scholarly journals Ultrasound Imaging of Head/Neck Muscles and Their Fasciae: An Observational Study

2021 ◽  
Vol 2 ◽  
Author(s):  
Carmelo Pirri ◽  
Caterina Fede ◽  
Chenglei Fan ◽  
Diego Guidolin ◽  
Veronica Macchi ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Ultrasound Imaging ◽  
Myofascial Pain ◽  
Neck Region ◽  
Muscle Thickness ◽  
Temporomandibular Joint Dysfunction ◽  
Head And Neck Region ◽  
Normal Ranges ◽  
The Us ◽  
Head Neck

Background: Masticatory muscle thickness provides objective measurements of the temporomandibular motor function, which may change in patients with oral myofascial pain. Moreover, they are considered as being part of the craniocervical unit by a crucial relationship with cervical muscles and their fasciae. In this study, we aimed to assess by ultrasound (US) imaging the fasciae of the masseter, temporal, and sternocleidomastoid muscles to understand their mean thickness and eventual variation in relationship with the muscles, sides, and sex.Methods: We studied 16 healthy volunteers without temporomandibular joint dysfunction. Concerning each subject were evaluated the range of motion of the temporomandibular joint and of the neck, the thickness of muscles and their fasciae of both sides, and the delta of muscle thickness.Results: All the motor evaluations of the subjects showed normal ranges. The US results showed that the fasciae have a mean thickness of 0.50 ± 0.1 mm, which did not change during muscle contraction. The evaluated muscles presented a symmetry between right and left (p > 0.05), even if the delta of muscle (US) thickness had a huge range between different subjects, for example in the masseter muscle from 0.7 to 4.2 mm.Conclusions: Ultrasound imaging is a suitable and reliable tool to study the muscles and fasciae of the head and neck region, permitting also the evaluation of the ability of the muscles to contract. Finally, identifying functional asymmetry that could become symptomatic, US imaging could allow an early rehabilitation treatment.

scholarly journals Temporomandibular joint dysfunction in Parkinson's Disease: an integrative literature review

Revista CEFAC ◽  
2017 ◽  
Vol 19 (5) ◽  
pp. 702-711 ◽  
Author(s):  
Taysa Vannoska de Almeida Silva ◽  
Maria das Graças Wanderley de Sales Coriolano ◽  
Carla Cabral dos Santos Accioly Lins
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Temporomandibular Joint ◽  
Myofascial Pain ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Masticatory Muscles ◽  
Therapeutic Interventions ◽  
Temporomandibular Joint Dysfunction ◽  
Language Restriction

ABSTRACT Temporomandibular joint dysfunction is a set of disorders involving the masticatory muscles, temporomandibular joint and associated structures. It is known that the progression of motor symptoms in Parkinson's disease is an indication that these people are more prone to the development of this dysfunction. Thus, this study aims to investigate the signs and symptoms of temporomandibular dysfunction in people with Parkinson's disease. The search was performed in the databases: MEDLINE/ PubMed, LILACs, CINAHL, SCOPUS, Web of Science and PEDro, without timing or language restriction. Specific descriptors were used for each database and keywords, evaluated by the instruments: Critical Appraisal Skill Program and Agency for Health care and Research and Quality. A total of 4,209 articles were found but only 5 were included. After critical analysis of the methodology of the articles, one did not reach the minimum score required by the evaluation instruments, thus, it was excluded. The selected articles addressed, as signs and symptoms of temporomandibular joint dysfunction, the following: myofascial pain, bruxism, limitation of mouth opening, dislocation of the articular disc and asymmetry in the distribution of occlusal contacts. Further studies are needed in order to determine the relationship between cause and effect of the analyzed variables, so as to contribute to more specific and effective therapeutic interventions.

scholarly journals A study of the use of the supraclavicular artery flap for resurfacing of head, neck, and upper torso defects

