Güncel Literatür Işığında Temporomandibular Eklem Rahatsızlıklarında Kullanılan Görüntüleme Yöntemleri

Öz

Başın tek hareketli eklemi olan temporomandibular eklem, vücudumuzda bulunan en karmaşık eklemlerden birisidir. Temporomandibular eklem bozuklukları günümüzde geniş bir populasyonu etkileyen patolojik değişikliklerdir. Eklem diski, mandibular kondil ve artiküler eminenste meydana gelen bu bozukluklar ağrı, ağız açmada kısıtlılık, eklemden ses gelmesi gibi belirtilerle ortaya çıkar. Temporomandibular eklem bozukluklarının tanısında; hastanın şikayetleri ve klinik muayene önemlidir. Ayrıca teşhis, prognoz ve tedavi yönteminin belirlenmesi için çeşitli görüntüleme yöntemlerinden de yararlanılır. Temporomandibular eklemi görüntülemede direkt radyografiler, kinetik x-ışını görüntüleme, artrografi, konvansiyonel tomografi, bilgisayarlı tomografi, konik ışınlı bilgsayarlı tomografi, ultrasonografi, nükleer tıp ve manyetik rezonans gibi görüntüleme yöntemleri kullanılabilir. Günümüzde temporomandibular eklemin yumuşak doku değerlendirmesinde manyetik rezonans görüntüleme, kemik doku değerlendirmesinde konik ışınlı bilgisayarlı tomografi sıklıkla kullanılmaktadır.

Anahtar Kelimeler

• Temporomandibular eklem,Konik ışınlı bilgisayarlı tomografi,Manyetik Rezonans Görüntüleme,Ultrasonografi

Imaging Modalities for Temporomandibular Joint Disorders in the Light of Current Literature

Öz

Abstract

Temporomandibular joint that is one of the complicated joint in the body is unique movable joint in the cranium. Temporomandibular joint disorders that influenced large population today are pathologic changes. These disorders, which occur in the joint disc, mandibular condyle and articular eminence, appeared with symptoms such as pain, restriction during the mouth opening and joint sounds. The patient's complaints and clinical examination are important for determination of temporomandibular joint disorders. Besides, several imaging methods are used to diagnose, prognosis and management temporomandibular joint disorders. Imaging of the temporomandibular joint is used several imaging modalities such as direct radiography, digital fluoroscopy, arthrography, conventinal tomography, cone beam computed tomography, ultrasonography, scintigraphy and magnetic resonance. Today, magnetic resonance imaging is used to evaluate soft tissue of the temporomandibular joint, cone beam computed tomography is used to evaluate hard tissue of the temporomandibular joint frequently.

Anahtar Kelimeler

• Temporomandibular joint,Cone beam computed tomography,Ultrasonography,Magnetic resonance imaging

Kaynakça

1. Manfredini D. Current Concepts on Temporomandibular Disorders. 1st Ed. Berlin. Quintessence. 2010.
2. Okeson JP. Functional Anatomy and Biomechanics of the Masticatory System in Okeson JP, Management of Temporomandibular Disorders and Occlusion. 6th Ed. Pendill J Ed. Elsevier Health Sciences. 2008:1-38.
3. White SC, Pharoah MJ. Other imaging modalities in: White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 7th Ed. St Louis. Elsevier Health Sciences. 2014:229-254.
4. Wright EF. TMD Diagnostic Categories. Manual of Temporomandibular Disorders: Blackwell Munksgaard USA; 2005. p. 60-70.
5. Yalçın S, Aktaş İ. Diş Hekimliğinde Temporomandibular Eklem Hastalıklarına Yaklaşım. 2. Basım. Vestiyer Yayın Grubu. İstanbul. 2015.
6. Coşkun Akar G, Köseoğlu K. Temporomandibular Eklem Rahatsızlıklarının Tanısında Kullanılan Radyolojik Yöntemler ve Manyetik Rezonans Görüntüleme Değerlendirme Kriterleri: Derleme Çalışması. EÜ Dişhek Fak Derg. 2006;27:107-116.
7. Kraus SL. Tempromandibular Disorders. 2. Ed. Churchill Livingstone Inc.1994.
8. Brooks SL, Brand JW, Gibbs SJ et al. Imaging of The Temporomandibular Joint. A position paper of American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(5):609-918.

