title: Analysis of MRI findings in minimum invasive treatment for habitual temporomandibular joint dislocation by autologous blood injection around the temporomandibular joint capsule.
abstract: The aim of this study was to investigate magnetic resonance imaging (MRI) findings following autologous blood injection (ABI) for habitual temporomandibular joint (TMJ) dislocation. MRI was performed one hour and four and twelve weeks after ABI, revealing three types of significant findings. The first type was similar to hematoma and/or joint effusion in the articular capsule of the TMJ (type I). The second showed sporadic and diffuse T2 emphasis around the TMJ capsule (type II). The third involved a decreased range of condyle movement compared to before ABI (type III). Furthermore, we analyzed the three types of significant MRI findings. At one hour after ABI, type I was Grade 0 in 0 of 14 patients, Grade 1 in 8, Grade 2 in 2, and Grade 3 in 4. Type II was seen in 9 of the 14 cases and type III in 8. After twelve weeks, all cases of type I were Grade 0, no type II cases were evident, and type III was seen in 11 cases. Injecting autologous blood into surrounding TMJ tissues is an important factor in ABI. Minimally invasive treatment for habitual TMJ dislocation using ABI around the TMJ capsule appears to represent a very effective and safe treatment.
authors.affiliation: First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Japan. Electronic address: osiro-n@stu.osaka-dent.ac.jp.
authors.forename: Nobuyoshi
authors.initials: N
authors.lastname: Oshiro
authors.affiliation: First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Yoshida
authors.affiliation: Department of Anatomy, Osaka Dental University, Japan.
authors.forename: Mamoru
authors.initials: M
authors.lastname: Uemura
authors.affiliation: Department of Anatomy, Osaka Dental University, Japan.
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Suwa
authors.affiliation: First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Japan.
authors.forename: Shosuke
authors.initials: S
authors.lastname: Morita
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000069237:Arthrocentesis / Q000379:methods; D001804:Blood Transfusion, Autologous / Q000379:methods*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis; D006801:Humans; D007270:Injections, Intra-Articular; D017746:Joint Capsule / Q000473:pathology*; D004204:Joint Dislocations / Q000628:therapy*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008335:Mandibular Condyle / Q000473:pathology; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology; D013582:Synovial Fluid; D013705:Temporomandibular Joint Disorders / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Autologous blood injection; Habitual temporomandibular joint dislocation; MRI findings; Temporomandibular joint; Temporomandibular joint dislocation