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Tytuł pozycji:

Computed tomographic features of synovial chondromatosis of the temporomandibular joint with a few small calcified loose bodies.

Tytuł :
Computed tomographic features of synovial chondromatosis of the temporomandibular joint with a few small calcified loose bodies.
Autorzy :
Nishiyama M; Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan.
Nozawa M; Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan. .
Ogi N; Department of Oral and Maxillofacial Surgery, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan.
Ariji Y; Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan.
Fukuda M; Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan.
Kise Y; Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan.
Naitoh M; Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan.
Kuwada C; Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan.
Kurita K; Department of Oral and Maxillofacial Surgery, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan.
Ariji E; Department of Oral and Maxillofacial Radiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori Chikusa-ku, Nagoya, 464-8651, Japan.
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Źródło :
Oral radiology [Oral Radiol] 2021 Apr; Vol. 37 (2), pp. 236-244. Date of Electronic Publication: 2020 Apr 18.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Publication: 2004- : Tokyo : Springer-Verlag Tokyo
Original Publication: Gifu, Japan : Japanese Society of Dental Radiology,
MeSH Terms :
Chondromatosis, Synovial*/diagnostic imaging
Joint Loose Bodies*/diagnostic imaging
Temporomandibular Joint Disorders*/diagnostic imaging
Humans ; Temporomandibular Joint/diagnostic imaging ; Tomography, X-Ray Computed
References :
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Contributed Indexing :
Keywords: CT; Synovial chondromatosis of the temporomandibular joint; Temporomandibular joint disorder
Entry Date(s) :
Date Created: 20200419 Date Completed: 20210419 Latest Revision: 20210419
Update Code :
20210420
DOI :
10.1007/s11282-020-00438-x
PMID :
32303973
Czasopismo naukowe
Objectives: The present study aimed to clarify the characteristic computed tomography (CT) features that indicate synovial chondromatosis (SC) with a few small calcified bodies or without calcification on panoramic images, and to discuss their differences from the features of temporomandibular disorder (TMD).
Methods: Panoramic and CT images from 11 patients with histologically verified SC of the temporomandibular joint were investigated. Based on the panoramic images, the patients were classified into a distinct group (5 patients) with typical features of calcified loose bodies and an indistinct group (6 patients) without such bodies. On the CT images, findings for high-density structures suggesting calcified loose bodies, joint space widening, and bony changes in the articular eminence and glenoid fossa (eminence/fossa) and condyle were analyzed.
Results: All 5 distinct group patients showed high-density structures on CT images, while 2 of 6 indistinct group patients showed no high-density structures even on soft-tissue window CT images. A significant difference was found for the joint space distance between the affected and unaffected sides. A low-density area relative to the surrounding muscles, suggesting joint space widening, was observed on the affected side in 2 indistinct group patients. All 11 patients regardless of distinct or indistinct classification showed bony changes in the eminence/fossa with predominant findings of extended sclerosis and erosion.
Conclusion: Eminence/fossa osseous changes including extended sclerosis and erosion may be effective CT features for differentiating SC from TMD even when calcified loose bodies cannot be identified.

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