Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A RESEARCH FOR THE RELATIVE SIGNAL INTENSITY OF THE RETRODISCAL TISSUE IN THE TEMPOROMANDIBULAR JOINT DISORDER PATIENTS ON MRI

턱관절 질환환자의 MRI상 원판후 조직의 상대적 신호강도에 대한 연구

  • Ha, Won-Suk (Division of Oral and Maxillofacial Surgery, Department of Dentistry, St. Mary's Hospital, The Catholic University of Korea) ;
  • Yoon, Hyun-Joong (Division of Oral and Maxillofacial Surgery, Department of Dentistry, St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Sang-Hwa (Division of Oral and Maxillofacial Surgery, Department of Dentistry, St. Mary's Hospital, The Catholic University of Korea)
  • 하원석 (가톨릭대학교 성모병원 치과 구강악안면외과) ;
  • 윤현중 (가톨릭대학교 성모병원 치과 구강악안면외과) ;
  • 이상화 (가톨릭대학교 성모병원 치과 구강악안면외과)
  • Published : 2007.05.31
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Abstract

Temporomandibular joint disorders (TMD) often show muscular disorder, internal derangement and degenerative change of articular surface of the condyle. It is important to choose adequate diagnostic method for obtaining data for the diagnosis and treatment. Magnetic Resonance Imaging (MRI) has some advantages, because it shows good resolution image for the soft tissue and it is not invasive to the human body. We have performed serial research about the retrodiscal tissue of the TMJ according to the progress of the disease, using T2 weighted image, since 2002. In this study, we applicated resized observation area to compare signal intensity between the retrodiscal tissue of the TMJ and cerebral gray matter, using T2 weighted image.

Keywords

References

  1. Truelove EL, Sommers EE, LeResche L et al : Clinical diagnostic criteria for TMD. New classification permits multiple diagnoses. J Am Dent Assoc 123 : 47, 1992
  2. Okeson J : Sign and symptoms of temporomandibular disorders. In Management of temporomandibular disorders and occlusion, 5th ed. Singapore, Elsevier, 2003, p.187
  3. Tasaki MM, Westesson PL, Raubertas RF : Observer variation in interpretation of magnetic resonance images of the temporomandibular joint. Oral Surg Oral Med Oral Pathol 76 : 231, 1993 https://doi.org/10.1016/0030-4220(93)90210-U
  4. Tasaki MM, Westesson PL : Temporomandibular joint : diagnostic accuracy with sagittal and coronal MR imaging. Radiology 186 : 723, 1993 https://doi.org/10.1148/radiology.186.3.8430181
  5. Helm CA, Gillespy T, Sims RE et al : Magnetic resonance imaging of internal derangement of the temporomandibular joint. Radiol Clin North Am 24 : 189, 1986
  6. Westesson PL, Brooks SL : Temporomandibular joint : Relationship between MR evidence of effusion and the presence of pain and disc displacement. Am J Roentogenol 159 : 559, 1992 https://doi.org/10.2214/ajr.159.3.1503025
  7. Hyun-Joong Yoon, Chul-Hong Park, Jin Kim : The MRI based comparison of normal- and abnormal- side retrodiscal tissue and relationship between clinical examination & the MRI findings of retrodiscal tissue in patients unilateral TMJ internal derangement. J Kor Oral Maxillofac Surg 28 : 330, 2002
  8. Sang-Hwa Lee, Mok-Kyun Choie : Relative Signal Intensity of Retrodiscal Tissue in MRI, and Synovial Fluid Concentration of Interleukin-6, MMP-2 and MMP-9 in Temporomandibular Joint Disorder. J Kor Oral and Maxillofac Surg 31 : 399, 2005
  9. Hasso AN, Christian EL, Alder ME : The temporomandibular joint. Radiol Cline North Am 27 : 301, 1989
  10. Marguelles RE, Carpentier P, Yung LP et al : Clinical diagnosis compared with findings of magnetic resonance in 242 patients with internal derangement of the TMJ. J Orofac Pain 9 : 244, 1995
  11. Emshoff R, Innerhofer K, Rudisch A et al : Relationship between temporomandibular joint pain and the magnetic resonance imaging finding of internal derangement. Int J Oral Maxillofac Surg 30 : 104, 2001 https://doi.org/10.1054/ijom.2000.0017
  12. Haley DP, Schiffman EL, Lindgren BR et al : The relationship between clinical and MRI findings in patients with unilateral temporomandibular joint pain. J Am Dent Assoc 132 : 476, 2001 https://doi.org/10.14219/jada.archive.2001.0210
  13. Emshoff R, Innerhofer K, Rudisch A et al : Clinical versus magnetic resonance imaging findings with internal derangement of the temporo- mandibular joint: An evaluation of anterior disc displacement without reduction. J Oral Maxillofac Surg 60 : 36, 2002 https://doi.org/10.1053/joms.2002.29071
  14. Bertram S, Rudisch A, Innerhofer K et al : Magnetic resonance imaging to diagnose temporomandibular joint internal derangement and osteoarthrosis. J Am Dent Assoc 66 : 75, 2001
  15. Segami N, Nishimura M, Kaneyama K et al : Does joint effusion on T2 magnatic resonance images reflect synovitis? Comparison of arthroscopic findings in internal derangement of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Endod 92 : 341, 2001 https://doi.org/10.1067/moe.2001.117808
  16. Murakami k, Nishida M, Bessho K et al : MRI evidence of high signal intensity and temporomandibular arthralgia and relating pain. Does the high signal correlate to the pain? Br J Oral and Maxillofac Surg 34 : 220, 1996 https://doi.org/10.1016/S0266-4356(96)90273-9
  17. Young-Guen Ye, Sang-Hwa Lee, Hyun-Joong Yoon : Relative signal intensity of retrodiscal tissue in TMJ using a T2-weighted MRI. J Kor Assoc Maxillofac Surg 27 : 457, 2005
  18. Sano T, Westesson PL, Showa : Magnetic resonance imaging of the temporomandibular joint. Increased T2 signal in the retrodiscal tissue of painful joints. Oral Surg Oral Med Oral Pathol 79 : 511, 1995 https://doi.org/10.1016/S1079-2104(05)80138-6
  19. Ogutcen-Toller M. Taskaya-Yilmaz N : The evaluation of temporo-mandibular joint disc position in TMJ disorders using MRI. Int J Oral Maxillofac Surg 31 : 603, 2002 https://doi.org/10.1054/ijom.2002.0321
  20. Vijay M. Rao, Ashok Babaria : Altered condylar morphology associated with disc displacement in TMJ dysfunction : Observation by Magnetic Resonance Imaging 8 : 231, 1990
  21. Larheim TA, R. Katzberg W : MR evidence of temporomandibular joint fluid and condyle marrow alterations : occurrence in asymptomatic volunteers and symptomatic patients. Int J Oral Maxillofac Surg 30 : 113, 2001 https://doi.org/10.1054/ijom.2000.0018