• 제목/요약/키워드: TMJ ankylosis

검색결과 43건 처리시간 0.023초

악관절에 이환된 류마티양관절염에 관한 방사선학적 연구 (ROENTGENOGRAPHIC STUDY OF THE TEMPOROMANDIBULAR JOINT IN RHEUMATOID ARTHRITIS)

  • 윤호중;유동수
    • 치과방사선
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    • 제14권1호
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    • pp.61-69
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    • 1984
  • For the study of the temporomandibular joint in rheumatoid arthritis 30 patients were selected who were diagnosed as rheumatoid arthritis through the clinical, radiographic examination and laboratory findings. Temporomandibular joint involvement was evaluated through the clinical, radiographic examination. The results were as follows; 1. TMJ was involved in 15 patients of 30 patients with rheumatoid arthritis. (50% involvement). 2. Duration of rheumatoid arthritis was more longer in patients with TMJ involvement than in patients without TMJ involvement. 3. Osseous changes in TMJ were in order of frequency erosion, flattening, osteophyte, sclerosis, deformity, and most common involved site was mandibular condyle. 4. Most common positional change of condyle was forward position in centric occlusion, and restricted movement of condyle in 1inch mouth opening. 5. TMJ involvement of rheumatoid arthritis was almost bilateral. 6. Main symptoms of TMJ were pain, stiffness, tenderness, limitation of mouth opening, crepitation 7. There was not the case of ankylosis. 8. There was statistically insignificant correlation between mandibular deviation and TMJ involvement, but some cases showed severe deviation on mouth opening.

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측두하악 관절 장애의 평가 (Clinical Assessment of Temporomandibular Joint Dysfunction)

  • 류재관;김종순
    • 대한물리치료과학회지
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    • 제5권4호
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    • pp.717-728
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    • 1998
  • The Temporomandibural joint(TMJ) is one of the most frequently used joint in the body as $1,500{\sim}2,000$ times per day for the activities of chewing, swallowing, talking, yawing and sneezing. The TMJ are formed by condylar process of mandible and mandible fossa of temporal bone, separated by an articular disc. This articular disc divides into two cavities as upper cavity and lower cavity. The gliding movement occurs in the upper cavity of the joint, whereas hinge movement occurs in the lower cavity. The movements that are allowed at the TMJ are opening, closing, protrusion, retraction and lateral movement. A cause of TMJ dysfunction are capsulitis, internal derangement, osteoarthritis, rheumatoid arthritis, infection and inflammation near the joint, trauma on joint, ankylosis, subluxation or dislocation of joint, injury of articular disc, myositis, muscle contracture or spasm, myofascial pain dysfunction syndrome, dyskinesia of masticatory muscles, developmental abnormality, tumor, connective tissue disease, fibrosis, malocclusion, swallowing abnormality, wrong habits such as bite nail or hair, bruxism, psycological stress and Costen syndrome etc. Assessment of TMJ dysfunction consist of interview, observation, functional examination, palpation, reflex test, joint play test, electromyography and radiologic examination and behavioral and psycological assessment etc.

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측두하악관절 관혈적 수술에 관한 임상적 연구 (CLINICAL STUDY OF TEMPOROMANDIBULAR JOINT OPEN SURGERY)

  • 심정환;김영균;윤필영
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권1호
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    • pp.55-65
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    • 2005
  • Most patients with temporomandibular disorder can be treated conservatively. However, open TMJ surgery can be needed in some patients. We analysed the patients with TMD which open surgery has performed since 1998. Open surgery was carried out in 8 patients. Age ranged from 22 to 61 years, with a mean of 42.8years. All patients were male. Final diagnosis was obtained based upon clinical, radiographic and operative finding as follows; habitual luxation, bony ankylosis, traumatic arthritis, disc displacement with destructive change, disc displacement and adhesion. Etiologic factors included trauma(4), infection(2), and unknown(2). Open surgery included arthroplasty with either of condylectomy, eminectomy, meniscoplasty, capsurrohaphy. All patients were recovered uneventfully without severe complications. Some mouth opening limitation and mouth opening deviation remained. Postoperative aggressive physical therapy and careful follow up were performed. In conclusion, open TMJ surgery must be considered in organic disease such as ankylosis, tumor and TMD without favorable recovery after long-term conservative therapy.

