Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Ultrasonographic evaluation of the masseter muscle in patients with temporomandibular joint degeneration

  • Busra Arikan (Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Inonu University) ;
  • Numan Dedeoglu (Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Inonu University) ;
  • Aydin Keskinruzgar (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Adiyaman University)
  • Received : 2023.06.19
  • Accepted : 2023.08.12
  • Published : 2023.12.31
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Abstract

Purpose: Sonographic elastography can be used to evaluate the hardness of muscle tissue through the application of compression. Strain elastography gauges hardness through the comparison of echo sets before and after compression. This study utilized ultrasonography to measure the thickness and hardness of the masseter muscle in individuals with temporomandibular joint(TMJ) osteoarthritis. Materials and Methods: This study included 40 patients who presented with joint pain and were diagnosed with TMJ osteoarthritis via diagnostic cone-beam computed tomography, along with 40 healthy individuals. The thickness and hardness of each individual's masseter muscle were evaluated both at rest and at maximum bite using ultrasonography. The Mann-Whitney U test and the chi-square test were employed for statistical analysis, with the significance level set at P<0.05. Results: The mean thickness of the resting masseter muscle was 0.91 cm in patients with osteoarthritis, versus 1.00 cm in healthy individuals. The mean thickness of the masseter muscle at maximum bite was 1.28 cm in osteoarthritis patients and 1.36 cm in healthy individuals. The mean masseter elasticity index ratio at maximum bite was 4.51 in patients with osteoarthritis and 3.16 in healthy controls. Significant differences were observed between patients with osteoarthritis and healthy controls in both the masseter muscle thickness and the masseter elasticity index ratio, at rest and at maximum bite (P<0.05). Conclusion: The thickness of the masseter muscle in patients with TMJ osteoarthritis was less than that in healthy controls. Additionally, the hardness of the masseter muscle was greater in patients with TMJ osteoarthritis.

