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European Radiology
Published in: European Radiology 8/2006

01-08-2006 | Head and Neck

Pathologic-sonographic correlation in temporomandibular joint pathology

Authors: Ansgar Rudisch, Ruediger Emshoff, Herbert Maurer, Peter Kovacs, Gerd Bodner

Published in: European Radiology | Issue 8/2006

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Abstract

The accuracy of high-resolution ultrasonography (HR-US) in detecting disk displacement and condylar erosion of the temporomandibular joint (TMJ) was evaluated, using corresponding cryosections as a “gold standard”. HR-US of the TMJ was performed with a high frequency 12 MHz transducer on 30 preserved autopsy specimens. Succeeding sonography, the autopsy specimens were deep-frozen and cut in paracoronal planes corresponding to the sonographic images. HR-US diagnoses were compared with cryosectional findings in a blinded fashion. HR-US detected 19 (95%) of 20 instances of condylar erosion and 16 (73%) of 22 instances of disk displacement. There were one false-positive finding for condylar erosion and two false-positive findings for disk displacement. The accuracy of HR-US evaluating condylar erosion and disk displacement rated 93% and 73%, respectively. In conclusion, condylar erosion was reliably assessed by HR-US, but the evaluation of disk position was less accurate.
Literature
1.
Truelove EL, Sommers EE, LeResche L, Dworkin SF, Von Korff M (1992) Clinical diagnostic criteria for TMD. New classification permits multiple diagnosis. J Am Dent Assoc 123:47–54PubMed
2.
Katzberg RW, Westesson P-L, Tallents RH, Drake CM (1996) Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects. J Oral Maxillofac Surg 54:147–153PubMedCrossRef
3.
Eriksson L, Westesson PL (1992) Temporomandibular joint diskectomy. Oral Surg Oral Med Oral Pathol 74:259–272PubMedCrossRef
4.
Montgomery MT, Gordon SM, Van Sickels JE, Harms SE (1992) Changes in signs and symptoms following temporomandibular joint disk repositioning surgery. J Oral Maxillofac Surg 50:320–328PubMedCrossRef
5.
Rasmussen OC (1980) Longitudinal study of transpharyngeal radiography in temporomandibular arthrography. Scan J Dent Res 88:257–268
6.
Delbaso AM (1990) Radiography of the temporomandibular joint. In: Delbaso (ed) Maxillofacial imaging. Saunders, Philadelphia, pp 607–651
7.
Katzberg RW (1989) State of the art temporomandibular joint imaging. Ann R Aust Cell Dent Surg 10:32
8.
Westesson PL, Bronstein SL (1987) Temporomandibular joint: comparison of single- and double-contrast arthrography. Radiology 164:65–70PubMed
9.
Westesson P-L, Katzberg RW, Tallents RH, Sanchez-Woodworth RE, Svensson SA (1987) CT and MR of the temporomandibular joint: comparison with autopsy specimens. AJR Am J Roentgenol 148:1165–1171PubMed
10.
Rohlin M, Akerman S, Kopp S (1986) Tomography as an aid to detect macroscopic changes of the temporomandibular joint. Acta Odontol Scand 44:134–140CrossRef
11.
Tasaki MM, Westesson PL (1993) Temporomandibular joint: diagnostic accuracy with sagittal and coronal MR imaging. Radiology 186:723–729PubMed
12.
Katzberg RW, Westesson PL, Tallents RH, Anderson R, Kurita K, Manzione JV, Totterman S (1988) Temporomandibular joint: MR assessment of rotational and sideways disk displacements. Radiology 169:741–748PubMed
13.
Stefanoff V, Hausamen J-E, van den Berghe P (1992) Ultrasound imaging of the TMJ disk in asymptomatic volunteers: Preliminary report. J Craniomaxillofac Surg 20:337–340PubMed
14.
Emshoff R, Bertram S, Rudisch A, Gassner R (1997) The diagnostic value of ultrasonography to determine the temporomandibular disk position. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 84:688–696PubMedCrossRef
15.
Hayashi T, Ito J, Koyoma J-I, Yamada K (2001) The accuracy of sonography for evaluation of internal derangement of the temporomandibular joint in asymptomatic elementary school children: comparison with MR and CT. AJNR Am J Neuroradiol 22:728–734
16.
Emshoff R, Jank S, Rudisch A, Bodner G (2002) Are High resolution ultrasonography signs of disc displacement valid? J Oral Maxillofac Surg 60:623–629PubMedCrossRef
17.
Emshoff R, Jank S, Rudisch A, Claudia W, Bodner G (2002) Error patterns and observer variations in the high-resolution ultrasonography imaging evaluation of the disk position of the temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:369–375PubMed
18.
Emshoff R, Jank S, Bertram S, Rudisch A, Bodner G (2002) Disk displacement of the temporomandibular joint: sonography versus MR imaging. AJR Am J Roentgenol 178:1557PubMed
19.
Tognini F, Manfredini D, Melchiorre D, Bosco M (2005) Comparison of ultrasonography and magnetic resonance imaging in the evaluation of temporomandibular joint disc displacement. J Oral Rehabil 32:248–253PubMedCrossRef