A Case Report of Temporomandibular Bilateral Osseous Ankylosis Treated by Total Joint Replacement in Ankylosing Spondylitis

  • Kim, Tae-Hee;Ryu, Dong-Mok;Lee, Deok-Won;Jee, Yu-Jin;Hong, Sung-Ok;Jung, Jae-Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권6호
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    • pp.455-461
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    • 2012
  • Ankylosing spondylitis (AS) is a chronic autoimmune disease mainly involving the axial skeleton. The pathology of the disease is usually found at the sacroiliac joint, and half of the patients experience cervical spine invasion, but eventually, the whole spine is affected. The involvement of the temporomandibular joint (TMJ) in AS has not been investigated very well. A review of the literature revealed that there are only a few studies of TMJ involvement in AS that combined clinical and radiographic examinations. These studies show widely different results, ranging between 4% and 32%. We experienced Bilateral osseous ankylosis of the jaw treated by total alloplastic joint replacement in AS, and offer a case report.

금속 이식물을 이용한 악관절 강직증의 치험례 (RECONSTRUCTION OF UNILATERAL TMJ ANKYLOSIS WITH METALLIC CONDYLAR PROSTHESIS;REPORT OF A CASE)

  • 이동근;임창준;강문정
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제11권2호
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    • pp.40-46
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    • 1989
  • 출생 전${\cdot}$후 악관절의 외상 또는 감염은 과두 성장을 방해하며 편측으로 발생하는 경우 하악골의 비대칭 성장을 초래하여 심한 안모 변형과 부정교합을 유발하거나 악관절 유착의 주된 원인이 된다. 역사적으로 관절 유착은 과두절단술에서부터 연골이식, 진피이식, 금속과두 이식, 관절 성형술, 관절과 이식물 삽입에 이르기까지 매우 다양한 방법에 의해 치료되어 왔으며 하악운동이 보장되고 정상적인 기능을 회복하는데는 어떤 술식이라도 만족스런 결과를 가져다줄 수 있다. 이에 저자는 편측성 악관절 강직증 및 비대칭 안모를 가진 환자에서 과두절제술 후 금속 과두이식을 이용한 악관절 재건과 하악 골체부 절단술 및 C-sliding 절단술, 하악지 수직 골절단술, Medpor를 이용한 증식술로 개구기능과 비대칭 안모를 개선하여 비교적 만족할 만한 결과를 얻었기에 그 치험례를 보고하는 바이다.

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하악 과두 골절과 측두하악관절과의 관계 (Correlation Between Mandibular Condylar Process Fracture and Temporomandibular Joint)

  • 문철웅;김수관;오지수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권5호
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    • pp.488-492
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    • 2010
  • This review evaluates the literature on the relationship between mandibular condylar process fracture and temporomadibular joint (TMJ). The topic of condylar fracture generated more discussion and controversy than any other field of maxillofacial trauma associated with TMJ. Disturbance of occlusal function, devia-tion of mandible, internal derangements of TMJ, and ankylosis of the joint with resultant inability to move the jaw are sequelae of condylar process fracture. Thus it is necessary to understand how the masticatory system adapts to the structural alterations that accompany fractures of the mandibular condyle. Treatment of condylar process fracture include two methods ; closed treatment and open treatment. If one chooses totreat closed, one must understand that adaptations in the musculature, skeleton, and dentition will be necessary. Open treatment of condylar process fractures probably requires fewer adaptations within the masticatory system to provide a favorable functional outcome. However, one must weigh the risk of open surgery against the possible improvement in outcome. The risks are not just surgical risk, but biological risk as well, such as disruption of the blood supply to the condyle. This review presents relevant aspects of change of TMJ associated with condylar process fracture.

