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http://dx.doi.org/10.5624/isd.2013.43.1.37

The arterial blood supply of the temporomandibular joint: an anatomical study and clinical implications  

Cuccia, Antonino Marco (Department of Surgical and Oncological Disciplines, University of Palermo)
Caradonna, Carola (Department of Surgical and Oncological Disciplines, University of Palermo)
Caradonna, Domenico (Department of Surgical and Oncological Disciplines, University of Palermo)
Anastasi, Giuseppe (Department of Biomorphology and Biotechnologies, University of Messina)
Milardi, Demetrio (Department of Biomorphology and Biotechnologies, University of Messina)
Favaloro, Angelo (Department of Biomorphology and Biotechnologies, University of Messina)
De Pietro, Anita (Villa Santa Teresa, Diagnostica per Immagini)
Angileri, Tommaso Maurizio (Villa Santa Teresa, Diagnostica per Immagini)
Caradonna, Luigi (Department of Surgical and Oncological Disciplines, University of Palermo)
Cutroneo, Giuseppina (Department of Biomorphology and Biotechnologies, University of Messina)
Publication Information
Imaging Science in Dentistry / v.43, no.1, 2013 , pp. 37-44 More about this Journal
Abstract
Purpose: The aim of this study was to analyze three-dimensional images of the arterial supply to the temporo-mandibular joint. Materials and Methods: Ten patients (five men and five women, mean age 36 years) without signs or symptoms of temporomandibular disorders, who underwent contrast-enhanced computed tomographic (CT) scanning with intravenous contrast, were studied. The direct volume rendering technique of CT images was used, and a data set of images to visualize the vasculature of the human temporomandibular joint in three dimensions was created. After elaboration of the data through post-processing, the arterial supply of the temporomandibular joint was studied. Results: The analysis revealed the superficial temporal artery, the anterior tympanic artery, the deep temporal artery, the auricular posterior artery, the transverse facial artery, the middle meningeal artery, and the maxillary artery with their branches as the main arterial sources for the lateral and medial temporomandibular joint. Conclusion: The direct volume rendering technique was found to be successful in the assessment of the arterial supply to the temporomandibular joint. The superficial temporal artery and maxillary artery ran along the lateral and medial sides of the condylar neck, suggesting that these arteries are at increased risk during soft-tissue procedures such as an elective arthroplasty of the temporomandibular joint.
Keywords
Three-Dimensional Imaging; Computer Generated; Magnetic Resonance Imaging; Temporomandibular Joint; Blood Supply;
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1 Bozkurt M, Kapi E, Karakol P, Yorgancilar E. Sudden rupture of the internal maxillary artery causing pseudoaneurysm (mandibular part) secondary to subcondylar mandible fracture. J Craniofac Surg 2009; 20 : 1430-2.   DOI   ScienceOn
2 Walker MT, Liu BP, Salehi SA, Badve S, Batjer HH. Superficial temporal artery pseudoaneurysm: diagnosis and preopera- tive planning with CT angiography. AJNR Am J Neuroradiol 2003; 24 : 147-50.
3 Suzuki S, Kimura Y, Kanaji M, Sudo M, Igarashi M, Yamamoto H. Traumatic maxillary artery aneurysm with rupture into the maxillary sinus. Pract Otol (Kyoto) 1999; 92 : 1107-10.   DOI
4 Mauldin FW, Cornay WJ 3rd, Mahaley MS Jr, Hicks JN. Severe epistaxis from a false aneurysm of the external carotid artery. Otolaryngol Head Neck Surg 1989; 101 : 588-90.   DOI
5 Benvenuti L, Chibbaro S, Carnesecchi S, Pulera F, Gagliardi R. Automated three-dimensional volume rendering of helical computed tomographic angiography for aneurysms: an advanced application of neuronavigation technology. Neurosurgery 2005; 57(1 Suppl) : 69-77.   DOI
6 Ferretti GR, Arbib F, Bertrand B, Coulomb M. Haemoptysis associated with pulmonary varices: demonstration using computed tomographic angiography. Eur Respir J 1998; 12 : 989-92.   DOI
7 Godlewski G, Bossy J, Giraudon M, Dussaud J, Pavart JC, Lopez JF. Arterial vascularization of the temporomandibular joint. Bull Assoc Anat (Nancy) 1978; 62 : 229-36.
