Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study)
International Journal of Clinical Oral and Maxillofacial Surgery
Volume 4, Issue 1, June 2018, Pages: 25-29
Received: Jul. 1, 2018;
Accepted: Jul. 17, 2018;
Published: Aug. 27, 2018
Views 906 Downloads 81
Heba Abdul Wahed Sleem, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Ain Shams University, Cairo, Egypt
Mona Gamalludin Alkaphoury, Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Follow on us
The present study aimed to trace the arterial blood supply of Tempromandibular joint after open joint procedures using CT volume rendering technique. To achieve this goal six operated joints with residual symptoms radiographed one year post-operatively. Computed tomographic scanning with intravenous contrast, were examined. The direct volume rendering technique of CT images was used, and a data set of images to demonstrate the vasculature of the human Tempromandibular joint in three dimensions. After elaboration of the data through post-processing, the arterial supply of the Tempromandibular joint was compared to reference anatomy. The most commonly injured arteries are anterior tympanic, masseteric, superficial temporal arteries (detection rate 33%, 33%, 50% respectively). Furthermore, osteoarthritic changes, synovial and articular cartilage calcifications with detached bony fragments were noticed that could be attributed to vascular injury. Open joint procedures are associated with significant decrease in arterial supply to TMJ, which could be correlated with osteoarthritic changes noticed later on. The three-dimensional volume rendering technique of computed tomography angiography is an effective non-invasive diagnostic tool; it allows simultaneous evaluation of boney changes and residual vascularity in previously operated joints.
Revascularization, Temporomandibular Joint, Joint Surgery, CT Volume Rendering Technique
To cite this article
Heba Abdul Wahed Sleem,
Mona Gamalludin Alkaphoury,
Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study), International Journal of Clinical Oral and Maxillofacial Surgery.
Vol. 4, No. 1,
2018, pp. 25-29.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
McMinn, R. M. H.: Last. anatomy regional and applied In: Head and Neck and Spine. Churchill Livingstone, Edinburg, London, p. 523, (1994).
Cuccia A, Caradonna C, Caradonna D, Anastasi G, Milardi D, Favaloro A, De Pietro A, Angileri T, Caradonna L, Cutroneo G. The arterial blood supply of the temporomandibular joint: an anatomical study and clinical Implications. Imaging Science in Dentistry 2013; 43: 37-44.
Patnaik V. Sanju B; Rajan K. Anatomy of Temporomandibular Joint? A ReviewJ Anat. Soc. India 49(2) 191-197 (2000).
Keith D. Complications of temporomandibular joint surgery. Oral Maxillofacial Surg Clin N Am 15 (2003) 187–194.
Patnaik V. Sanju B; Rajan K. Anatomy Of Temporomandibular Joint? A ReviewJ Anat. Soc. India 49(2) 191-197 (2000).
Hoffman, D, Puig L. Complications of TMJ. oral and maxillofacial surgery clinics September 2017.
Cynthia R. Satko, T & David I and Blaustein L. Postsurgical revascularization of the rabbit temporomandibular join A Histologic and Microangiographic Study. J Oral Maxillofac Surg 44:671-076.1966.
Fishman EK, Ney DR. Heath DG, et al: Volume Rendering versus Maximum Intensity Projection in CT Angiography: What Works Best, When, and Why. Radio Graphics 2006; 26:905–922.
The diagnostic contribution of CT volumetric rendering techniques in routine practice Simone Perandini, N Faccioli, A Zaccarella, TJ Re, and R Pozzi Mucelli Indian J Radiol Imaging. 2010 May; 20(2): 92–97.
Hong KC, Freeny PC. Pancreaticoduodenal arcades and dorsal pancreatic artery: comparison of CT angiography with three-dimensional volume rendering, maximum intensity projection, and shaded surface display. AJR Am J Roentgenol 1999; 172:925–931.
Addis KA, Hopper KD, Iyriboz TA, et al. CT angiography: in vitro comparison of five reconstruction methods. AJR Am J Roentgenol 2001; 177: 1171–1176.
Uysal I; Buyukmumcu M; Dogan N; Seker M & Ziylan T Clinical Significance of Maxillary Artery and its Branches: A Cadaver Study and Review of the Literature. Int. J. Morphol., 29(4):1274-1281, 2011.
Takagi. R, westonson. P, ohashi. Y, togashi. H. Mr angiography of the tmj in asymptomatie volunteers. oral radiol. vol. 14 no. 2 1998(69~74).
Kuruoglu E, Cokluk C, Marangoz A, Aydın K. The evaluation of three-dimensional anatomy of the superficial temporal artery using volume rendering technique. Turkish neurosurgery. march, 2014.
Ingawale S and Goswami T. temporomandibular joint: disorders, treatments, and biomechanics. Annals of Biomedical Engineering, Vol. 37, No. 5, May 2009 (_ 2009) pp. 976–996.