측두하악관절에 발생된 골성 강직 (Bony ankylosis of temporomandibular joint)

  • 이병도;윤영남;엄기두;나종일;이완
    • Imaging Science in Dentistry
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    • 제32권2호
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    • pp.113-118
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    • 2002
  • Ankylosis of joint is defined as limited movement due to infection, trauma, or surgical procedure. A 59-year-old female with a chief complaint of limited movements during mouth opening had a positive history of trauma to her right TMJ area about 5 years ago. From that time, progressive mouth opening limitation and intermittent pain have occurred. At the time of admission the patient showed mandibular deviation to the right side during mouth opening, with a maximum opening limited to 5 mm. On plain radiographs, right condylar enlargement and joint space reduction by newly formed bony tissues were observed. CT scans showed right condylar enlargement, cortical sclerosis, and thickening of the condyle, articular fossa and articular eminence.

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강직성 척추염에 수반된 양측성 측두하악관절 강직 (Ankylosing Spondylitis Associated with Bilateral TMJ Ankylosis)

  • 송주섭;고광준
    • Imaging Science in Dentistry
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    • 제30권3호
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    • pp.217-222
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    • 2000
  • A 31-year-old male with the complaint of severe limitation of mouth opening was referred to our department of Chonbuk National University Hospital. The physical status of the patient was hyposthenic. Extraoral examination showed no condylar movement of the both temporomandibular joints, no pain, no facial swelling or paresthesia. Intraoral examination showed several cervical caries on the upper anterior teeth, and gingival swelling on the whole dentition. Transcranial view showed no condylar movement, and narrowing of joint spaces. Chest P-A view showed straightening of thoracic, lumbar spine, and squaring of vertebrae of the same spines. Conventional lateral radiograph of cervical spine showed calcification of the intervertebral ligament. Computed tomograph showed extensive bone formation between temporal bone and the condylar head at both sides. Laboratory findings showed positive reaction on HLA-B27 histocompatibility antigen and increased level of IgA, IgG, ESR. Based on the clinical, radiographic, and the laboratary findings, final diagnosis was made as bony ankylosis of the both temporomandibular joints secondary to ankylosing spondylitis.

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Methicillin Resistant Staphylococcal Infection;증례보고 (METHICILLIN RESISTANT STAPHYLOCOCCAL INFECTION;REPORT OF 2 CASES)

  • 김인수;김영균
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권2호
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    • pp.180-184
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    • 2001
  • MRSI is the staphylococcal infection having resistance to the methicillin which is semisynthetic penicillinase-resistant agents against penicillinase. These infections are very difficult to treat because they have resistance to almost every antibiotics except for vancomycin. We experienced MRSE(methicilline-resistant staphylococcal epidermis) infected 56 years old man who developed 2 months after arthroplasty for TMJ ankylosis and MRSA(methicilline-resistant staphylococcal aureus) infected 59 years old man who was performed arthroplasty far traumatic TMJ disc displacement.

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A review of temporomandibular joint-related papers published between 2014-2015

  • Singh, Vaibhav;Sudhakar, K.N.V.;Mallela, Kiran Kumar;Mohanty, Rajat
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제43권6호
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    • pp.368-372
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    • 2017
  • We conducted a retrospective study and reviewed the temporomandibular joint (TMJ)-related papers published in a leading international journal, Journal of Oral and Maxillofacial Surgery, between January 2014 and December 2015. The study was conducted to ascertain and compare the trends of articles being published in the years 2014 and 2015. A total of 28 articles were reviewed, of which most of the full-length articles were on clinical management and outcomes and the role of radiology. The bulk of the studies were prospective, and less interest was shown in experimental research. A thorough review and analysis thus gives the impression that there is a great need for well-designed clinical studies on TMJ.