Correlation between joint effusion and clinical symptoms,magnetic resonance imaging and arthroscopic findings in patients with temporomandibular joint disease |
| |
| Institution: | 1. Department of Oral and Maxillofacial Surgery and Aesthetic Medicine, Diagonal Clinic, Barcelona, Spain;2. Temporomandibular Joint Subdivision, Department of Oral and Maxillofacial Surgery, University Hospital La Princesa, Madrid, Spain;3. Department of Traumatology, University Hospital La Princesa, Madrid, Spain;1. Maxillo-Facial Specialist in the Maxillo-Facial Surgery Operative Unit, Head and Neck Department, University of Parma, Via Gramsci 14, 43126, Parma, Italy;2. Resident in the Maxillo-Facial Surgery Operative Unit, Head and Neck Department, University of Parma, Italy;3. Department of Medicine and Surgery, University of Parma, Italy;4. Head of the Maxillo-Facial Surgery Operative Unit, Head and Neck Department, University of Parma, Italy;5. Head and Neck Department, University of Parma, Italy;1. Oral and Maxillofacial Surgery – João de Barros Barreto University Hospital, Augusto Corrêa, 01, Guamá. CEP, 66075-110, Belém, PA, Brazil;2. Msc and PhD Student in Oral and Maxillofacial Surgery – Federal University of Pará, Augusto Corrêa, 01, Guamá. CEP, 66075-110, Belém, PA, Brazil;3. Oral and Maxillofacial Surgery – Brazilian Dental Association, Augusto Corrêa, 01, Guamá. CEP, 66075-110, Belém, PA, Brazil;4. Oral and Maxillofacial Surgery – Getúlio Vargas Hospital, Recife, Brazil;5. Msc in Oral and Maxillofacial Surgery – Federal University of Pará, Augusto Corrêa, 01, Guamá. CEP, 66075-110, Belém, PA, Brazil;6. Master Student in Oral and Maxillofacial Surgery – Federal University of Pará, Augusto Corrêa, 01, Guamá. CEP, 66075-110, Belém, PA, Brazil;7. PhD in Neurosciences and Cell Biology – Federal University of Pará, Augusto Corrêa, 01, Guamá. CEP, 66075-110, Belém, PA, Brazil;8. Oral and Maxillofacial Surgery, Irmandade da Santa Casa de Misericórdia Hospital, São Paulo, Brazil;1. Hospital General Universitario Albacete, Albacete, Spain;2. University of Miami Health System, Department of Oral and Maxillofacial Surgery, Miami, USA;3. Ospedale Universitario Maggiore, Parma, Italy;1. Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile;2. Department of Oral & Maxillofacial Surgery, Hospital Carlos Van Buren, Valparaíso, Chile;3. Deptartment of Paediatrics, Obstetrics and Gynaecology and Preventive Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain;4. Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile;5. Faculty of Dentistry, Universidad San Sebastián, Puerto Montt, Chile;6. Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Universidad de Chile, Chile;7. Department of Oral & Maxillofacial Surgery, Hospital Clínico San Borja-Arriarán, Chile;8. Cochrane Center at Faculty of Dentistry, University of Chile, Chile;9. Center for Epidemiology and Surveillance of Oral Disease (CEVEO), Faculty of Dentistry, Universidad de Chile, Santiago, Chile;10. Department of Medical Technology, Faculty of Medicine, Universidad de Chile, Santiago, Chile;11. Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Universidad de los Andes, Santiago, Chile;12. Department of Oral & Maxillofacial Surgery, Clínica Universidad de Los Andes, Santiago, Chile;13. Instituto Cirugía y Especialidades Odontológicas (ICEO), Clínica Estoril, Santiago, Chile;14. Faculty of Dentistry, Universidad de Valparaíso, Chile;15. Department of Oral & Maxillofacial Surgery, Hospital Naval Almirante Nef, Viña del Mar, Chile;p. Health Services Research Group IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain;q. CIBER en Epidemiología y Salud Pública, CIBERESP, Spain;1. University of Milan, Smile House, Regional Center for CLP, Department of Maxillo-Facial Surgery, Santi Paolo and Carlo Hospital, Via di Rudinì 8, 20142, Milan, Italy;2. San Gerardo Hospital, Monza, Italy |
| |
| Abstract: | ObjectivesThe aim of this study was to evaluate the relationship between temporomandibular joint (TMJ) effusions and clinical, magnetic resonance imaging and arthroscopic variables.MethodsWe designed a retrospective cohort study of patients attending our Department who presented temporomandibular joint disease according to the Research Diagnostic Criteria for Temporomandibular Disorders. According to the presence of effusion in magnetic resonance imaging, the sample was divided into 2 groups: patients with or without joint effusion.ResultsA total of 203 patients fulfilled the inclusion criteria, of which 99 (48.8%) showed no joint effusion and 104 (51.2%) presented effusion. We found no significant differences between clinical variables and joint effusion. However, patients without effusion showed significantly longer duration of symptoms that patients with effusion (mean = 34.8 months, standard deviation = 43.41 vs 20.25, 23.76; p = 0.005). We found no significant differences in magnetic resonance imaging and arthroscopic variables associated with the presence of effusions. For both groups, there were statistically significant differences in values of mean pain scores and mean maximum interincisal distance between the different times of examination (before surgery and 3, 6 and 12 months after surgery).ConclusionJoint effusion is not associated with clinical, imaging or arthroscopic variables, but may be a clinical characteristic of early stages of temporomandibular joint disease. |
| |
| Keywords: | Temporomandibular joint Joint effusion Temporomandibular joint disease |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