20.
Jank S, Emshoff R, Norer B, Missmann M, Nicasi A, Strobl H, Gassner R, Rudisch A, Bodner G (2005) Diagnostic quality of dynamic high-resolution ultrasonography of the TMJ—a pilot study. Int J Oral Maxillofac Surg 34:132–137PubMedCrossRef
21.
Emshoff R, Brandlmaier I, Bodner G, Rudisch A (2003) Condylar erosion and disc displacement: detection with high-resolution ultrasonography. J Oral Maxillofac Surg 61:877–881PubMedCrossRef
22.
Brandlmaier I, Bertram S, Rudisch A, Bodner G, Emshoff R (2003) Temporomandibular joint osteoarthrosis diagnosed with high resolution ultrasonography versus magnetic resonance imaging: how reliable is high resolution ultrasonography? J Oral Rehabil 30:812–817PubMedCrossRef
23.
Orsini MG, Kuboki T, Terada S, Matsuka Y, Yatani H, Yamashita A (1999) Clinical predictability of temporomandibular joint disc displacement. J Dent Res 78:650–660PubMed
24.
Emshoff R, Rudisch A (2001) Validity of clinical diagnostic criteria for temporomandibular disorders. Clinical versus magnetic resonance imaging diagnosis of temporomandibular joint internal derangement and osteoarthrosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91:50–55PubMed
25.
Marguelles RE, Carpentier P, Yung LP, Defrennes D, Pharaboz C (1995) Clinical diagnosis compared with findings of magnetic resonance in 242 patients with internal derangement of the TMJ. J Orofacial Pain 9:244–253
26.
Bertram S, Rudisch A, Innerhofer K, Pümpel E, Grubwieser G, Emshoff R (2001) Magnetic resonance imaging to diagnose temporomandibualar joint internal derangement and osteoarthrosis. J Am Dent Assoc 66:75–77
27.
Haley DP, Schiffman EL, Lindgren BR, Anderson Q, Andreasen K (2001) The relationship between clinical and MRI findings in patients with unilateral temporomandibular joint pain. J Am Dent Assoc 132:476–481PubMed
28.
Emshoff R, Innerhofer K, Rudisch A, Bertram S (2002) The biological concept of ‘internal derangement and osteoarthrosis’: a diagnostic approach in patients with temporomandibular joint pain? Oral Surg Oral Med Oral Pathol Radiol Endod 93:39–44CrossRef
29.
Okeson JP (1988) Long-term treatment of disk-interference disorders of the temporomandibular joint with anterior repositioning occlusal splints. J Prosthet Dent 60:611–615PubMedCrossRef
30.
Clark GT, Moody DG, Sanders B (1991) Arthroscopic treatment of temporomandibular joint locking resulting from disc derangement: two-year results. J Oral Maxillofac Surg 49:157–164PubMedCrossRef
31.
Montgomery MT, Gordon SM, Van Sickels JE, Harms SE (1992) Changes in signs and symptoms following temporomandibular joint disk repositioning surgery. J Oral Maxillofac Surg 50:320–328PubMedCrossRef
32.
Eriksson L, Westesson PL (1992) Temporomandibular joint diskectomy. Oral Surg Oral Med Oral Pathol 74:259–272PubMedCrossRef
33.
Anderson GC, Schiffman EL, Schellhas KP, Fricton JR (1989) Clinical vs. arthrographic diagnosis of TMJ internal derangement. J Dent Res 68:826–829PubMed
34.
Roberts C, Katzberg RW, Tallents RH, Espeland MA, Handelman SL (1991) The clinical predictability of internal derangements of the temporomandibular joint. Oral Surg Oral Med Oral Pathol 66:32–36CrossRef
35.
Paesani D, Westesson PL, Hatala MP, Tallents RH, Brooks SL (1992) Accuracy of clinical diagnosis for TMJ internal derangement and arthrosis. Oral Surg Oral Med Oral Pathol 73:360–363PubMedCrossRef
36.
Parlett K, Paesani D, Tallents RH, Hatala MA (1993) Temporomandibular joint axiography and MRI findings: a comparative study. J Prosthet Dent 70:521–531PubMedCrossRef
37.
Tasaki MM, Westesson PL, Isberg AM, Ren Y-F, Tallents RH (1996) Classification and prevalence of temporomandibular joint disc displacement in patients and asymptomatic volunteers. Am J Orthod Dentofacial Orthop 109:249–262PubMedCrossRef
38.
Kurita K, Westesson PL, Yuasa H, Toyoma M, Machida J, Ogi N (1998) Natural course of untreated symptomatic temporomandibular joint disk displacement without reduction. J Dent Res 72:968–979
39.
Rasmussen OC (1983) Temporomandibular arthropathy: clinical, radiologic and therapeutic aspects with emphasis on diagnosis. Int J Oral Surg 12:365–397PubMedCrossRef
40.
41.
Widmalm SE, Westesson PL, Kim I-K, Pereira JF, Lundh H, Tasaki MM (1994) Temporomandibular joint pathosis as related to sex, age, and dentition in autopsy material. Oral Surg Oral Med Oral Pathol 78:416–425PubMedCrossRef
Metadata
Title
Pathologic-sonographic correlation in temporomandibular joint pathology
Authors
Ansgar Rudisch
Ruediger Emshoff
Herbert Maurer
Peter Kovacs
Gerd Bodner
Publication date
01-08-2006
Publisher
Springer-Verlag
Published in
European Radiology / Issue 8/2006
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-006-0162-0

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