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Intraoperative arthroscopy of the TMJ during surgical management of condylar head fractures: A preliminary report
D. Hirjak, B. Galis, M. Beno, V. Machon, LG. Mercuri, A. Neff,
Jazyk angličtina
Typ dokumentu časopisecké články
- MeSH
- artroskopie * MeSH
- dospělí MeSH
- fraktury mandibuly diagnostické zobrazování chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- peroperační komplikace diagnostické zobrazování MeSH
- počítačová rentgenová tomografie MeSH
- processus condylaris mandibulae diagnostické zobrazování chirurgie MeSH
- rentgendiagnostika panoramatická MeSH
- retrospektivní studie MeSH
- vnitřní fixace fraktury metody MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
PURPOSE: The purpose of this preliminary study was to evaluate intraarticular soft tissues of the temporomandibular joint (TMJ) using intraoperative arthroscopy during open reduction and internal fixation (ORIF) of condylar head fractures (CHF). MATERIALS AND METHODS: 26 patients (29 joints) were diagnosed in period of 5 years (2011-2015) with CHF, 5 patients had concomitant mandibular fracture. Fractures were diagnosed on basis of conventional orthopantomogram (OPG) and computed tomography (CT). RESULTS: Intraoperative arthroscopy revealed hyperemia and hypervascularity in all 29 joints, anterior disc dislocation in 26 joints, cartilage erosion in 21 joints and hemorrhagic clots were present in 10 joints. Major hemarthrosis or tear of the posterior band, as often described in MRI, could not be shown in our patients. Data from the study further the understanding of intraarticular pathology of the TMJ after acute trauma in a group with CHF. CONCLUSION: Intraoperative arthroscopy is useful for direct evaluation and accurate diagnosis of the extent of soft tissue damage to TMJ in CHF. Larger and more long-term studies including comparison to MRI findings should be helpful to refine the treatment and postoperative management of patients after CHF.
Citace poskytuje Crossref.org
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- $a Hirjak, Dusan $u Department of Oral and Maxillofacial Surgery, (Head and Chair: Assoc. Prof. D. Hirjak, MD, PhD.), Comenius University, University Hospital Ruzinov, Bratislava, Slovakia. Electronic address: hirjak.dusan@gmail.com.
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- $a PURPOSE: The purpose of this preliminary study was to evaluate intraarticular soft tissues of the temporomandibular joint (TMJ) using intraoperative arthroscopy during open reduction and internal fixation (ORIF) of condylar head fractures (CHF). MATERIALS AND METHODS: 26 patients (29 joints) were diagnosed in period of 5 years (2011-2015) with CHF, 5 patients had concomitant mandibular fracture. Fractures were diagnosed on basis of conventional orthopantomogram (OPG) and computed tomography (CT). RESULTS: Intraoperative arthroscopy revealed hyperemia and hypervascularity in all 29 joints, anterior disc dislocation in 26 joints, cartilage erosion in 21 joints and hemorrhagic clots were present in 10 joints. Major hemarthrosis or tear of the posterior band, as often described in MRI, could not be shown in our patients. Data from the study further the understanding of intraarticular pathology of the TMJ after acute trauma in a group with CHF. CONCLUSION: Intraoperative arthroscopy is useful for direct evaluation and accurate diagnosis of the extent of soft tissue damage to TMJ in CHF. Larger and more long-term studies including comparison to MRI findings should be helpful to refine the treatment and postoperative management of patients after CHF.
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- $a Beno, Michal $u Department of Oral and Maxillofacial Surgery, (Head and Chair: Assoc. Prof. D. Hirjak, MD, PhD.), Comenius University, University Hospital Ruzinov, Bratislava, Slovakia.
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- $a Machon, Vladimír $u Department of Oral and Maxillofacial Surgery, (Head and Chair: Assoc. Prof. R. Foltan, MD, PhD.), University Hospital of Charles University, Prague, Czech Republic.
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- $a Neff, Andreas $u Department of Oral and Maxillofacial Surgery, (Head and Chair: Univ. Prof. A. Neff), UKGM GmbH, University Hospital of Marburg, Faculty of Medicine, Philipps University, Marburg, Germany.
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