_section of a normal tmj semmelweis egyetem一個正常的顳下頜關(guān)節(jié)解剖斷面semmelweis 課件

1、Radiographic examinations of the temporomandibular joint,Dobó-Nagy, CsabaSemmelweis University,Knowledge required by clinicians,Anatomy Available investigationsClinical indicationsHow each investigation is perfo

2、rmedpositionopen or closedLimitations Pathological conditions,Anatomical section of a normal TMJ,,lateral pterygoid muscle,,,Skull base model,A,P,,,,,,,,,,L,R,Visualization of the TMJ,Main radiographyc projections of

3、 the TMJ,,,,,,TrCran,TrPhar,TrOrb,SMV,,RevTowne,Transcranial projection,Reverse Towne’s,Transorbital,Transpharyngeal (Parma),Dental panoramic tomograph,Condylar silhouette,Projection of panoramic tomography,Double latera

4、l view of TMJ,SMV,Corrected tomography,Limitations of routin radiographic projections,Soft tissue abnormalitiesEffusion Small and localised bony defectsOne aspect of the joint (except for tomography),Main pathological

5、 signs of TMJ,Adaptive response,,Osteophyte formation,,,Fracture,osteochondroma,,,,,Dislocaition of disk without reduction,Diagnostic informations of MR,Disk displacementThe integrity of the disk and its soft tissue att

6、achmentsEffusion (T2-weighted image)Integrity of the articular surfaceResearch (gold standard),CT coronal view,CT sagittal view,CBCT imaging of a normal TMJ,CBCT examination of arthritis,,Osteophyte,Ankylosis,Diagnost

7、ic informations of CT,The shape of the bony compartmentsInformation on all aspects of the jointThe condition of the articular surfaceThe size of the joint spaceIntegrity of the disk and soft tissue attachements,Size

8、of TMJ space and soft tissue changes,Diagnostic informations by modalities,Suggested hierarchy of imaging modalities in TMJ disease,panoramic,MRI,tomography,CBCT, CT,soft tissue changes,bone changes,,,,Primary examinatio