Departments of Medicine and Radiology, University of Melbourne, Melbourne, Victoria, Australia.
Department of Dentistry, University of Western Australia, Perth, Western Australia, Australia.
J Med Imaging Radiat Oncol. 2021 Feb;65(1):70-78. doi: 10.1111/1754-9485.13119. Epub 2020 Oct 28.
Temporomandibular disorders are common, especially in young to middle-aged women, and most settle with supportive treatment. MRI is the accepted reference standard for the evaluation of the temporomandibular joint and is indicated when significant internal derangement is suspected, in those who do not respond to conservative management and when the diagnosis is no doubt. Multiple pathological processes involving the temporal bone, upper pharynx and neck can mimic temporomandibular disorder secondary to anatomical proximity and referred pain related to shared sensory innervation.
颞下颌关节紊乱是一种常见疾病,尤其好发于中青年女性,多数患者经支持治疗即可缓解。MRI 是评估颞下颌关节的公认参考标准,当怀疑存在明显关节内紊乱、经保守治疗无效或诊断明确时,应进行 MRI 检查。由于解剖位置毗邻和感觉神经分布共享,多种累及颞骨、上咽和颈部的病变过程可表现为类似颞下颌关节紊乱的症状,引发牵涉痛。