Keywords

References

  1. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* Network* and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 2014; 28: 6-27. https://doi.org/10.11607/jop.1151
  2. Tanaka E, Detamore M, Mercuri L. Degenerative disorders of the temporomandibular joint: etiology, diagnosis, and treatment. J Dent Res 2008; 87: 296-307. https://doi.org/10.1177/154405910808700406
  3. Zarb GA, Carlsson GE. Temporomandibular disorders: osteoarthritis. J Orofac Pain 1999; 13: 295-306.
  4. Larheim T, Kolbenstvedt A. High-resolution computed tomography of the osseous temporomandibular joint. Some normal and abnormal appearances. Acta Radiol Diagn (Stockh) 1984; 25: 465-9. https://doi.org/10.1177/028418518402500603
  5. Koyama J, Nishiyama H, Hayashi T. Follow-up study of condylar bony changes using helical computed tomography in patients with temporomandibular disorder. Dentomaxillofac Radiol 2007; 36: 472-7. https://doi.org/10.1259/dmfr/28078357
  6. Tsiklakis K, Syriopoulos K, Stamatakis HC. Radiographic examination of the temporomandibular joint using cone beam computed tomography. Dentomaxillofac Radiol 2004; 33: 196-201. https://doi.org/10.1259/dmfr/27403192
  7. Laskin DM, Greene CS, Hylander WL. Temporomandibular disorders: an evidence-based approach to diagnosis and treatment. Chicago: Quintessence; 2006.
  8. Shah N, Bansal N, Logani A. Recent advances in imaging technologies in dentistry. World J Radiol 2014; 6: 794-807. https://doi.org/10.4329/wjr.v6.i10.794
  9. Oeppen RS, Gibson D, Brennan PA. An update on the use of ultrasound imaging in oral and maxillofacial surgery. Br J Oral Maxillofac Surg 2010; 48: 412-8. https://doi.org/10.1016/j.bjoms.2009.10.022
  10. Taljanovic MS, Gimber LH, Becker GW, Latt LD, Klauser AS, Melville DM, et al. Shear-wave elastography: basic physics and musculoskeletal applications. Radiographics 2017; 37: 855-70. https://doi.org/10.1148/rg.2017160116
  11. Drakonaki E, Allen G, Wilson D. Ultrasound elastography for musculoskeletal applications. Br J Radiol 2012; 85: 1435-45. https://doi.org/10.1259/bjr/93042867
  12. Domenichini R, Pialat JB, Podda A, Aubry S. Ultrasound elastography in tendon pathology: state of the art. Skeletal Radiol 2017; 46: 1643-55. https://doi.org/10.1007/s00256-017-2726-2
  13. Gennisson JL, Deffieux T, Fink M, Tanter M. Ultrasound elastography: principles and techniques. Diagn Interv Imaging 2013; 94: 487-95. https://doi.org/10.1016/j.diii.2013.01.022
  14. Garra BS. Elastography: current status, future prospects, and making it work for you. Ultrasound Q 2011; 27: 177-86. https://doi.org/10.1097/RUQ.0b013e31822a2138
  15. Garra BS. Imaging and estimation of tissue elasticity by ultrasound. Ultrasound Q 2007; 23: 255-68. https://doi.org/10.1097/ruq.0b013e31815b7ed6
  16. Ophir J, Cespedes I, Ponnekanti H, Yazdi Y, Li X. Elastography: a quantitative method for imaging the elasticity of biological tissues. Ultrason Imaging 1991; 13: 111-34. https://doi.org/10.1177/016173469101300201
  17. Lyshchik A, Higashi T, Asato R, Tanaka S, Ito J, Mai JJ, et al. Thyroid gland tumor diagnosis at US elastography. Radiology 2005; 237: 202-11. https://doi.org/10.1148/radiol.2363041248
  18. LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997; 8: 291-305. https://doi.org/10.1177/10454411970080030401
  19. Alexiou K, Stamatakis H, Tsiklakis K. Evaluation of the severity of temporomandibular joint osteoarthritic changes related to age using cone beam computed tomography. Dentomaxillofac Radiol 2009; 38: 141-7. https://doi.org/10.1259/dmfr/59263880
  20. dos Anjos Pontual ML, Freire JS, Barbosa JM, Frazao MA, dos Anjos Pontual A. Evaluation of bone changes in the temporomandibular joint using cone beam CT. Dentomaxillofac Radiol 2012; 41: 24-9. https://doi.org/10.1259/dmfr/17815139
  21. Ruf S, Pancherz H, Kirschbaum M. Facial morphology and the size and activity of the masseter muscle. Fortschr Kieferorthop 1994; 55: 219-27. https://doi.org/10.1007/BF02173753
  22. Satiroglu F, Arun T, Isik F. Comparative data on facial morphology and muscle thickness using ultrasonography. Eur J Orthod 2005; 27: 562-7. https://doi.org/10.1093/ejo/cji052
  23. Ariji Y, Sakuma S, Izumi M, Sasaki J, Kurita K, Ogi N, et al. Ultrasonographic features of the masseter muscle in female patients with temporomandibular disorder associated with myofascial pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 337-41. https://doi.org/10.1016/j.tripleo.2004.06.068
  24. Horikawa M, Ebihara S, Sakai F, Akiyama M. Non-invasive measurement method for hardness in muscular tissues. Med Biol Eng Comput 1993; 31: 623-7. https://doi.org/10.1007/BF02441811
  25. Alamaki A, Hakkinen A, Malkia E, Ylinen J. Muscle tone in different joint positions and at submaximal isometric torque levels. Physiol Meas 2007; 28: 793-802. https://doi.org/10.1088/0967-3334/28/8/003
  26. Leonard CT, Brown JS, Price TR, Queen SA, Mikhailenok EL. Comparison of surface electromyography and myotonometric measurements during voluntary isometric contractions. J Electromyogr Kinesiol 2004; 14: 709-14. https://doi.org/10.1016/j.jelekin.2004.06.001
  27. Maher C, Adams R. Reliability of pain and stiffness assessments in clinical manual lumbar spine examination. Phys Ther 1994; 74: 801-9. https://doi.org/10.1093/ptj/74.9.801
  28. Maher C, Adams R. A psychophysical evaluation of manual stiffness discrimination. Aust J Physiother 1995; 41: 161-7. https://doi.org/10.1016/S0004-9514(14)60426-8
  29. Chino K, Akagi R, Dohi M, Fukashiro S, Takahashi H. Reliability and validity of quantifying absolute muscle hardness using ultrasound elastography. PLoS One 2012; 7: e45764.
  30. Ariji Y, Gotoh A, Hiraiwa Y, Kise Y, Nakayama M, Nishiyama W, et al. Sonographic elastography for evaluation of masseter muscle hardness. Oral Radiol 2013; 29: 64-9. https://doi.org/10.1007/s11282-012-0111-3
  31. Takashima M, Arai Y, Kawamura A, Hayashi T, Takagi R. Quantitative evaluation of masseter muscle stiffness in patients with temporomandibular disorders using shear wave elastography. J Prosthodont Res 2017; 61: 432-8. https://doi.org/10.1016/j.jpor.2017.01.003
  32. Nakayama M, Ariji Y, Nishiyama W, Ariji E. Evaluation of the masseter muscle elasticity with the use of acoustic coupling agents as references in strain sonoelastography. Dentomaxillofac Radiol 2015; 44: 20140258.
  33. Jiao Y, Dong F, Wang H, Zhang L, Xu J, Zheng J, et al. Shear wave elastography imaging for detecting malignant lesions of the liver: a systematic review and pooled meta-analysis. Med Ultrason 2017; 19: 16-22. https://doi.org/10.11152/mu-925
  34. Dighe M, Bae U, Richardson ML, Dubinsky TJ, Minoshima S, Kim Y. Differential diagnosis of thyroid nodules with US elastography using carotid artery pulsation. Radiology 2008; 248: 662-9. https://doi.org/10.1148/radiol.2482071758
  35. Lyshchik A, Higashi T, Asato R, Tanaka S, Ito J, Hiraoka M, et al. Cervical lymph node metastases: diagnosis at sonoelastography initial experience. Radiology 2007; 243: 258-67. https://doi.org/10.1148/radiol.2431052032
  36. Ryu HS, Joo YH, Kim SO, Park KC, Youn SW. Influence of age and regional differences on skin elasticity as measured by the Cutometer. Skin Res Technol 2008; 14: 354-8. https://doi.org/10.1111/j.1600-0846.2008.00302.x
  37. Hashmi F, Malone-Lee J. Measurement of skin elasticity on the foot. Skin Res Technol 2007; 13: 252-8.  https://doi.org/10.1111/j.1600-0846.2007.00216.x