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KMID : 0353319920160010269
Oral Biology Research
1992 Volume.16 No. 1 p.269 ~ p.290
A STUDY ON TEMPOROMANDIBULAR JOINT DYSFUNCTION USING MAGNETIC RESONANCE IMAGING
Lee Moon-Bae

Kim Jae-Deok
Abstract
The temporomandibular joint was evaluated using magnetic resonance imaging using a surface coil in 11 patients having reciprocal clicking or locking and compared with the normal joint in five subjects.
Serial multisection 3mm-thick parasagittal, paracoronal, and axial image on both closing and opening mouth were obtained with a 1.5 Tesla MR system and surface coil using CSMEMP, GRASS, MPGR, powerful extensions of fast imaging that is currently
under
clinical evaluation.
MR images obtained were analized correlating with the theory of internal derangement.
@ES The obtained results were as follows:
@EN 1. The serial findings of structures in joint were determined on the serially sectioned images of joint with reciprocal clicking or locking by CSMEMP and MPGR on closing mouth.
2. The delta shaped white images of synovial fluid in the glenoid fossa and on the posterior surface of condyle were revealed on the parasagittal images by MPGR on opening mouth as in the normal joints.
3. The white image of joint fluid surrounding meniscus was recognized on the paracoronal image by GRASS on opening mouth as in the normal joints.
4. In joints having temporomandibular dysfunction the smooth image of displaced meniscus was recognized, but otherwise in the normal joints the image of muscle was noted on the paracoronal image sectioned at the anterior portion of condyle by
GRASS.
5. The more thickened fascial plane between superior and inferior belly of lateral pterygoid muscle was not recognizable in joints having temporomandibular dysfuction than in the normal joints.
KEYWORD
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