Vanneroy F, Claudon M, Bresson A, Treheux A, Stricker M, Chassagne J F, Flot F, Rozencweig D
Département de Radiologie, CHU Nancy-Barbois.
J Radiol. 1989 Feb;70(2):127-32.
Among 500 CT scan of temporomandibular joint (TMJ), examined since 1982 by bilateral direct sagittal method (Department of Radiology, Pr. A. TREHEUX, CHU Nancy-Brabois), the authors have retained 14 cases of patients with symptoms related to TMJ's dysfunction cured by surgery (Department of Maxillo Facial Surgery, Pr STRICKER, CHU Nancy). These cases were chosen among hundred patients annually examined by CT scan, for various diseases (TMJ's dysfunctions, traumatisms, infections, inflammatory diseases...). These correlations between radiology and surgery about 26 TMJ (2 patients underwent surgery only on one side) were: an accuracy with surgical findings for 19 cases (76%); in 6 cases (23%), a meniscus anteriorly displaced, non detected by CT scan was found by surgery; 2 cases of meniscus perforations (one in the frontal plane, the other sagittal) were surgical findings; in 1 case, a displacement was under-valued by CT scan; in 3 cases, arthrosic changes (1 case of Reiter syndrome), were characterized by CT scan. The authors emphasize the value and the limits of evaluation of the internal derangements of the TMJ with direct sagittal CT.
自1982年以来，在采用双侧直接矢状位方法（南锡-布拉博瓦大学附属医院放射科，A. 特雷厄教授）检查的500例颞下颌关节（TMJ）CT扫描中，作者选取了14例因TMJ功能障碍症状而接受手术治疗后治愈的患者（颌面外科，斯特里克教授，南锡大学附属医院）。这些病例是从每年因各种疾病（TMJ功能障碍、创伤、感染、炎症性疾病等）接受CT扫描检查的数百名患者中挑选出来的。关于26个TMJ（2例患者仅一侧接受手术）的影像学与手术结果的相关性如下：19例（76%）与手术发现相符；6例（23%）手术发现了CT扫描未检测到的半月板向前移位；2例半月板穿孔（1例为冠状面，另1例为矢状面）为手术发现；1例移位在CT扫描中被低估；3例关节病变（1例赖特综合征）通过CT扫描得以明确。作者强调了直接矢状位CT对TMJ内部紊乱评估的价值及局限性。
