磁共振成像评价严重血友病患者颞下颌关节盘形态。

IF 1.6 3区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Oral Radiology Pub Date : 2023-10-01 Epub Date: 2023-06-15 DOI:10.1007/s11282-023-00697-4
Lays Assolini Pinheiro de Oliveira, João Pedro Perez Gomes, Luciana Ramalho Pimentel-Silva, Sérgio Lúcio Pereira de Castro Lopes, Maria Elvira Pizzigatti Correa, Adriana de Oliveira Lira, Andre Luiz Ferreira Costa
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引用次数: 1

摘要

目的:本研究旨在评估血友病患者和对照组健康个体之间关节盘(AD)的形态学差异,以进一步与体征和症状相关。方法:采用磁共振成像(MRI)对14例重症血友病患者的AD进行评估。将形态学结果与由14名健康个体组成的对照组的结果进行比较。MRI用于评估颞下颌关节(TMJ)的所有组成部分,包括AD,产生连续的T1加权矢状旁图像。所有图像都是在牙齿处于最大咬合位置时获得的。结果:形态学改变显示出显著的统计学差异(P值 = 0.0068),而在其他变量中没有发现统计学差异,包括颞下颌关节疼痛、头痛、磨牙症和开口受限。在非亲血患者组中,只有两名(14.29%)患者出现非双凹型AD,而在亲血患者中,有九名(64.29%)患者出现除双凹型以外的其他形态AD。结论:在严重血友病患者中,随着时间的推移,关节盘似乎有一种形态变化模式。AD的标准双凹面形态往往会转变为其他形态,特别是双平面、半凸面和折叠形态。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Magnetic resonance imaging evaluation of the disc morphology of temporomandibular joint in patients with severe hemophilia.

Magnetic resonance imaging evaluation of the disc morphology of temporomandibular joint in patients with severe hemophilia.

Objectives: This study aimed to assess the morphological differences in the articular disc (AD) between hemophilic patients and healthy individuals of the control group for further association with signs and symptoms.

Methods: Fourteen severe hemophilic patients had their AD evaluated by magnetic resonance imaging (MRI). The morphological findings were compared to those of a control group consisting of 14 healthy individuals. MRI was used to evaluate all the components of the temporomandibular (TMJ), including the AD, resulting in sequential T1-weighted parasagittal images. All the images were acquired with teeth in maximum intercuspation position.

Results: Morphological alterations showed significant statistical differences (P-value = 0.0068), whereas no statistical differences were found in the other variables, including TMJ pain, headache, bruxism and mouth opening limitation. In the group of non-hemophilic individuals, only two (14.29%) presented AD with non-biconcave features, whereas in the group of hemophilic patients, nine (64.29%) presented AD with a morphology other than biconcave.

Conclusions: In patients with severe hemophilia, there seems to be a pattern of morphological alterations in the articular disc over time. The standard biconcave morphology of AD tends to change into other ones, particularly biplanar, hemiconvex and folded.

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来源期刊
Oral Radiology
Oral Radiology DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.20
自引率
13.60%
发文量
87
审稿时长
>12 weeks
期刊介绍: As the official English-language journal of the Japanese Society for Oral and Maxillofacial Radiology and the Asian Academy of Oral and Maxillofacial Radiology, Oral Radiology is intended to be a forum for international collaboration in head and neck diagnostic imaging and all related fields. Oral Radiology features cutting-edge research papers, review articles, case reports, and technical notes from both the clinical and experimental fields. As membership in the Society is not a prerequisite, contributions are welcome from researchers and clinicians worldwide.
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