Characteristics of temporomandibular joint structures after mandibular condyle fractures revealed by magnetic resonance imaging

被引:10
作者
Kim B.C. [1 ]
Lee Y.C. [1 ]
Cha H.S. [1 ]
Lee S.-H. [2 ]
机构
[1] Department of Oral and Maxillofacial Surgery, Daejeon Dental Hospital, Wonkwang University College of Dentistry, Daejeon
[2] Department of Oral and Maxillofacial Surgery and Oral Science Research Center, College of Dentistry, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul
基金
新加坡国家研究基金会;
关键词
Magnetic resonance imaging; Mandibular condyle; Mandibular fractures; Temporomandibular joint;
D O I
10.1186/s40902-016-0066-0
中图分类号
学科分类号
摘要
Background: This study aimed to evaluate the structural changes of temporomandibular joint immediately after condylar fractures with magnetic resonance imaging (MRI). Method: We evaluated 34 subjects of condylar fractures with MRI. The position, shape, and signal intensity of the condyle, disc, and retrodiscal tissue were analyzed with MR images. Results: Immediately after trauma, the disc was displaced with the fractured segment in almost all cases. And, the changes of signal intensity at the retrodiscal tissue were found but less related to the degree of fracture displacement. And, the high signals were observed almost at all fractured joint spaces and even at some contralateral joints. Conclusions: The displaced disc as well as the increased signal intensity of the joint space, condylar head, and retrodiscal tissue demands more attention to prevent the possible sequela of joint. © 2016, Kim et al.
引用
收藏
相关论文
共 25 条
[1]  
Zachariades N., Papavassiliou D., Papademetriou I., Koundouris I., Fractures of the facial skeleton in Greece. A retrospective study covering 1971 cases in 10 years, J Max-Fac Surg, 11, (1983)
[2]  
Bochlogyros P.N., A retrospective study of 1,521 mandibular fractures, J Oral Maxillofac Surg, 43, pp. 597-599, (1985)
[3]  
Zachariades N., Papavassiliou D., Koumoura F., Fractures of the facial skeleton in children, J Cranio-Maxillofac Surg, 18, pp. 151-153, (1990)
[4]  
Stylogianni L., Arsenopoulos A., Patrikiou A., Fractures of the facial skeleton in children, Br J Oral Maxillofac Surg, 29, pp. 9-11, (1991)
[5]  
Silvennoinen U., Iizuka T., Lindqvist C., Oikarinen K., Different patterns of condylar fractures: an analysis of 382 patients in a 3-year period, J Oral Maxillofac Surg, 50, pp. 1032-1037, (1992)
[6]  
Newman L., A clinical evaluation of the long-term outcome of patients treated for bilateral fracture of the mandibular condyles, Br J Oral Maxillofac Surg, 36, pp. 176-179, (1998)
[7]  
Marker P., Nielsen A., Bastian H.L., Fractures of the mandibular condyle. Part 1: patterns of distribution of types and causes of fractures in 348 patients, Br J Oral Maxillofac Surg, 38, pp. 417-421, (2000)
[8]  
De Riu G., Gamba U., Anghinoni M., Sesenna E., A comparison of open and closed treatment of condylar fractures: a change in philosophy, Int J Oral Maxillofac Surg, 30, pp. 384-389, (2001)
[9]  
Miloro M., Endoscopic-assisted repair of subcondylar fractures, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 96, pp. 387-391, (2003)
[10]  
Villarreal P.M., Monje F., Junquera L.M., Mateo J., Morillo A.J., Gonzalez C., Mandibular condyle fractures: determinants of treatment and outcome, J Oral Maxillofac Surg, 62, pp. 155-163, (2004)