8 Siessere S, Vitti M, Semprini M, Regalo SC, Iyomasa MM, Dias FJ, et al. Macroscopic and microscopic aspects of the temporomandibular joint related to its clinical implication. Micron 2008; 39 : 852-8.   DOI   ScienceOn
9 Wasicky R, Pretterklieber ML. The human anterior tympanic artery. A nutrient artery of the middle ear with highly variable origin. Cells Tissues Organs 2000; 166 : 388-94.   DOI   ScienceOn
10 Cillo JE, Sinn D, Truelson JM. Management of middle meningeal and superficial temporal artery hemorrhage from total temporomandibular joint replacement surgery with a gelatinbased hemostatic agent. J Craniofac Surg 2005; 16 : 309-12.   DOI   ScienceOn
11 Rajab BM, Sarraf AA, Abubaker AO, Laskin DM. Masseteric artery: anatomic location and relationship to the temporomandibular joint area. J Oral Maxillofac Surg 2009; 67 : 369-71.   DOI   ScienceOn
12 Holmlund A, Hellsing G. Arthroscopy of the TMJ. An autopsy study. Int J Oral Surg 1985; 14 : 169-75.   DOI
13 Talebzadeh N, Rosenstein TP, Pogrel MA. Anatomy of the structures medial to the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999; 88 : 674-8.   DOI   ScienceOn
14 Weinberg LA. The etiology, diagnosis, and treatment of TMJ dysfunction-pain syndrome. Part II: Differential diagnosis. J Prosthet Dent 1980; 43 : 58-70.   DOI   ScienceOn
15 Tallents RH, Macher DJ, Kyrkanides S, Katzberg RW, Moss ME. Prevalence of missing posterior teeth and intraarticular temporomandibular disorders. J Prosthet Dent 2002; 87 : 45-50.   DOI   ScienceOn
16 Heffez LB, Jordan SL. Superficial vascularity of temporomandibular joint retrodiskal tissue: an element of the internal derangement process. Cranio 1992; 10 : 180-91.   DOI
17 Goffinet L, Laure B, Tayeb T, Amado D, Herbreteau D, Arbeille P, et al. An arteriovenous fistula of the maxillary artery as a complication of Le Fort I osteotomy. J Craniomaxillofac Surg 2010; 38 : 251-4.   DOI   ScienceOn
18 Manning MP, Marshall JH. Aneurysm after arthroscopy. J Bone Joint Surg Br 1987; 69 : 151.
19 Stewart CL, Cohen-Kerem R, Ngan BY, Forte V. Post-traumatic facial artery aneurysm in a child. Int J Pediatr Otorhinolaryngol 2004; 68 : 1539-43.   DOI   ScienceOn
20 Conner WC 3rd, Rohrich RJ, Pollock RA. Traumatic aneurysms of the face and temple: a patient report and literature review, 1644 to 1998. Ann Plast Surg 1998; 41 : 321-6.   DOI   ScienceOn
21 Ezure H, Mori R, Ito J, Otsuka N. Case of a completely absent facial artery. Int J Anat Var 2011; 4 : 72-4.
22 Putz R, Pabst R. Sobotta atlas of human anatomy. Vol. 1: head, neck, upper limb. 13 rev. ed. Munich: Urban & Fischer; 2001. p. 86-7.
23 Hatcher DC, Blom RJ, Baker CG. Temporomandibular joint spatial relationships: osseous and soft tissues. J Prosthet Dent 1986; 56 : 344-53.   DOI   ScienceOn
24 Molinari F, Manicone PF, Raffaelli L, Raffaelli R, Pirronti T, Bonomo L. Temporomandibular joint soft-tissue pathology, I: Disc abnormalities. Semin Ultrasound CT MR 2007; 28 : 192-204.   DOI   ScienceOn
25 Patnaik VV, Bala S, Singla RK. Anatomy of temporomandibular joint? A review. J Anat Soc India 2000; 49 : 191-7.
26 Takagi R, Shimoda T, Westesson PL, Takahashi A, Morris TW, Sano T, et al. Angiography of the temporomandibular joint. Description of an experimental technique with initial results. Oral Surg Oral Med Oral Pathol 1994; 78 : 539-43.   DOI   ScienceOn
27 Piette E, Lametschwandtner A. The angioarchitecture of the rat mandibular joint synovium. Arch Oral Biol 1995; 40 : 487-97.   DOI   ScienceOn
28 Piette E, Lametschwandtner A. The angioarchitecture of the rat mandibular joint bilaminar zone. Arch Oral Biol 1995; 40 : 499-505.   DOI   ScienceOn
29 Piette E, Lametschwandtner A. The fine vasculature of the rat mandibular joint. Acta Anat (Basel) 1995; 153 : 64-72.   DOI
30 Kvinnsland S, Kvinnsland I, Kristiansen AB. Effect of experimental traumatic occlusion on blood flow in the temporomandibular joint of the rat. Acta Odontol Scand 1993; 51 : 293-8.   DOI
31 Merida Velasco JR, Rodriguez Vazquez JF, Jimenez Collado J. Anterior tympanic artery: course, ramification and relationship with the temporomandibular joint. Acta Anat (Basel) 1997; 158 : 222-6.   DOI
32 Pehling J, Schiffman E, Look J, Shaefer J, Lenton P, Fricton J. Interexaminer reliability and clinical validity of the temporomandibular index: a new outcome measure for temporomandibular disorders. J Orofac Pain 2002; 16 : 296-304.
33 Huskisson EC. Measurement of pain. Lancet 1974; 2 : 1127-31.
34 Takagi R, Westesson PL, Ohashi Y, Togashi H. MR angiography of the TMJ in asymptomatic volunteers. Oral Radiol 1998; 14 : 69-74.   DOI
35 Uysal II, Buyukmumcu M, Dogan NU, Seker M, Ziylan T. Clinical significance of maxillary artery and its branches: a cadaver study and review of the literature. Int J Morphol 2011; 29 : 1274-81.   DOI
36 Boyer CC, Williams W, Stevens FH. Blood supply of the temporomandibular joint. J Dent Res 1964; 43 : 224-8.   DOI   ScienceOn
37 Funakoshi K. Nutrient arteries of the temporomandibular joint: an anatomical and a pathological study. Okajimas Folia Anat Jpn 2001; 78 : 7-16.   DOI
38 Sparacia G, Bencivinni F, Banco A, Sarno C, Bartolotta TV, Lagalla R. Imaging processing for CT angiography of the cervicocranial arteries: evaluation of reformatting technique. Radiol Med 2007; 112 : 224-38.   DOI