Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study)

Heba Abdul Wahed Sleem; Mona Gamalludin Alkaphoury

doi:doi:10.11648/j.ijcoms.20180401.15

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Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study)

Heba Abdul Wahed Sleem, Mona Gamalludin Alkaphoury

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 4, Issue 1)

Received: 1 July 2018 Accepted: 17 July 2018 Published: 27 August 2018

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Abstract

The present study aimed to trace the arterial blood supply of Tempromandibular joint after open joint procedures using CT volume rendering technique. To achieve this goal six operated joints with residual symptoms radiographed one year post-operatively. Computed tomographic scanning with intravenous contrast, were examined. The direct volume rendering technique of CT images was used, and a data set of images to demonstrate the vasculature of the human Tempromandibular joint in three dimensions. After elaboration of the data through post-processing, the arterial supply of the Tempromandibular joint was compared to reference anatomy. The most commonly injured arteries are anterior tympanic, masseteric, superficial temporal arteries (detection rate 33%, 33%, 50% respectively). Furthermore, osteoarthritic changes, synovial and articular cartilage calcifications with detached bony fragments were noticed that could be attributed to vascular injury. Open joint procedures are associated with significant decrease in arterial supply to TMJ, which could be correlated with osteoarthritic changes noticed later on. The three-dimensional volume rendering technique of computed tomography angiography is an effective non-invasive diagnostic tool; it allows simultaneous evaluation of boney changes and residual vascularity in previously operated joints.

Published in	International Journal of Clinical Oral and Maxillofacial Surgery (Volume 4, Issue 1)
DOI	10.11648/j.ijcoms.20180401.15
Page(s)	25-29
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Revascularization, Temporomandibular Joint, Joint Surgery, CT Volume Rendering Technique

References

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[2]	Cuccia A, Caradonna C, Caradonna D, Anastasi G, Milardi D, Favaloro A, De Pietro A, Angileri T, Caradonna L, Cutroneo G. The arterial blood supply of the temporomandibular joint: an anatomical study and clinical Implications. Imaging Science in Dentistry 2013; 43: 37-44.
[3]	Patnaik V. Sanju B; Rajan K. Anatomy of Temporomandibular Joint? A ReviewJ Anat. Soc. India 49(2) 191-197 (2000).
[4]	Keith D. Complications of temporomandibular joint surgery. Oral Maxillofacial Surg Clin N Am 15 (2003) 187–194.
[5]	Patnaik V. Sanju B; Rajan K. Anatomy Of Temporomandibular Joint? A ReviewJ Anat. Soc. India 49(2) 191-197 (2000).
[6]	Hoffman, D, Puig L. Complications of TMJ. oral and maxillofacial surgery clinics September 2017.
[7]	Cynthia R. Satko, T & David I and Blaustein L. Postsurgical revascularization of the rabbit temporomandibular join A Histologic and Microangiographic Study. J Oral Maxillofac Surg 44:671-076.1966.
[8]	Fishman EK, Ney DR. Heath DG, et al: Volume Rendering versus Maximum Intensity Projection in CT Angiography: What Works Best, When, and Why. Radio Graphics 2006; 26:905–922.
[9]	The diagnostic contribution of CT volumetric rendering techniques in routine practice Simone Perandini, N Faccioli, A Zaccarella, TJ Re, and R Pozzi Mucelli Indian J Radiol Imaging. 2010 May; 20(2): 92–97.
[10]	Hong KC, Freeny PC. Pancreaticoduodenal arcades and dorsal pancreatic artery: comparison of CT angiography with three-dimensional volume rendering, maximum intensity projection, and shaded surface display. AJR Am J Roentgenol 1999; 172:925–931.
[11]	Addis KA, Hopper KD, Iyriboz TA, et al. CT angiography: in vitro comparison of five reconstruction methods. AJR Am J Roentgenol 2001; 177: 1171–1176.
[12]	Uysal I; Buyukmumcu M; Dogan N; Seker M & Ziylan T Clinical Significance of Maxillary Artery and its Branches: A Cadaver Study and Review of the Literature. Int. J. Morphol., 29(4):1274-1281, 2011.
[13]	Takagi. R, westonson. P, ohashi. Y, togashi. H. Mr angiography of the tmj in asymptomatie volunteers. oral radiol. vol. 14 no. 2 1998(69~74).
[14]	Kuruoglu E, Cokluk C, Marangoz A, Aydın K. The evaluation of three-dimensional anatomy of the superficial temporal artery using volume rendering technique. Turkish neurosurgery. march, 2014.
[15]	Ingawale S and Goswami T. temporomandibular joint: disorders, treatments, and biomechanics. Annals of Biomedical Engineering, Vol. 37, No. 5, May 2009 (_ 2009) pp. 976–996.

