著者
Kiyomi Kohinata Kunihito Matsumoto Toshihiro Suzuki Mari Tsunoda Yusuke Hayashi Masao Araki Koji Hashimoto Kazuya Honda
出版者
日本大学歯学部
雑誌
Journal of Oral Science (ISSN:13434934)
巻号頁・発行日
vol.58, no.1, pp.29-34, 2016 (Released:2016-03-26)
参考文献数
22
被引用文献数
5 1

As part of our ongoing investigation of risk and predictive factors associated with temporomandibular disorders, we used magnetic resonance imaging (MRI) to identify risk factors for sideways disk displacement of the temporomandibular joint in 26 patients with MRI-confirmed unilateral pure sideways disk displacement (medial or lateral disk displacement) and normal positioning of the contralateral temporomandibular joint. Coronal morphologic harmonization between the condyle and fossa, angle between the axis of the ramus and condyle, and angle between the lateral pterygoid muscle (LPM) and condyle were evaluated. Only angle of the LPM related to the condyle was significantly correlated with mediolateral disk position; the angles of joints with medial, normal, and lateral disk positions were 70.2°, 66.7°, and 60.1°, respectively. These results suggest that a greater angle of the inferior head of the LPM to the axis of the condyle on axial MRI images may cause medial disk displacement, while a smaller angle may result in lateral disk displacement. (J Oral Sci 58, 29-34, 2016)
著者
Kunihiko Sawada Dirk Schulze Kunihito Matsumoto Shigenori Hirai Koji Hashimoto Kazuya Honda
出版者
日本大学歯学部
雑誌
Journal of Oral Science (ISSN:13434934)
巻号頁・発行日
vol.57, no.4, pp.389-392, 2015 (Released:2015-12-13)
参考文献数
8
被引用文献数
8

We describe a rare case of osteochondroma of the coronoid process of mandible accompanied by severe trismus in a 14-year-old Japanese boy. The patient had initially been diagnosed as having internal derangement of the temporomandibular joint (TMJ), and conservative treatment had failed to improve the symptoms. Despite extremely limited TMJ movement, panoramic radiography revealed no abnormality, but magnetic resonance imaging suggested internal derangement of the left TMJ. Five months later, the trismus worsened and computed tomography revealed a bone-like mass confluent with the coronoid process, which was finally diagnosed as osteochondroma. The patient then underwent intra-oral coronoidectomy. (J Oral Sci 57, 389-392, 2015)