Temporomandibular eklem düzensizlikleri teşhisinde kullanılan görüntüleme yöntemleri

Year 2022, Volume: 15 Issue: 1, 110 - 127, 30.04.2022

Ayşe Canan Adam Erden Duygu Karakış

https://doi.org/10.26559/mersinsbd.903504

Abstract

Temporomandibular eklem düzensizliği, çiğneme kasları ile eklemin sert ve yumuşak dokularını
etkileyen ve toplumda yaygın gözlenen bir hastalıktır. Teşhise karar verme sürecinde anamnez
ve klinik muayene yanında radyolojik değerlendirme de yapılır. Temporomandibular eklem
görüntülenmesinde, sert ve yumuşak dokuların anatomik bütünlüğünün değerlendirildiği ya da
metabolik değişimlerin incelendiği çeşitli görüntüleme yöntemleri kullanılmaktadır.
Kullanılacak yöntem patolojiye uygunluk, radyasyon dozu, maliyet, yararlılık, ulaşılabilirlik gibi
faktörlere göre seçilmelidir. Bu derlemede temporomandibular eklem yapılarının
değerlendirilmesinde kullanılan direkt radyografi yöntemlerinden panoramik, transkraniyel,
transfaringeal, transmaksiller, submentoverteks, transorbital, reverse towne, posterior-anterior
radyografileri, lateral ve posteroanterior sefalometri, dijital substraksiyon radyografisi ile dijital
floroskopi, konvansiyonel, bilgisayarlı ve konik ışınlı bilgisayarlı tomografi, manyetik rezonans
görüntüleme, artrografi, ultrasonografi ve radyonüklid görüntüleme yöntemleri incelenmiştir.
Yöntemlerin endikasyonları, avantaj ve dezavantajları özetlenmiş ve birbiri ile karşılaştırıldığı
çalışmalardan bahsedilmiştir.

Keywords

Temporomandibular eklem rahatsızlığı, temporomandibular eklem görüntülenmesi, radyografi

Imaging methods used in the diagnosis of temporomandibular joint disorders

Abstract

The temporomandibular joint disorder is a common disease affecting the masticatory muscles
and the hard and soft tissues of the joint. The decision-making process of diagnosis, anamnesis
and clinical examination should be followed by the radiological evaluation. Various imaging
methods are used to evaluate the anatomical integrity of hard and soft tissues or examine the
metabolic changes in temporomandibular joint imaging. The method to be utilized should be
selected according to factors such as suitability to the pathology, radiation dosage, cost,
usefulness, and availability. In this review, direct radiography, panoramic, transcranial,
transpharyngeal, transmaxiller, submentovertex, transorbital, reverse towne, posterior-anterior
radiograph, lateral and posteroanterior cephalometry, digital subtraction radiography and
digital fluoroscopy, conventional, computerized and cone-beam computed tomography,
magnetic resonance imaging, arthrography, ultrasonography and radionuclide imaging methods
used in the evaluation of temporomandibular joint structures are examined. The indications,
advantages and disadvantages of the methods were summarized and the studies comparing the
methods with each other were mentioned.

Keywords

Temporomandibular disorders, Temporomandibular joint imaging, radiography

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