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顎関節症患者のMR画像による閉口位と開口位の関節円板形態分析
https://tokushima-u.repo.nii.ac.jp/records/2002289
https://tokushima-u.repo.nii.ac.jp/records/20022898ff7cf8b-0ad9-4a0e-85af-9cfbec32724a
名前 / ファイル | ライセンス | アクション |
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LID201404241013.pdf (119 KB)
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LID201404241014.pdf (389 KB)
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LID201404241015.pdf (3.82 MB)
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Item type | 文献 / Documents(1) | |||||
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公開日 | 2014-04-24 | |||||
アクセス権 | ||||||
アクセス権 | open access | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
資源タイプ | doctoral thesis | |||||
出版タイプ | ||||||
出版タイプ | NA | |||||
出版タイプResource | http://purl.org/coar/version/c_be7fb7dd8ff6fe43 | |||||
タイトル | ||||||
タイトル | 顎関節症患者のMR画像による閉口位と開口位の関節円板形態分析 | |||||
言語 | ja | |||||
タイトル | ||||||
タイトル | ガク カンセツショウ カンジャ ノ MR ガゾウ ニヨル ヘイコウイ ト カイコウイ ノ カンセツ エンバン ケイタイ ブンセキ | |||||
言語 | ja-Kana | |||||
タイトル別表記 | ||||||
その他のタイトル | Analysis of Articular Disc Morphology with Closed and Open Mouth Positions by Magnetic Resonance Imaging in Patients with Temporomandibular Disorders | |||||
言語 | en | |||||
著者 |
前田, 直樹
× 前田, 直樹 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | MR images of the temporomandibular joint in 302 patients who consulted the Clinic for Temporomandibular Disorders, Tokushima University Hospital, with temporomandibular symptoms between January 2007 and April 2013, and underwent magnetic resonance imaging (MRI) were examined. Articular disc morphology in closed and open mouth positions was investigated, and classified it into 3 types: no morphological change, change into another morphology, and anteroposterior compression. The morphology of folding was classified into 2 subtypes: superior and inferior convex types. The association between these and other MRI/clinical findings were examined. (1) The morphology of the disc in the closed mouth position was evaluated as biconcave on 397 sides, biconvex on 5, even thickness on 32, enlargement of the posterior band on 54, folding on 82, and other types on 11. It was compared with that in the open mouth position. There was no morphological change on 369 sides, an altered morphology on 45, and anteroposterior compression was noted on 167. The most frequent morphological change was one from biconcave to folding (superior convex), which was observed on 16 of the 45 sides. In patients with no morphological change, the incidence of joint effusion was significantly lower than in those with an altered morphology or anteroposterior compression, and the glenoid fossa was deeper. Concerning clinical symptoms, crepitus was significantly more frequent in patients with anteroposterior compression. There were no significant differences in the incidences of the other symptoms among the 3 groups. (2) There were significant differences in the presence or absence of joint effusion and reposition between patients with superior and inferior convex folding. Briefly, in these patients, joint effusion was more frequent than in those with the other disc morphologies. However, effusion of the superior articular cavity was observed in all patients with inferior convex folding, whereas effusion of the superior and inferior articular cavities was noted in those with superior convex folding. In patients with inferior convex folding, reduction was significantly more frequent than in those with superior convex folding. Concerning clinical symptoms, there were no significant differences between the two groups. The results of this study showed that the condition markedly differed between joints with and without mouth opening-related changes in the morphology of the articular disc, suggesting that this parameter is useful for clarifying the pathogenesis of temporomandibular joint arthrosis, selecting treatment, and predicting the prognosis. |
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言語 | en | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 顎関節症 | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | MRI | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 円板形態 | |||||
書誌情報 |
ja : 四国歯学会雑誌 巻 27, 号 1, p. 11-25, 発行日 2014-06-30 |
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収録物識別子タイプ | ISSN | |||||
収録物識別子 | 09146091 | |||||
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収録物識別子タイプ | NCID | |||||
収録物識別子 | AN10050046 | |||||
出版者 | ||||||
出版者 | 四国歯学会 | |||||
言語 | ja | |||||
備考 | ||||||
言語 | ja | |||||
値 | 内容要旨・審査要旨・論文本文の公開: 内容要旨 : LID201404241013.pdf 審査要旨 : LID201404241014.pdf 論文本文 : LID201404241015.pdf 学位授与者所属 : 徳島大学大学院口腔科学教育部(口腔科学専攻) |
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EID | ||||||
識別子 | 342438 | |||||
識別子タイプ | URI | |||||
言語 | ||||||
言語 | jpn | |||||
報告番号 | ||||||
学位授与番号 | 甲第2699号 | |||||
学位記番号 | ||||||
言語 | ja | |||||
値 | 甲口第383号 | |||||
学位授与年月日 | ||||||
学位授与年月日 | 2014-03-24 | |||||
学位名 | ||||||
言語 | ja | |||||
学位名 | 博士(歯学) | |||||
学位授与機関 | ||||||
言語 | ja | |||||
学位授与機関名 | 徳島大学 |