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APA Style

Heba Abdul Wahed Sleem, Mona Gamalludin Alkaphoury. (2018). Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study). International Journal of Clinical Oral and Maxillofacial Surgery, 4(1), 25-29. https://doi.org/10.11648/j.ijcoms.20180401.15

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ACS Style

Heba Abdul Wahed Sleem; Mona Gamalludin Alkaphoury. Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study). Int. J. Clin. Oral Maxillofac. Surg. 2018, 4(1), 25-29. doi: 10.11648/j.ijcoms.20180401.15

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AMA Style

Heba Abdul Wahed Sleem, Mona Gamalludin Alkaphoury. Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study). Int J Clin Oral Maxillofac Surg. 2018;4(1):25-29. doi: 10.11648/j.ijcoms.20180401.15

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@article{10.11648/j.ijcoms.20180401.15,
  author = {Heba Abdul Wahed Sleem and Mona Gamalludin Alkaphoury},
  title = {Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study)},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {4},
  number = {1},
  pages = {25-29},
  doi = {10.11648/j.ijcoms.20180401.15},
  url = {https://doi.org/10.11648/j.ijcoms.20180401.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20180401.15},
  abstract = {The present study aimed to trace the arterial blood supply of Tempromandibular joint after open joint procedures using CT volume rendering technique. To achieve this goal six operated joints with residual symptoms radiographed one year post-operatively. Computed tomographic scanning with intravenous contrast, were examined. The direct volume rendering technique of CT images was used, and a data set of images to demonstrate the vasculature of the human Tempromandibular joint in three dimensions. After elaboration of the data through post-processing, the arterial supply of the Tempromandibular joint was compared to reference anatomy. The most commonly injured arteries are anterior tympanic, masseteric, superficial temporal arteries (detection rate 33%, 33%, 50% respectively). Furthermore, osteoarthritic changes, synovial and articular cartilage calcifications with detached bony fragments were noticed that could be attributed to vascular injury. Open joint procedures are associated with significant decrease in arterial supply to TMJ, which could be correlated with osteoarthritic changes noticed later on. The three-dimensional volume rendering technique of computed tomography angiography is an effective non-invasive diagnostic tool; it allows simultaneous evaluation of boney changes and residual vascularity in previously operated joints.},
 year = {2018}
}

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TY  - JOUR
T1  - Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study)
AU  - Heba Abdul Wahed Sleem
AU  - Mona Gamalludin Alkaphoury
Y1  - 2018/08/27
PY  - 2018
N1  - https://doi.org/10.11648/j.ijcoms.20180401.15
DO  - 10.11648/j.ijcoms.20180401.15
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 25
EP  - 29
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20180401.15
AB  - The present study aimed to trace the arterial blood supply of Tempromandibular joint after open joint procedures using CT volume rendering technique. To achieve this goal six operated joints with residual symptoms radiographed one year post-operatively. Computed tomographic scanning with intravenous contrast, were examined. The direct volume rendering technique of CT images was used, and a data set of images to demonstrate the vasculature of the human Tempromandibular joint in three dimensions. After elaboration of the data through post-processing, the arterial supply of the Tempromandibular joint was compared to reference anatomy. The most commonly injured arteries are anterior tympanic, masseteric, superficial temporal arteries (detection rate 33%, 33%, 50% respectively). Furthermore, osteoarthritic changes, synovial and articular cartilage calcifications with detached bony fragments were noticed that could be attributed to vascular injury. Open joint procedures are associated with significant decrease in arterial supply to TMJ, which could be correlated with osteoarthritic changes noticed later on. The three-dimensional volume rendering technique of computed tomography angiography is an effective non-invasive diagnostic tool; it allows simultaneous evaluation of boney changes and residual vascularity in previously operated joints.
VL  - 4
IS  - 1
ER  -

