44 patients (88 TMJs) were examined clinically and divided into two groups. Group 1 consisted of 22 patients with clinical signs and symptoms of TMDs either unilaterally or bilaterally and considered as study group. Group 2 consisted of 22 patients with no signs and symptoms of TMDs and considered as control group. MRI was done for both the TMJs of each patient. Displacement of the posterior band of articular disc in relation to the condyle was quantified as anterior disc displacement with reduction (ADDR), anterior disc displacement without reduction (ADDWR), posterior disc displacement (PDD).Results:Disk displacement was found in 18 (81.8%) patients of 22 symptomatic subjects in Group 1 on MRI and 4 (18.1%) were diagnosed normal with no disc displacement. In Group 2, 2 (9.1%) of 22 asymptomatic patients were diagnosed with disc displacement while 20 (90.1%) were normal. Sensitivity and Specificity tests were applied in both the groups to correlate clinical findings of TMD and MRI characterstics of disc displacement and results showed Sensitivity of 90% and Specificity of 83.3%.Conclusion:Disk displacement on MRI correlated well with presence or absence of clinical signs and symptoms of temporomandibular disorders with high Sensitivity and Specificity of 90% and 83.3% respectively.

Prevalence of Temporomandibular Disorders among Nepalese Population

2019 ◽  
Vol 9 (3) ◽  
pp. 34-42
Author(s):  
Peeyush Shivhare ◽  
Vivek Singh ◽  
Ritesh Giri ◽  
Ankur Singh ◽  
Mohan Raju Penumatcha ◽  
...  
Keyword(s):  
Temporomandibular Disorders ◽  
Myofascial Pain ◽  
Demographic Data ◽  
Clinical Signs ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Medical College ◽  
Gum Chewing ◽  
Clinical Signs And Symptoms ◽  
Dental Appointment

 Background: Temporomandibular disorders (TMDs) comprise of a variety of clinical signs and symptoms such as joint sounds, muscle tenderness, joint tenderness, deviation, deflection, pain on mouth opening, protru­sive, lateral movement and limited mouth opening which can be the re­sult of trauma, stress, gum chewing, hard food biting habits, bruxism, long dental appointment. This study was aimed to determine the prevalence of temporomandibular disorders in Nepalese population in Eastern Nepal. Methods: The study was performed from May 2018 to Oct 2018. All the patients who came to the Department of Oral Medicine and Radiology, Nobel Medical College and Teaching Hospital (NMCTH) and health camps in Eastern part of Nepal were included. The self-administered questions were asked to the subjects about demographic data, different signs and symptoms of TMDs and etiological factors responsible for it. Results: More than two thirds of the study sample (83.96%) in the present study had one or more clinical signs and symptoms of TMDs. Deviation of mandible on mouth opening and clicking sound made up the highest per­centage. Females were reported to have significantly higher prevalence of TMDs signs and symptoms than male. Disc displacement was the most prevalent disorder followed by myofascial pain and degenerative joint dis­order. Conclusions: The results of this study show that a significant percentage of the population has signs and symptoms of TMDs. Measures should be taken to prevent and treat TMDs in this part of the world.

scholarly journals Recurrent ankylotic mass treated with aggressive resection and myofascial flap with aggressive physiotherapy

2020 ◽  
Vol 3 ◽  
pp. 36-40
Author(s):  
Alka Mariam Mathew ◽  
Sathyabama Vijayaranghan ◽  
Diana Baburaj ◽  
M. Veerabahu ◽  
D. Sankar
Keyword(s):  
Fiber Optic ◽  
Clinical Signs ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Aggressive Approach ◽  
Residual Defect ◽  
Frequent Relapses ◽  
The Asymmetry ◽  
Clinical Signs And Symptoms ◽  
Jaw Surgery

We are presenting a case with multiple recurring ankylosis, as the child had exhibited the clinical signs and symptoms of an ankylotic right temporomandibular joint. She was operated for the 1st time when she was 6 years old with poor compliance and was reoperated with a distraction unit when she was 10 years old. The research points out to frequent relapses in younger patients operated as they had less compliance relative to the adult ankylotic patients. Henceforth, we dealt with an aggressive approach of planning only on the resection of the mass and if the mouth opening ensues to progress with further correction of the asymmetry and the residual defect. The patient had nil mouth opening and hence was consented for tracheostomy, and fiber-optic intubation was arranged. The aggressive resection of the ankylotic mass was done and the cavity was lined with temporalis myofascial flap. This was followed by aggressive physiotherapy. The patient now has 28 mm of mouth opening and is continuing aggressive physiotherapy for the same. After 6 months of surgery, the patient is planned to undergo corrective jaw surgery for the asymmetry present.

scholarly journals Dementia and Major Neurocognitive Disorders: Some Lessons Learned One Century after the first Alois Alzheimer’s Clinical Notes

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 5
Author(s):  
Donatella Rita Petretto ◽  
Gian Pietro Carrogu ◽  
Luca Gaviano ◽  
Lorenzo Pili ◽  
Roberto Pili
Keyword(s):  
Young Woman ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Neurocognitive Disorders ◽  
Lessons Learned ◽  
Alzheimer Dementia ◽  
Clinical Notes ◽  
Alois Alzheimer ◽  
Clinical Signs And Symptoms

Over 100 years ago, Alois Alzheimer presented the clinical signs and symptoms of what has been later called “Alzheimer Dementia” in a young woman whose name was Augustine Deter [...]

Sign in / Sign up

Export Citation Format

Share Document