MyMedR

Fulltext Breast cancer with isolated metastatic temporomandibular joint: a surgeon’s challenge

Ho, Hui Lian, Firdaus Hayati, Nornazirah Azizan, Andee Dzulkarnaen Zakaria

Borneo Journal of Medical Sciences, 2018;12(3):53-57.

MyJurnal

Breast cancer is the number one malignancy in women worldwide. It tends to metastasize distantly via lymphatic and haematogenous route. Skeletal metastases are frequent with more than three quarter of cases in all malignant bone tumours. Breast cancer can infiltrate the axial bone especially spine, but rarely affect the temporomandibular joint. In view of its rarity and the significance of early detection, the diagnosis is always challenging and shall be considered in the differential diagnosis. We endeavour to highlight this unfortunate 37-year-old premenopausal lady who had just undergone left mastectomy and axillary dissection but was complicated with left temporomandibular joint metastasis.

Matched MeSH terms: Temporomandibular Joint

Fulltext Impact of Temporomandibular Joint Complaints on Tinnitus-Related Distress

Edvall NK, Gunan E, Genitsaridi E, Lazar A, Mehraei G, Billing M, et al.

Front Neurosci, 2019;13:879.

PMID: 31548840 DOI: 10.3389/fnins.2019.00879

There is increasing evidence of associations between the presence of temporomandibular joint (TMJ) disorders and tinnitus. It has been recently proposed that tinnitus patients with TMJ complaints could constitute a subtype, meaning a subgroup of tinnitus patients responsive to specific treatments. Tinnitus patients with TMJ complaints are often young women with somatosensory features of their tinnitus. Here, we investigate the socio-economic factors, phenotypic characteristics and psychological variables of tinnitus subjects from the Swedish Tinnitus Outreach Project, with (n = 486) or without (n = 1,996) TMJ complaints. The prevalence of TMJ complaints was greater in tinnitus subjects with severe tinnitus (36%) when compared to those with any tinnitus (19%), strongly indicating the contribution of TMJ problems to the severity of tinnitus. Comparing subgroups with or without TMJ complaints in the whole sample, differences were found regarding a large number of socioeconomic, phenotypic, and psychological characteristics. Subjects with TMJ complaints were more often women, more often reported stress as the cause of tinnitus, were more severely affected by tinnitus, scored worse in measures of psychological well-being and life quality, and were more often affected by problems tolerating sounds, headache, vertigo/dizziness, and neck pain. In addition, they more often reported pulsating and tonal tinnitus, somatic modulation of tinnitus, and aggravation of tinnitus by loud sounds and stress. When focusing the analysis in subjects with tinnitus as a big problem using the Tinnitus Functional Index cut-off ≥ 48, or with severe tinnitus according to the Tinnitus Handicap Inventory cut-off ≥ 58, the impact of somatosensory modulations and stress on tinnitus were greater in subjects with TMJ complaints in comparison to those without. In light of these results, we hypothesize that stress could contribute to the co-occurrence of TMJ problems and tinnitus and also to the development of severe tinnitus. Our study supports the need of involving dental care and stress management in the holistic treatment of patients with severe tinnitus.

Matched MeSH terms: Temporomandibular Joint; Temporomandibular Joint Disorders

Role of hormonal fluctuations in temporomandibular disorder pain: facts to ponder

Das S, Rajalingham S

Pain, 2012 Jan;153(1):250-251.

PMID: 22119339 DOI: 10.1016/j.pain.2011.10.039

Matched MeSH terms: Temporomandibular Joint Disorders/blood*; Temporomandibular Joint Disorders/drug therapy*

Knowledge of dental pathology in everyday medical diagnosis

Cugadasan V

Med J Malaysia, 1977 Jun;31(4):353-4.

PMID: 927246

Matched MeSH terms: Temporomandibular Joint Dysfunction Syndrome/diagnosis

Management of ankylosed temporomandibular joint in a young child

Boon LC, Nik-Hussein NN

J Pedod, 1990;14(3):136-8.

PMID: 2081129

Various alloplastic and autogenous tissues have been used in attempts to restore facial height and reconstruct temporomandibular articulation. A case is presented where an ectodermal rib graft was used to reconstruct the temporomandibular joint after arthroplasty in a young child.

Matched MeSH terms: Temporomandibular Joint Disorders/surgery*

Septic arthritis of temporomandibular joint

Azmi NS, Mohamad N, Razali NA, Zamli AKT, Sapiai NA

Med J Malaysia, 2021 03;76(2):264-266.

PMID: 33742643

Septic arthritis (SA) occurrence for temporomandibular joint (TMJ) is rare. Pain, fever, swelling or loss of TMJ function are the typical presentation. The more common diagnosis for these presentations is internal derangement, osteoarthritis and rheumatoid arthritis. Therefore, TMJ septic arthritis is a challenging diagnosis and at risk of delayed diagnosis. We present a case of TMJ septic arthritis in a 46 year old Malay female with underlying hypertension and hypercholestrolemia, which was diagnosed as internal derangement in the initial presentation. The initial radiograph was normal. Arthrocentesis procedure had temporarily relieved the symptoms before progressive facial swelling developed after a week. Contrast enhanced computed tomography (CECT) brain revealed left TMJ abscess formation with left condylar erosion. Patient subsequently improved after wound debridement, left condylectomy and antimicrobial therapy.

Matched MeSH terms: Temporomandibular Joint; Temporomandibular Joint Disorders

Temporomandibular Joint Disorders: Is there a Need for Additional Subspeciality in Dentistry?

Arshad S, Awang RA, Malik S

J Coll Physicians Surg Pak, 2021 Aug;31(8):1004.

PMID: 34320727 DOI: 10.29271/jcpsp.2021.08.1004

Null.

Matched MeSH terms: Temporomandibular Joint

Fulltext Assessment of condyle and glenoid fossa morphology using CBCT in South-East Asians

Al-koshab M, Nambiar P, John J

PLoS One, 2015;10(3):e0121682.

PMID: 25803868 DOI: 10.1371/journal.pone.0121682

INTRODUCTION: Proper imaging allows practitioners to evaluate an asymptomatic tempormandibular joint (TMJ) for potential degenerative changes prior to surgical and orthodontic treatment. The recently developed cone-beam computed tomography (CBCT) allows measurement of TMJ bony structures with high accuracy. A study was undertaken to determine the morphology, and its variations, of the mandibular condyle and glenoid fossa among Malay and Chinese Malaysians.

METHODS: CBCT was used to assess 200 joints in 100 subjects (mean age, 30.5 years). i-CAT CBCT software and The Mimics 16.0 software were employed to measure the volume, metrical size, position of each condyle sample and the thickness of the roof of the glenoid fossa (RGF).

RESULTS: No significant gender differences were noted in thickness of the RGF and condylar length; however condylar volume, width, height and the joint spaces were significantly greater among males. With regards to comparison of both TMJs, the means of condylar volume, width and length of the right TMJ were significantly higher, while the means of the left condylar height and thickness of RGF were higher. When comparing the condylar measurements and the thickness of RGF between the two ethnic groups, we found no significant difference for all measurements with exception of condylar height, which is higher among Chinese.

CONCLUSION: The similarity in measurements for Malays and Chinese may be due to their common origin. This information can be clinically useful in establishing the diagnostic criteria for condylar volume, metrical size, and position in the Malaysian East Asians population.

Matched MeSH terms: Temporomandibular Joint/anatomy & histology*

Displaying publications 21 - 28 of 28 in total