2009 ◽  
Vol 42 (01) ◽  
pp. 004-012
Author(s):  
Parag Telang ◽  
Mukund Jagannathan ◽  
Maksud Devale
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Free Flaps ◽  
Acceptable Result ◽  
Operative Morbidity ◽  
Head And Neck Region ◽  
Texture Match ◽  
Burn Contractures ◽  
Head Neck ◽  
Tissue Defects

ABSTRACTThe head and neck region is an aesthetically demanding area to resurface because of its high visibility. Tissue defects in this area often require distant flaps or free flaps to achieve an aesthetically acceptable result. The use of the Supraclavicular artery flap represents an extremely versatile and useful option for the resurfacing of head, neck and upper torso defects. Furthermore, islanding the flap gives it a wide arc of rotation and the color and texture match is superior to that of free flaps harvested from distant sites. In our study, we used the flap (both unexpanded and expanded) predominantly for resurfacing neck defects resulting from the release of post-burn contractures. However, its applicability in other indications would also be similar. Except one, all our flaps survived almost completely and the post-operative morbidity was very low. We conclude that the supraclavicular artery flap not only provides a reasonably good color and texture match but also maintains the multi-directional activity in the neck region.

scholarly journals Embryonal Rhabdomyosarcoma: A Case Report

2016 ◽  
Vol 21 (2) ◽  
pp. 127-131
Author(s):  
Muntasir Mahbub ◽  
Nabila Mannan ◽  
Md Mazharul Shaheen ◽  
Manash Ranjan Chakraborti ◽  
AKM Shaifuddin ◽  
...  
Keyword(s):  
Neck Region ◽  
Rare Condition ◽  
Embryonal Rhabdomyosarcoma ◽  
Childhood And Adolescence ◽  
Complete Excision ◽  
Temporal Fossa ◽  
Head And Neck Region ◽  
Head Neck ◽  
Mastoid Antrum

Rhabdomyosarcoma is the most common soft tissue sarcoma of childhood and adolescence. There are four histological types and among them the embryonic types are the most common. It can occur in any anatomic location, although when occurring in the head and neck region, it has an affinity to invade the cranial cavity. Patient was a 5 years old boy who was admitted with the complaints of pain and discharge from the ear, swelling on left side of the upper neck, and mastoid region and a fleshy mass protruding from the ear canal. The mass was confirmed to be Embryonal Rhabdomyosarcoma on histopathology. CT scan of the Head-Neck region, showed extension of the mass into infra-temporal fossa and in the mastoid antrum. After complete excision, the patient was referred to oncology deptt for consultation. The chemotherapy schedule comprised of Vincristine and Dactinomycine for 9-12 cycles. Otolaryngologists need to be aware of this rare condition as it may mimic the symptoms of CSOM or nasal polyp. And also long term followup is needed since recurrence can present several years after initial treatment.Bangladesh J Otorhinolaryngol; October 2015; 21(2): 127-131

scholarly journals Synovial Cell Sarcoma of the Hypopharynx

2013 ◽  
Vol 4 (2) ◽  
pp. 86-88 ◽  
Author(s):  
Raza Hussain ◽  
Asif Loya ◽  
Arif Jamshed ◽  
Adeel Haider Tirmazi
Keyword(s):  
Young Adult ◽  
Head And Neck ◽  
Rare Case ◽  
Neck Region ◽  
Synovial Cell ◽  
Head And Neck Region ◽  
Cell Sarcoma ◽  
Synovial Cell Sarcoma ◽  
Synovial Sarcomas ◽  
Head Neck

ABSTRACT Synovial sarcomas of head and neck are very rare and account for only 3% of all sarcomas. Approximately 5% of synovial sarcomas arise in the head and neck region and hypopharynx and larynx are the most and least often affected anatomic sites respectively. We describe a rare case of primary hypopharyngeal synovial sarcoma in a young adult. How to cite this article Jamshed A, Loya A, Tirmazi AH, Hussain R. Synovial Cell Sarcoma of the Hypopharynx. Int J Head Neck Surg 2013;4(2):86-88.