9. Pooley R, McKinney JM, Miller DA. The AAPM/RSNA physics tutorial for residents: digital fluoroscopy. Radiographics 2001; 21: 521-534.
10. Akan H. Baş ve Boyun Radyolojisi. 1 Basım İstanbul MN Medikal & Nobel Basım Yayıncılık. 2008.
11. Lewis EL, Dolwick MF, Abramowicz S, Reeder SL. Contemporary imaging of the temporomandibular joint. Dent Clin North Am. 2008 Oct;52(4):875-90.
12. Katzberg RW, Dolwick MF, Helms CA, Hopens T, Bales DJ, Coggs GC. Arthrotomography of the temporomandibular joint. AJR Am J Roentgenol. 1980; 134: 995-1003.
13. Okeson JP. History of and Examination for Temporomandibular Disorders In: Okeson JP. Management of Temporomandibular Disorders and Occlusion. 6th Ed. Pendill J Ed. St Louis. Elsevier Health Sciences. 2008:216-285.
14. Arıncı K, Elhan A. Anatomi. Cilt 1. Güneş Kitapevi. 2001.
15. Harorlı A, Akgül M, Dağıstan S. Diş Hekimliği Radyolojisi Kitabı. Erzurum. Eser Ofset Matbaacılık. 2006.
16. Bag AK, Gaddikeri S, Singhal A et al. Imaging of the temporomandibular joint: An update. World J Radiol. 2014;6(8):567-82.
17. Tsiklakis K, Syriopoulos K, Stamatakis HC. Radiographic examination of the temporomandibular joint using cone beam computed tomography. Dentomaxillofac Radiol. 2004;33(3):196-201.
18. Keleş Evlice B, Öztunç H. Dijital Radyografi ve Diş Hekimliğinde İleri Görüntüleme Yöntemleri Arşiv Kaynak Tarama Dergisi. Archives Medical Review Journal. 2013; 22(2):230-238.
19. Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75-80.
20. Cohnen M, Kemper J, Mobes O, Pawelzik J, Modder U. Radiation dose in dental radiology. European radiology. 2002;12(3):634-7.
21. Schulze D, Heiland M, Thurmann H, Adam G. Radiation exposure during midfacial imaging using 4- and 16-slice computed tomography, cone beam computed tomography systems and conventional radiography. Dentomaxillofac Radiol. 2004;33(2):83-6.
22. Miracle AC, Mukherji SK. Conebeam CT of the Head and Neck, Part 2: Clinical Applications. Am J Neuroradiol. 2009;30:1285-92.
23. Aksoy S, Orhan K. Temporomandibular eklem görüntüleme yöntemleri Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2010;11:(2):69-78.
24. Honda K, Larheim TA, Maruhashi K, Matsumoto K, Iwai K. Osseous abnormalities of the mandibular condyle: diagnostic reliability of cone beam computed tomography compared with helical computed tomography based on an autopsy material. Dentomaxillofac Radiol. 2006;35(3):152-7.
25. Honey OB, Scarfe WC, Hilgers MJ, Klueber K, Silveira AM, Haskell BS, Farman AG. Accuracy of cone-beam computed tomography imaging of the temporomandibularjoint: comparisons with panoramic radiology and linear tomography. Am J Orthod Dentofacial Orthop. 2007 Oct;132(4):429-38.
26. Sirin Y, Guven K, Horasan S, Sencan S. Diagnostic accuracy of cone beam computed tomography and conventional multislice spiral tomography in sheep mandibular condyle fractures. Dentomaxillofac Radiol. 2010;39(6):336-42.
27. Barghan S, Tetradis S, Mallya S. Application of cone beam computed tomography for assessment of the temporomandibular joints. Australian dental journal. 2012;57 Suppl 1:109-18.
28. Kim JH, Kim YK, Kim SG, Yun PY, Kim JD, Min JH. Effectiveness of bone scans in the diagnosis of osteoarthritis of the temporomandibular joint. Dentomaxillofac Radiol. 2012;41(3):224-9.
29. Choi BH, Yoon SH, Song SI, Yoon JK, Lee SJ, An YS. Comparison of Diagnostic Performance Between Visual and Quantitative Assessment of Bone Scintigraphy Results in Patients With Painful Temporomandibular Disorder. Medicine (Baltimore). 2016(95(2)):e2485.
30. Yıldırım D, Alkış Ü. Temporomandibular Eklem Bozukluklarının Değerlendirilmesinde Kullanılan Görüntüleme Yöntemleri. SDÜ Sağlık Bilimleri Enstitüsü Dergisi. 2016;7(2):51-7.
31. Tvrdy P. Methods of imaging in the diagnosis of temporomandibular joint disorders. Biomedical Papers-Palacky University In Olomouc. 2007;151(1):133.
32. Saridin CP, Raijmakers PG, Tuinzing DB, Becking AG. Comparison of planar bone scintigraphy and single photon emission computed tomography in patients suspected of having unilateral condylar hyperactivity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;06(3):426-32.
