CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Čes. Stomat., roč. 104, 2004, č. 4, s. 160–167. |
Our Experience withMR
Imaging of Temporomandibular Joint Peterová V.1, Jirman, R.2, Fikáčková H.3, Mazánek J.2 MR oddělení, Radiodiagnostická klinika 1. LF UK a VFN, Praha 2Stomatologická klinika 1. LF UK a VFN, Praha 3Oddělení klinické radiobiologie, Ústav biofyziky 1. LF UK, Praha |
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Summary: The aim of this study was to summarize results of the investigation of temporomandibular
joint (TMJ) by magnetic resonance (MR) in various types of its disorders. MR
imaging visualizes the bone and soft tissue components of TMJ including the disc and dynamic
investigation during a gradual mouth opening visualizes the inner movement of the disc in
detail. Twenty six patients with TMJ disorders (i.e. 52 TMJ) were investigated in a dynamic
study during the period 1996–2003. The group consisted of 24 women and 2 men between the
ages of 18 and 67 (35.6 years of age on the average). All the patients were examined by means
of 1.5 T MR. Pathological MR findings were observed in 92.3 % of investigated TMJ, 78.8% of
which represented ventral derrangement of the disc.The affection of mandible headwas present
in 7.6% of cases.
It can be summed up that the ventral derrangement of the disc with or without reposition
represented the most frequently observed dysfunction of TMJ. The dynamic investigation of
TMJ in FFE mode (in T1 weighted images) was well tolerated by all patients and the method
is appropriate enough for evaluation of the joint dynamics. It visualized the inner translate
rotary movement of the head and also the disc movements in single movement phases.
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