The temporomandibular joint

2020 ◽  
pp. 377-396
Keyword(s):  
Temporomandibular Joint ◽  
Surgical Procedures ◽  
Myofascial Pain ◽  
Signs And Symptoms ◽  
Differential Diagnoses ◽  
Temporomandibular Joint Dysfunction ◽  
Surgical Interventions ◽  
Recommended Treatment ◽  
Treatment Considerations ◽  
Open Joint

This chapter first describes and illustrates the anatomy of the temporomandibular joint (TMJ). It then proceeds to detail the fundamental principles of TMJ disorders (both developmental and acquired), trismus, myofascial pain, temporomandibular joint dysfunction, TMJ replacement, ankylosis, and dislocation. For each topic, useful terms and definitions are introduced and appropriate diagnostic studies are recommended. Treatment considerations are then discussed, including medical management, minor surgical procedures, and open joint surgical interventions. Finally, some of the rarer TMJ disorders are outlined, and these serve as a useful reminder of the range of differential diagnoses that exist for signs and symptoms that arise around the temporomandibular joint complex.

scholarly journals The Enigma of Myofascial Pain Dysfunction Syndrome

2015 ◽  
Vol 1 (1) ◽  
pp. 01 ◽  
Author(s):  
Pooja Arora ◽  
Roma Goswami ◽  
Shrimant Raman ◽  
Pulkit Jain
Keyword(s):  
Temporomandibular Joint ◽  
Muscle Pain ◽  
Myofascial Pain ◽  
Definite Diagnosis ◽  
Temporomandibular Joint Dysfunction ◽  
Rest Position ◽  
Surgical Methods ◽  
Myofascial Pain Dysfunction ◽  
Limited Function ◽  
Cardinal Symptoms

Introduction:Myofascial Pain Dysfunction Syndrome (MPDS) is one of the most common and important cause of the orofacial pain.Patients with temporomandibular joint and muscle pain gradually learn to live with the symptoms although they have been exposed to a variety of treatments. In some instances the symptoms have been aggravated by the treatment, while other patients have recovered without treatment.Masticatory muscle fatigue and spasm are responsible for the cardinal symptoms of pain, tenderness, clicking, and limited function that characterize the MPD Syndrome.The symptoms of a typical temporomandibular joint dysfunction is classified as (a) pain and its sequelae, (2) clicking and crepitus, and (3) irregularities of mandibular movement.The pain can be unilateral or bilateral with varying degree of pain.Mandibular deviation is a third characteristic often evident in temporomandibularjoint patients. Mandibular deviation, in this instance, refers to the deviation from rest position to mouth wide open is a result of joint malfunction and muscle pain. Various non- surgical and surgical methods are used for the treatment of myofascial pain dysfunction syndrome.Conclusion: Since MPDS consists of variable symptoms, it might be very difficult to provide any definite diagnosis and treatment. Therefore the more the specialists extend their knowledge and information about this disorder, the more they will make the best decision in this regard.

Temporomandibular Joint Dysfunction with Facial Pain in Children

PEDIATRICS ◽  
1982 ◽  
Vol 69 (5) ◽  
pp. 564-567
Author(s):  
Myron L. Belfer ◽  
Leonard B. Kaban
Keyword(s):  
Temporomandibular Joint ◽  
Facial Pain ◽  
Pediatric Patients ◽  
Myofascial Pain ◽  
Management Program ◽  
Temporomandibular Joint Dysfunction ◽  
Clinical Disorder ◽  
Reactive Depression ◽  
Pain Syndromes ◽  
Recurrent Otitis Media

Temporomandibular joint dysfunction with myofascial pain, a well-known clinical disorder in adults, is reported in children. In a series of 400 patients, 40 children less than 16 years of age were seen. Of these pediatric patients, 35% had a reactive depression as primary psychopathology. The multifactorial nature of the disorder is described. The need to differentiate this syndrome from recurrent otitis media and other pain syndromes is emphasized. A combined medical, oral surgical, and psychiatric management program is outlined.

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