33. Elias FM, Birman EG, Matsuda CK, Oliveira IR, Jorge WA. Ultrasonographic findings in normal temporomandibular joints. Braz Oral Res. 2006;20(1):25-32.
34. Landes CA, Goral WA, Sader R, Mack MG. Three-dimensional versus two-dimensional sonography of the temporomandibular joint in comparison to MRI. Eur J Radiol. 2007;61(2):235-44.
35. Melis M, Secci S, Ceneviz C. Use of ultrasonography for the diagnosis of temporomandibular joint disorders: a review. Am J Dent. 2007;20(2):73-8.
36. Habashi H, Eran A, Blumenfeld I, Gaitini D. Dynamic high-resolution sonography compared to magnetic resonance imaging for diagnosis of temporomandibular joint disk displacement. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 2015;34(1):75-82.
37. Manfredini D, Guarda-Nardini L. Ultrasonography of the temporomandibular joint: a literature review. International journal of oral and maxillofacial surgery. 2009;38(12):1229-36.
38. Tognini F, Manfredini D, Melchiorre D, Bosco M. Comparison of ultrasonography and magnetic resonance imaging in the evaluation of temporomandibular joint disc displacement. Journal of oral rehabilitation. 2005;32(4):248-53.
39. Uysal S, Kansu H, Akhan O, Kansu O. Comparison of ultrasonography with magnetic resonance imaging in the diagnosis of temporomandibular joint internal derangements: a preliminary investigation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94(1):115-21.
40. Manfredini D, Tognini F, Melchiorre D, Bazzichi L, Bosco M. Ultrasonography of the temporomandibular joint: comparison of findings in patients with rheumatic diseases and temporomandibular disorders. A preliminary report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(4):481-5.
41. Bas B, Yilmaz N, Gokce E, Akan H. Diagnostic value of ultrasonography in temporomandibular disorders. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2011;69(5):1304-10.
42. Ferreira LA, Grossmann E, Januzzi E, de Paula MV, Carvalho AC. Diagnosis of temporomandibular joint disorders: indication of imaging exams. Brazilian journal of otorhinolaryngology. 2016;82(3):341-52.
43. Özen AÇ, Algın O, Atalar E. Manyetik Rezonans Görüntüleme Fiziği içinde Sancak İT. Temel Radyoloji. Güneş Tıp Kitabevleri, Ankara, 2015, s.97-125.
44. Herek D, Karabulut N. Manyetik rezonans görüntüleme. TTD Toraks Cerrahisi Bülteni 2010; 1(3): 214-222.
45. Larheim TA. Role of magnetic resonance imaging in the clinical diagnosis of the temporomandibular joint. Cells Tissues Organs. 2005;180(1):6-21.
46. Hansson LG, Westesson PL, Katzberg RW, Tallents RH, Kurita K, Holtås S, Svensson SA, Eriksson L, Johansen CC. MR imaging of the temporomandibular joint: comparison of images of autopsy specimens made at 0.3 T and 1.5 T with anatomic cryosections. AJR Am J Roentgenol. 1989;152(6):1241-4.
47. Tasaki MM, Westesson PL. Temporomandibular joint: diagnostic accuracy with sagittal and coronal MR imaging. Radiology. 1993;186(3):723-9.
48. Sawada K, Amemiya T, Hirai S, Hayashi Y, Suzuki T, Honda M, Sisounthone J, Matsumoto K, Honda K. Diagnostic reliability of 3.0-T MRI for detecting osseous abnormalities of the temporomandibular joint. Journal of oral science. 2018;60(1):137-41.
49. Alkhader M, Ohbayashi N, Tetsumura A, et al. Diagnostic performance of magnetic resonance imaging for detecting osseous abnormalities of the temporomandibular joint and its correlation with cone beam computed tomography. Dentomaxillofac Radiol. 2010;39(5):270-6.
50. Yura S, Harada S, Kobayashi K. Diagnostic Accuracy on Magnetic Resonance Imaging for the Diagnosis of Osteoarthritis of the Temporomandibular Joint. Journal of clinical and diagnostic research : JCDR. 2015;9(7):ZC95-7.
51. Alkhader M, Kuribayashi A, Ohbayashi N, Nakamura S, Kurabayashi T. Usefulness of cone beam computed tomography in temporomandibular joints with soft tissue pathology. Dentomaxillofac Radiol. 2010;39(6):343-8.
52. Sabir N. İnstrumentasyon, Magnetler, Sarmallar, Donanım ve Güvenlik içinde Balcı P, Pabuşçu Y. Temel Radyoloji Fiziği. Türk Radyoloji Derneği, İzmir,2008,s.138-141.