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MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy

Received: 2 October 2020    Accepted: 2 November 2020    Published: 11 November 2020
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Abstract

The aim of this study was to radiologically evaluate dermis-fat graft and temporalis muscle flap as replacements after TMJ discectomy. Patients and methods: fourteen female patients were categorized into two equal groups (seven patients on each group,) group (A) and group (B). Group A underwent TMJ discectomy followed by interpositional muscle flap. Group B underwent TMJ discectomy followed by interpositional dermis-fat graft. Pre-operative MRI (T1, T2 and proton density) were obtained in addition to 3 months and 12 months post-operative MRI for comparison and follow up of the graft. Results: Temporalis muscle flaps were diagnosed in all group (A) patients (12 joints). The dermis-fat graft was detected within the operated joints or surrounding the condyle in three patients of group B while mostly resorbed in the other four patients after one year follow up. Conclusion: Discectomy and dermis-fat graft appears to be a successful surgical option regarding to the clinical parameters. However, summed degenerative changes depending on surgical operation should be retained. Temporalis muscle flap still the gold standard after TMJ menesictomy.

Published in International Journal of Medical Imaging (Volume 8, Issue 4)
DOI 10.11648/j.ijmi.20200804.14
Page(s) 89-92
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), 2024. Published by Science Publishing Group

Keywords

Temporalis Muscle Flap, TMJ Discectomy, Dermis-Fat Graft

References
[1] Dimitroulis G, McCullough M& Morrison W. Quality-of-Life Survey Comparing Patients Before and After Discectomy of the Temporomandibular Joint. Journal of Oral and Maxillofacial Surgery, 68 (1), 101–106, 2010.
[2] Eriksson L & Westesson PL. Discectomy as an effective treatment for painful temporomandibular joint internal derangement: A 5-year clinical and radiographic follow-up. Journal of Oral and Maxillofacial Surgery, 59 (7), 750–758, 2001.
[3] Holmlund AB. Surgery for TMJ internal derangement. Evaluation of treatment outcome and criteria for success. International Journal of Oral and Maxillofacial Surgery, 22 (2), 75–77, 1993.
[4] Holmlund A, Lund B & Weiner CK. Discectomy without replacement for the treatment of painful reciprocal clicking or catching and chronic closed lock of the temporomandibular joint: a clinical follow-up audit. British Journal of Oral and Maxillofacial Surgery, 51 (8), e211–e214, 2013.
[5] Ioannides C & Freihofer HP. Replacement of the damaged interarticular disc of the TMJ. Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 16 (6), 273–278, 1988.
[6] Mackay DR, Manders EK, Saggers GC, Schenden MJ & Zaino R. The fate of dermal and dermal-fat grafts. Annals of Plastic Surgery, 31 (1), 42–46, 1993.
[7] Georgiade N, Altany F & pickrell k. An experimental and clinical evaluation of autogenous dermal grafts used in the treatment of temporomandibular joint ankylosis. Plastic and Reconstructive Surgery (1946), 19 (4), 321–336, 1957.
[8] Edwards SP&Feinberg SE. The temporalis muscle flap in contemporary oral and maxillofacial surgery. Oral and Maxillofacial Surgery Clinics of North America, 15 (4), 513–535, 2003.
[9] Feinberg SE& Larsen PE. The use of a pedicled temporalis muscle-pericranial flap for replacement of the TMJ disc: preliminary report. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 47 (2), 142–146, 1989.
[10] Okeson JP. Management of Temporomandibular Disorders and Occlusion, 2007.
[11] Takaku S, Sano T & Yoshida M. Long-term magnetic resonance imaging after temporomandibular joint discectomy without replacement. Journal of Oral and Maxillofacial Surgery, 58 (7), 739–745, 2000.
[12] Takaku S & Toyoda T. Long-term evaluation of discectomy of the temporomandibular joint. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 52 (7), 722-6-8, 1994.
[13] Tolvanen M, Oikarinen VJ & Wolf J. A 30-year follow-up study of temporomandibular joint meniscectomies: a report on five patients. The British Journal of Oral & Maxillofacial.
[14] Dimitroulis G, Trost N & Morrison W. The radiological fate of dermis-fat grafts in the human temporomandibular joint using magnetic resonance imaging. International Journal of Oral and Maxillofacial Surgery, 37 (3), 249–254, 2008.
[15] McKenna SJ. Discectomy for the treatment of internal derangements of the temporomandibular joint. Journal of Oral and Maxillofacial Surgery, 59 (9), 1051–1056, 2001.
[16] Politi M, Sembronio S, Robiony M, Costa F, Toro C & Undt G. High condylectomy and disc repositioning compared to arthroscopic lysis, lavage, and capsular stretch for the treatment of chronic closed lock of the temporomandibular joint. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 103 (1), 27–33, 2007.
[17] Brusati R, Raffaini M, Sesenna E& Bozzetti A. The temporalis muscle flap in temporo-mandibular joint surgery. Journal of Cranio-Maxillofacial Surgery, 18 (8), 352–358, 1990.
[18] N Kawaguchi, K Toriyama, E Nicodemou-Lena, K Inou, S Torii, Y Kitagawa. De novo adipogenesis in mice at the site of injection of basement membrane and basic fibroblast growth factor. Proc Natl Acad Sci U S A, 3; 95 (3): 1062-6, 1998 Feb.
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    Fatma Wageeh Attya, Moustafa Mohamed El-Sayed Taha, Ahmed Mohamed Salah, Mahmoud El-Shamy, Mohammed Abd El-Mageed Katamesh, et al. (2020). MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy. International Journal of Medical Imaging, 8(4), 89-92. https://doi.org/10.11648/j.ijmi.20200804.14

