Ultrasonographic characteristics of myogenous temporomandibular disorders: A scoping review

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2024-07-14 DOI:10.1111/joor.13801

Diego De Nordenflycht, Katherine Figueroa, Jaime Muñoz, Giancarlo De la Torre Canales

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引用次数: 0

Abstract

Objective

To identify the available evidence on the ultrasonographic characteristics of masticatory muscles in subjects with myogenous TMD, as well as the potential use of ultrasonography as a diagnostic and treatment assessment outcomes tool.

Method

An electronic search of the PubMed, Web of Science and Scopus databases was performed using the following terms: ‘ultrasonography’, ‘ultrasound’, ‘masseter’, ‘temporal’, ‘masticatory muscles’, ‘temporomandibular disorders’, ‘temporomandibular joint disorders’. Full-text articles were obtained from the records after applying the inclusion/exclusion criteria.

Results

Thirteen articles were included for analysis: one comparative cross-sectional study, five case–control studies, six clinical trials and one randomised clinical trial. Main ultrasonographic characteristic assessed were local cross-sectional dimension and intramuscular ultrasonographic appearance. Retrieved studies reported the use ultrasonography for diagnosis or treatment assessment purposes showing heterogeneous results. For diagnosis purposes, the results of local cross-sectional dimension are not consistent; therefore, its diagnostic value for myogenous TMD diagnosis is weak. However, more homogeneous results were observed for intramuscular ultrasonographic appearance showing a higher prevalence of type-II pattern in myogenous TMD subjects than non-TMD subjects. On the other hand, for treatment assessment purposes, muscles were observed thinner after treatment compared to pre-treatment. Also, results of intramuscular ultrasonographic appearance show disappearance or reduction of anechoic areas, higher prevalence of type-II pattern and significant distinction of echogenic bands were observed after treating TMD subjects.

Conclusion

Ultrasonography cannot be considered as a diagnostic instrument, but maybe as a complementary tool for treatment assessment of myogenous TMD subjects, even though future research is required to confirm its utility.

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肌源性颞下颌关节紊乱的超声特征：范围综述。

目的确定有关肌源性 TMD 患者咀嚼肌超声波特征的现有证据，以及超声波作为诊断和治疗评估结果工具的潜在用途：方法：使用以下术语对 PubMed、Web of Science 和 Scopus 数据库进行电子检索：超声波检查"、"超声波"、"咀嚼肌"、"颞下颌关节紊乱"、"颞下颌关节紊乱"。根据纳入/排除标准从记录中获取全文：结果：共纳入 13 篇文章进行分析：1 项横断面比较研究、5 项病例对照研究、6 项临床试验和 1 项随机临床试验。评估的主要超声特征是局部横截面尺寸和肌肉内超声外观。检索到的研究报告称，超声波造影用于诊断或治疗评估的结果各不相同。就诊断而言，局部横截面尺寸的结果并不一致；因此，其对肌源性 TMD 诊断的诊断价值较弱。然而，在肌肉内超声波外观方面观察到的结果较为一致，显示肌源性 TMD 受试者比非 TMD 受试者有更高的 II 型模式患病率。另一方面，就治疗评估而言，治疗后观察到的肌肉比治疗前更薄。此外，肌肉内超声波外观结果显示，治疗 TMD 受试者后，无回声区消失或缩小，II 型模式的发生率较高，回声带明显区分：结论：超声波检查不能作为诊断工具，但或许可以作为肌源性 TMD 患者治疗评估的辅助工具，尽管还需要未来的研究来证实其实用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.