Demir Mehmet Gökhan
Istanbul Medical School, Department Oral and Maxillofacial Surgery, Istanbul University, Istanbul, Turkey.
Cranio. 2025 Mar;43(2):307-311. doi: 10.1080/08869634.2022.2128591. Epub 2022 Sep 28.
To compare patients' complaints, clinician's examination findings, and magnetic resonance imaging (MRI) findings by considering gender.
Temporomandibular joint (TMJ) pain, difficulty in mouth opening, masseter tenderness, deviation, clicking sound, bruxism, restriction, normal occlusion and normal mouth opening symptoms, and findings of temporomandibular disorder (TMD) patients who came to the author's outpatient clinic were recorded. These recordings were compared with MRI.
In the study, symptoms, signs, and MRIs of 276 TMD patients were analyzed, including gender. No difference was observed in terms of symptoms, signs, or MRI results for either gender. MRI findings were correlated with restriction and normal mouth opening in both groups ( < 0.05). Normal MRI findings were observed in 52.5% of the MRI results.
Except for normal mouth opening and limitation, MRI findings did not provide a significant result. Therefore, careful detection of symptoms and signs rather than MRI helps in diagnosis.
通过考虑性别来比较患者的主诉、临床医生的检查结果和磁共振成像（MRI）结果。
记录颞下颌关节（TMJ）疼痛、张口困难、咬肌压痛、偏斜、弹响、磨牙症、受限、正常咬合和正常张口症状，以及前来作者门诊就诊的颞下颌关节紊乱病（TMD）患者的检查结果。将这些记录与MRI结果进行比较。
在该研究中，对276例TMD患者的症状、体征和MRI进行了分析，包括性别。在症状、体征或MRI结果方面，未观察到性别差异。两组的MRI结果均与受限和正常张口相关（P<0.05）。在52.5%的MRI结果中观察到正常的MRI表现。
除了正常张口和受限外，MRI结果未提供显著结果。因此，仔细检测症状和体征而非MRI有助于诊断。
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