Evaluation of Diagnostic Efficiency of Ultrasonography in Temporomandibular Joint Disorders: A Pilot Study

Abstract

Objective: Temporomandibular Joint diseases (TMD) and

disorders refer to a complex of conditions, manifested by pain

in jaw area and associated muscles and limitations in the ability

to make the normal movements of speech, facial expression,

eating, chewing, and swallowing. Ultrasonography (US) is a noninvasive,

cost-effective, easy-to-use imaging method using sound

waves, without ionizing radiation and as a diagnostic procedure

it has been shown to be accurate for the diagnosis of TMD. The

purpose of this pilot study is to evaluate the diagnostic efficacy

of ultrasonography imaging in temporomandibular joint disorders.

Material and Method: The retrospective ultrasonography

images of 20 patients (female, male) who had been referred to

Marmara University, Faculty of Dentistry, Oral Diagnosis and

Radiology Clinic with a complaint related to Temporomandibular

joint (TMJ) were evaluated in terms of condylar surface

irregularities, joint space reduction and joint effusion.

Results: A total of 20 patients ( % 70 female, %30 male, mean

age: 33,75) and 40 TMJ were evaluated and in % 15 erosive –

degenerative changes, in % 82,5 condylar surface flattening and in

% 27,5 increased joint capsule width was observed.

Conclusion: Ultrasonography is a non-invasive technique

suitable for visualization of TMJ and evaluation of TMD in routine

clinical practice.

Keywords

• Temporomandibular Joint Disorders,Ultrasound,Radiology

Temporomandibular Eklem Bozukluklarında Ultrasonografinin Diagnostik Etkinliğinin Değerlendirilmesi: Bir Pilot Çalışma

Abstract

Amaç: Temporomandibular eklem hastalıkları (TMD) ve
rahatsızlıkları, çene bölgesinde ve ilgili kaslarda ağrı ile ortaya
çıkan ve normal konuşma, yüz ifadesi, yeme, çiğneme ve yutma
hareketlerini kısıtlayabilen durumları ifade eder. Ultrasonografi
(US), invazif olmayan, düşük maliyetli, kullanımı kolay ve
iyonlaştırıcı radyasyon olmaksızın ses dalgalarının kullanıldığı,
bununla birlikte; diagnostik prosedür olarak TMD teşhisi için
doğruluğu kanıtlanmış bir görüntüleme yöntemidir. Bu pilot
çalışmanın amacı, temporomandibular eklem hastalıklarında
ultrasonografik görüntülemenin tanısal etkinliğinin
değerlendirmektir.
Gereç ve Yöntem: Temporomandibular eklem (TME) ile ilgili
şikayetleri bulunan, Marmara Üniversitesi Diş Hekimliği Fakültesi
Oral Diagnoz ve Radyoloji Kliniğine başvuran 20 hastanın (kadın,
erkek) retrospektif ultrasonografi görüntüleri kondiler yüzey
düzensizlikleri, eklem boşluğunda daralma ve efüzyon açısından
değerlendirilmiştir.
Bulgular: Toplam 20 hasta (% 70 kadın, % 30 erkek, yaş
ortalaması :33,75) ve 40 TME değerlendirilmiş ve % 15 eroziv –
dejeneratif değişiklik, % 82,5 kondiler yüzeyde düzleşme ve % 27
oranlarında artan eklem kapsülü genişliği gözlenmiştir.
Sonuç: Ultrasonografi, TME’ nin görüntülenmesi ve rutin
klinik uygulamada TMD’nin değerlendirilebilmesi için uygun ve
invaziv olmayan bir tekniktir.

Keywords

• Temporomandibular Eklem Bozuklukları,Ultrason,Radyoloji

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