Temporomandibular Joint Conditions in Patients with Craniofacial Microsomia (Literature Review)
https://doi.org/10.52560/2713-0118-2022-4-20-29
Abstract
Syndromes of I and II gill arches called maxillofacial dysostoses are accompanied by damage of temporomandibular joint (TMJ). Craniofacial microsomia is one of the of maxillofacial dysostoses. This syndrome has a number of features associated with clinical manifestations which should be taken into account at steps of the diagnosis and treatment of such patients. The degree of mandibular hypoplasia in this pathology can vary from 0 to 3, and it is inversely proportional to the integrity of the articular disc on the side of the lesion. An increased mechanical load on a healthy joint leads to its dysfunction and dislocation of the articular disc at the healthy side. In addition to hypoplasia of bone structures, craniofacial microsomia is accompanied by subatrophy of masticatory muscles and that in couple leads to malocclusion and myodynamic imbalance. Before drawing up a treatment plan it is necessary to study the state of the TMJ on both sides using multislice computed tomography (MSCT) and magnetic resonance imaging (MRI). The approach to treatment should be individual, combined, staged, based on the severity of the symptom complex.
About the Authors
N. I. Imshenetskaya
FGBOU VO “Moscow State University of Medicine and Dentistry named after A. I. Evdokimov”, Ministry of Healthcare of Russia, Department of Pediatric Maxillo-Facial Surgery; Moscow Branch of Medical University “Reaviz”, Department of Dentistry for Postgraduate Studies
Russian Federation
Russian Federation
Imshenetskaya Natal’ya Il’yinichna, Ph. D. Med., assistant professor of the Department of Pediatric Maxillo- Facial Surgery. Teaching Professor, Department of Dentistry for Postgraduate Studies
9a, ul. Vucheticha., Moscow,127206
+7 (916) 702-95-88
D. A. Lezhnev
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia, Department of Radiology; Russian Medical Academy of Continuing Professional Education, Therapeutic Dentistry Department
Russian Federation
Russian Federation
Lezhnev Dmitry Anatol’evich, M. D. Med., Professor, Chairman of the Department of Radiology. Professor, Therapeutic Dentistry Department
9a, ul. Vucheticha., Moscow,127206
+7 (495) 611-01-77
O. Z. Topol’nitskiy
FGBOU VO “Moscow State University of Medicine and Dentistry named after A. I. Evdokimov”, Ministry of Healthcare of Russia, Department of Pediatric Maxillo-Facial Surgery
Russian Federation
Russian Federation
Topol’nitskiy Orest Zinov’evich, M. D. Med., Professor, Chairman of the Department of Pediatric Maxillo-Facial Surgery
9a, ul. Vucheticha., Moscow,127206
+7 (495) 611-43-02
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Review
For citations:
Imshenetskaya N.I., Lezhnev D.A., Topol’nitskiy O.Z. Temporomandibular Joint Conditions in Patients with Craniofacial Microsomia (Literature Review). Radiology - Practice. 2022;(4):20-29. (In Russ.) https://doi.org/10.52560/2713-0118-2022-4-20-29
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