Ultrasound-guided versus blind temporomandibular joint injections: a pilot cadaveric evaluation

Hoon, Yong; Park, Je‐Kyun; Yang, Hun‐Mu; Kim, Shin Hyung

doi:10.1016/j.ijom.2018.09.002

Cited by 18 publications

(49 citation statements)

References 25 publications

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“…Ultrasonography has proven to be one of the non-invasive, real time diagnostic and therapeutic modality which is devoid of ionising radiation unlike CT. It also increases the success rate in accurate application of drugs into the temporomandibular joint space 9,10 . Thus, we decided to proceed with ultrasound guided steroid injection with local anaesthetic for our patient with temporo-mandibular joint arthritis for effective analgesia.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Guided Intra-articular Steroid Injection for Temporo Mandibular Joint Arthritis – A Case Report

H¹,

Parthasarathy²

2019

IJCMR

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Introduction: Temporo-mandibular joint (TMJ) arthritis is one of the distressing features of many polyarthritic disorders because of interference with mastication. Usually bilateral joint affection may be a part a larger profile of multiple joint involvements. Yet, it can present as an isolated entity. Establishing analgesia and improving mouth opening are the key features in the management of the case. Case report: A 23 year old male with no co-morbidities presented with restricted and painful mouth opening and difficulty in mastication for the past two months. He was diagnosed as bilateral temporo-mandibular joint arthritis and referred to us for pain control. Routine investigations were normal. Ultrasound guided intra-articular temporo-mandibular joint injection was administered with a combination of bupivacaine and methylprednisolone bilaterally. There was a significant improvement in mouth opening and pain score VAS < 3 and on a three month follow up, there was no side effects and no requirement for further analgesics. Conclusion: We present such a unique case since there is very little literature on effectiveness of ultrasound guided intraarticular steroid injection on a case of isolated TMJ arthritis in Indian population.

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Section: Discussionmentioning

confidence: 99%

Ultrasound Guided Intra-articular Steroid Injection for Temporo Mandibular Joint Arthritis – A Case Report

H¹,

Parthasarathy²

2019

IJCMR

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“…Ultrasound-guided temporo-mandibular joint (TMJ) injections are performed with high proficiency compared to the conventional blind technique, in particular on targeting the lower joint space. 38 Intra-articular injection of the zygo-apophyseal ( facet) joint is a recognized diagnostic approach of the cervical spine and US-guided technique adds to its accuracy. 39 …”

Section: Interventional Imaging In Rheumatology (Iii-r)mentioning

confidence: 99%

The Emerging Era of Interventional Imaging in Rheumatology: An Overview During the Coronavirus Disease-2019 (COVID-19) Pandemic

Fottouh¹,

Hamdy²,

Ali³

et al. 2022

OARRR

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Imaging has long been taking its place in the diagnosis, monitor, and prognosis of rheumatic diseases. It plays a vital role in the appraisal of treatment. Key progress in the clinical practice of rheumatology is the innovation of advanced imaging modalities; such as musculoskeletal ultrasound (MSUS), computerized tomography (CT) and magnetic resonance imaging (MRI). These modalities introduced a promising noninvasive method for visualizing bone and soft tissues to enable an improved diagnosis. The use of MSUS in rheumatology is considered a landmark in the evolution of the specialty and its ease of use and many applications in rheumatic diseases make it a forerunner instrument in the practice. The use of MSUS among rheumatologists must parallel the development rate of the excellence revealed in the specialty. Moreover, innovative interventional imaging in rheumatology (III-R) is gaining fame and key roles in the near future for a comprehensive management of rheumatic diseases with precision. This review article throws light on the emergence of these robust innovations that may reshape the guidelines and practice in rheumatology, in particular, efforts to enhance best practice during the coronavirus disease 2019 (COVID-19) pandemic are endorsed.

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“…В зв'язку з вищевикладеним, вважаємо, що для повноцінного планування та адекватного проведення забору ЩЖТ необхідним є клінічно-сонографічне вивчення його біометричних параметрів у пацієнтів з різною типологією лиця [6,7].…”

Section: клінічно-сонографічний аналіз біометричних показників товщини щоки та жирового тіла щоки у пацієнтів з різним типом обличчяunclassified

Clinical and Sonographic Analysis of Biometric Indicators of Cheek Thickness and Cheek Fat Body in Patients with Different Face Types

Ruzhytska¹,

Kucher²,

Vovk³

et al. 2021

Ukr. ž. med. bìol. sportu

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The purpose of the study was to conduct a scientific and practical analysis of clinical sonographic results of examination of patients with different face types in the process of planning the reconstruction of facial soft tissues with the involvement of buccal fat pad. Materials and methods. The study was conducted on 28 patients of different age groups (from 20 to 45 years old) with defects and deformities of the tissues of the dental system. Instrumental sonographic analysis of the thickness of the buccal fat body was performed using an ultrasound scanner GE Logiq E (USA), transducer frequency 7.5-12 MHz. The types of buccal fat pad of correct (oval) or irregular (“hourglass”) shapes were determined, as well as its localization in relation to the median axial location of the crown of the first upper molars and the average value of the buccal fat pad thickness with an accuracy of 0.01 mm. Results and discussion. The results of a clinical study of the average value of the thickness of the cheek of patients with mesofacial type of face allowed to establish that on the left its value is 8.94±0.89 mm, on the right side – 9.05±0.82 mm. In patients with brachyfacial type of face on the left the value of the thickness of the cheek is 12.33±1.63 mm, and on the right side – 12.44±1.54 mm. In patients with dolichofacial type of face on the left, the index of the thickness of the cheek reaches the value of 7.53±0.61 mm, on the right side – 8.58±1.093 mm. Statistical significance was determined in comparison with data from the group of patients with mesofacial facial type. The obtained statistical results show mediocre values of buccal fat pad thickness in patients with mesofacial type of face, which are 1.117 times larger than in dolichofacials and 0.73 times smaller than in brachyfacials, which should be taken into account when conducting sonographic studies. Differences in the quantitative values of buccal fat pad thickness, which are established by clinical and sonographic studies conducted in patients with different types of faces is recommended to take into account when choosing surgical approaches during surgical closure of tissue defects of the alveolar processes of the jaws with autologous buccal fat pad. Conclusion. Buccal fat pad has morphological advantages associated with its saturation with cell complexes that have significant degree of vascularization, pliable texture, plasticity and direct participation in the implementation of the basic functions of the maxillofacial area

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Ultrasound-guided versus blind temporomandibular joint injections: a pilot cadaveric evaluation

Cited by 18 publications

References 25 publications

Ultrasound Guided Intra-articular Steroid Injection for Temporo Mandibular Joint Arthritis – A Case Report

Ultrasound Guided Intra-articular Steroid Injection for Temporo Mandibular Joint Arthritis – A Case Report

The Emerging Era of Interventional Imaging in Rheumatology: An Overview During the Coronavirus Disease-2019 (COVID-19) Pandemic

Clinical and Sonographic Analysis of Biometric Indicators of Cheek Thickness and Cheek Fat Body in Patients with Different Face Types

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