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Author Information

Heba Abdul Wahed Sleem

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Ain Shams University, Cairo, Egypt
Mona Gamalludin Alkaphoury

Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

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Plain Text BibTeX RIS

APA Style

Heba Abdul Wahed Sleem, Mona Gamalludin Alkaphoury. (2018). Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study). International Journal of Clinical Oral and Maxillofacial Surgery, 4(1), 25-29. https://doi.org/10.11648/j.ijcoms.20180401.15

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ACS Style

Heba Abdul Wahed Sleem; Mona Gamalludin Alkaphoury. Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study). Int. J. Clin. Oral Maxillofac. Surg. 2018, 4(1), 25-29. doi: 10.11648/j.ijcoms.20180401.15

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AMA Style

Heba Abdul Wahed Sleem, Mona Gamalludin Alkaphoury. Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study). Int J Clin Oral Maxillofac Surg. 2018;4(1):25-29. doi: 10.11648/j.ijcoms.20180401.15

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@article{10.11648/j.ijcoms.20180401.15,
  author = {Heba Abdul Wahed Sleem and Mona Gamalludin Alkaphoury},
  title = {Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study)},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {4},
  number = {1},
  pages = {25-29},
  doi = {10.11648/j.ijcoms.20180401.15},
  url = {https://doi.org/10.11648/j.ijcoms.20180401.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20180401.15},
  abstract = {The present study aimed to trace the arterial blood supply of Tempromandibular joint after open joint procedures using CT volume rendering technique. To achieve this goal six operated joints with residual symptoms radiographed one year post-operatively. Computed tomographic scanning with intravenous contrast, were examined. The direct volume rendering technique of CT images was used, and a data set of images to demonstrate the vasculature of the human Tempromandibular joint in three dimensions. After elaboration of the data through post-processing, the arterial supply of the Tempromandibular joint was compared to reference anatomy. The most commonly injured arteries are anterior tympanic, masseteric, superficial temporal arteries (detection rate 33%, 33%, 50% respectively). Furthermore, osteoarthritic changes, synovial and articular cartilage calcifications with detached bony fragments were noticed that could be attributed to vascular injury. Open joint procedures are associated with significant decrease in arterial supply to TMJ, which could be correlated with osteoarthritic changes noticed later on. The three-dimensional volume rendering technique of computed tomography angiography is an effective non-invasive diagnostic tool; it allows simultaneous evaluation of boney changes and residual vascularity in previously operated joints.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Revascularization of Temporomandibular Joint After Surgical Intervention Using CT Volume Rendering Technique (Clinical Study)
AU  - Heba Abdul Wahed Sleem
AU  - Mona Gamalludin Alkaphoury
Y1  - 2018/08/27
PY  - 2018
N1  - https://doi.org/10.11648/j.ijcoms.20180401.15
DO  - 10.11648/j.ijcoms.20180401.15
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 25
EP  - 29
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20180401.15
AB  - The present study aimed to trace the arterial blood supply of Tempromandibular joint after open joint procedures using CT volume rendering technique. To achieve this goal six operated joints with residual symptoms radiographed one year post-operatively. Computed tomographic scanning with intravenous contrast, were examined. The direct volume rendering technique of CT images was used, and a data set of images to demonstrate the vasculature of the human Tempromandibular joint in three dimensions. After elaboration of the data through post-processing, the arterial supply of the Tempromandibular joint was compared to reference anatomy. The most commonly injured arteries are anterior tympanic, masseteric, superficial temporal arteries (detection rate 33%, 33%, 50% respectively). Furthermore, osteoarthritic changes, synovial and articular cartilage calcifications with detached bony fragments were noticed that could be attributed to vascular injury. Open joint procedures are associated with significant decrease in arterial supply to TMJ, which could be correlated with osteoarthritic changes noticed later on. The three-dimensional volume rendering technique of computed tomography angiography is an effective non-invasive diagnostic tool; it allows simultaneous evaluation of boney changes and residual vascularity in previously operated joints.
VL  - 4
IS  - 1
ER  -

Copy | Download