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
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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
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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. doi: 10.11648/j.ijcoms.20180401.15
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This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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