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    ACS Style

    Fatma Wageeh Attya; Moustafa Mohamed El-Sayed Taha; Ahmed Mohamed Salah; Mahmoud El-Shamy; Mohammed Abd El-Mageed Katamesh, et al. MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy. Int. J. Med. Imaging 2020, 8(4), 89-92. doi: 10.11648/j.ijmi.20200804.14

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    AMA Style

    Fatma Wageeh Attya, Moustafa Mohamed El-Sayed Taha, Ahmed Mohamed Salah, Mahmoud El-Shamy, Mohammed Abd El-Mageed Katamesh, et al. MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy. Int J Med Imaging. 2020;8(4):89-92. doi: 10.11648/j.ijmi.20200804.14

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  • @article{10.11648/j.ijmi.20200804.14,
      author = {Fatma Wageeh Attya and Moustafa Mohamed El-Sayed Taha and Ahmed Mohamed Salah and Mahmoud El-Shamy and Mohammed Abd El-Mageed Katamesh and Mohamed Galal Gamal El-Deen Beheiri},
      title = {MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy},
      journal = {International Journal of Medical Imaging},
      volume = {8},
      number = {4},
      pages = {89-92},
      doi = {10.11648/j.ijmi.20200804.14},
      url = {https://doi.org/10.11648/j.ijmi.20200804.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20200804.14},
      abstract = {The aim of this study was to radiologically evaluate dermis-fat graft and temporalis muscle flap as replacements after TMJ discectomy. Patients and methods: fourteen female patients were categorized into two equal groups (seven patients on each group,) group (A) and group (B). Group A underwent TMJ discectomy followed by interpositional muscle flap. Group B underwent TMJ discectomy followed by interpositional dermis-fat graft. Pre-operative MRI (T1, T2 and proton density) were obtained in addition to 3 months and 12 months post-operative MRI for comparison and follow up of the graft. Results: Temporalis muscle flaps were diagnosed in all group (A) patients (12 joints). The dermis-fat graft was detected within the operated joints or surrounding the condyle in three patients of group B while mostly resorbed in the other four patients after one year follow up. Conclusion: Discectomy and dermis-fat graft appears to be a successful surgical option regarding to the clinical parameters. However, summed degenerative changes depending on surgical operation should be retained. Temporalis muscle flap still the gold standard after TMJ menesictomy.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy
    AU  - Fatma Wageeh Attya
    AU  - Moustafa Mohamed El-Sayed Taha
    AU  - Ahmed Mohamed Salah
    AU  - Mahmoud El-Shamy
    AU  - Mohammed Abd El-Mageed Katamesh
    AU  - Mohamed Galal Gamal El-Deen Beheiri
    Y1  - 2020/11/11
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijmi.20200804.14
    DO  - 10.11648/j.ijmi.20200804.14
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 89
    EP  - 92
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20200804.14
    AB  - The aim of this study was to radiologically evaluate dermis-fat graft and temporalis muscle flap as replacements after TMJ discectomy. Patients and methods: fourteen female patients were categorized into two equal groups (seven patients on each group,) group (A) and group (B). Group A underwent TMJ discectomy followed by interpositional muscle flap. Group B underwent TMJ discectomy followed by interpositional dermis-fat graft. Pre-operative MRI (T1, T2 and proton density) were obtained in addition to 3 months and 12 months post-operative MRI for comparison and follow up of the graft. Results: Temporalis muscle flaps were diagnosed in all group (A) patients (12 joints). The dermis-fat graft was detected within the operated joints or surrounding the condyle in three patients of group B while mostly resorbed in the other four patients after one year follow up. Conclusion: Discectomy and dermis-fat graft appears to be a successful surgical option regarding to the clinical parameters. However, summed degenerative changes depending on surgical operation should be retained. Temporalis muscle flap still the gold standard after TMJ menesictomy.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Departement of Maxillofacial Surgery, Ahmed Maher Teaching Hospital, Cairo, Egypt

  • Departement of Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Cairo, Egypt

  • Departement of Maxillofacial Surgery, Ahmed Maher Teaching Hospital, Cairo, Egypt

  • Departement of Radiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

  • Departement of Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Cairo, Egypt

  • Departement of Oral and Maxillofacial Surgery, Faculty of Oral and Dental medicine, Cairo University, Giza, Egypt

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