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[Opaque arthrotomography: a routine examination in temporomandibular dysfunction].
P Scheffer1, J C Lerondeau, A Bayssette
1Service de Stomatologie et de Chirurgie Maxillo-Faciale, C.H.I., Villeneuve-Saint-Georges.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1987
Summary
Tomographic examination effectively diagnoses temporomandibular joint (TMJ) meniscus injuries. This method aids in classifying lesions, guiding selective surgical treatment for painful TMJ dysfunction.
Area of Science:
- Radiology
- Orthopedics
- Temporomandibular Joint Disorders
Background:
- Temporomandibular joint (TMJ) dysfunction often involves intra-articular lesions.
- Accurate diagnosis is crucial for effective treatment of TMJ pain.
Purpose of the Study:
- To evaluate tomographic examination for exploring intra-articular lesions of the TMJ meniscal complex.
- To describe normal arthrotomographic appearances and propose stages of meniscal lesions.
Main Methods:
- Tomographic examination of the TMJ after opacification of meniscotemporal and meniscocondylian stages.
- Description of normal arthrotomographic findings.
Main Results:
- Four progressive stages of meniscal lesions were identified: anterior meniscus position, reducible anterior luxation, irreducible anterior luxation, and meniscal perforation.
- Tomographic examination proved effective in exploring these intra-articular lesions.
Conclusions:
- Tomographic examination is a valuable tool for diagnosing TMJ meniscal lesions.
- Findings aid in discussing selective surgical treatment for painful TMJ dysfunction.