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打开牙关:颞下颌关节的先进成像技术

Unlocking the jaw: advanced imaging of the temporomandibular joint.

作者信息

Petscavage-Thomas Jonelle M, Walker Eric A

机构信息

1 Department of Radiology, Penn State Hershey Medical Center, 500 University Dr, Hershey, PA 17033.

出版信息

AJR Am J Roentgenol. 2014 Nov;203(5):1047-58. doi: 10.2214/AJR.13.12177.

Abstract

OBJECTIVE

Temporomandibular joint (TMJ) dysfunction is a common condition, affecting up to 28% of the population. The TMJ can be affected by abnormal dynamics of the disk-condyle complex, degenerative arthritis, inflammatory arthritis, and crystal arthropathy. Less commonly, neoplasms and abnormal morphologic features of the condyle are causes of TMJ symptoms. Cross-sectional imaging is frequently used for diagnosis.

CONCLUSION

Knowledge of the normal imaging appearance of the TMJ, its appearance on radiological examination, and interventional techniques are useful for providing a meaningful radiologic contribution. This article will review normal TMJ anatomy; describe the normal ultrasound, CT, and MRI appearances of TMJ; provide imaging examples of abnormal TMJs; and illustrate imaging-guided therapeutic TMJ injection.

摘要

目的

颞下颌关节(TMJ)功能障碍是一种常见病症,影响多达28%的人群。颞下颌关节可受盘 - 髁复合体的异常动态、退行性关节炎、炎性关节炎和晶体关节病影响。较少见的是,肿瘤和髁突的异常形态特征是颞下颌关节症状的病因。横断面成像常用于诊断。

结论

了解颞下颌关节的正常影像表现、其在放射学检查中的表现以及介入技术,有助于做出有意义的放射学贡献。本文将回顾颞下颌关节的正常解剖结构;描述颞下颌关节的正常超声、CT和MRI表现;提供颞下颌关节异常的影像学示例;并说明影像引导下的颞下颌关节治疗性注射。

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