持续性鼓室与颞下颌关节区骨退行性改变的关系

IF 1.6 3区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Ruth Jorge Fagundes, Beatriz Caio Felipe, Matheus Kawana Couto, Mariliani Chicarelli Silva, Lilian Cristina Vessoni Iwaki
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引用次数: 0

摘要

本研究旨在使用锥束计算机断层扫描(CBCT)评估持续性鼓室(PFT)与颞下颌关节(TMJ)退行性病变以及盂窝和关节突气化的关系:G1-PFT患者组和G2-对照组。对 PFT 的位置、是否存在颞下颌关节退行性病变以及形态进行了评估。同样,对所有图像进行评估,以确定是否存在气化的关节突和盂窝。对分类变量采用卡方检验(Chi-square test)和费雪精确检验(Fisher's Exact test)。多项式逻辑回归模型用于亚组分析。为了评估颞下颌关节改变发生的估计几率,使用了比值比分析。在颞下颌关节形态方面,圆形、扁平形和其他形态的结果具有显著性。此外,还可以观察到,有 PFT 的患者出现颞下颌关节改变的几率大约是其他患者的 48 倍,出现关节突气化的几率大约是其他患者的 3 倍。结论由于 FTP 患者出现颞下颌关节和 PEA 改变的几率更大,因此牙科放射医师必须注意 CBCT 扫描中的这些迹象,以便做出正确诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The relation between persistent foramen tympanicum and degenerative bone alterations in temporomandibular joint region

The relation between persistent foramen tympanicum and degenerative bone alterations in temporomandibular joint region

Objectives

The aim of this study was to evaluate, using cone-beam computed tomography (CBCT), the relationship of persistent foramen tympanicum (PFT) with degenerative changes in the temporomandibular joint (TMJ) and the presence of pneumatized glenoid fossae and articular eminences.

Method

Two experienced oral and maxillofacial radiologists evaluated 510 CBCT scans, from which 94 patients were divided into two groups: G1—patients with PFT and G2—control group. The location of the PFT, presence, or absence of degenerative TMJ changes and morphology were evaluated. Similarly, all images were evaluated for the presence of pneumatized articular eminence and glenoid fossa. The Chi-square test and Fisher’s Exact test were used for the categorical variables. A multinomial logistic regression model was performed for subgroup analysis. To assess the estimation-chance occurrence of TMJ alterations the Odds Ratio analysis was used.

Results

Statistically significant results were found for erosion, planning, and subchondral cyst. Regarding TMJ morphology, significant results were found for: round, flat, and others. Moreover, it was possible to observe that patients who had the PFT were approximately 48 times more likely to manifest TMJ alterations and approximately 3 times more likely to manifest articular eminence pneumatization.

Conclusion

Since individuals who have FTP have a greater chance of having TMJ and PEA changes, it is important for the dental radiologist to be aware of these signs in CBCT scans for a correct diagnosis.

Trial registration number

CAAE: 34328214.3.0000.0104 (11/30/2014).

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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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