Association of Anatomical Features of the Petrotympanic Fissure and Presence of Foramen of Huschke With Temporomandibular Disorders.

IF 3.1 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2025-01-09 DOI:10.1111/joor.13923
Hacer Eberliköse, Berrin Tuğtağ Demir, Raha Akbarihamed, Hakan Alpay Karasu
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Abstract

Background: The foramen of Huschke (FH) and the petrotympanic fissure (PTF) are anatomical structures that can influence temporomandibular joint disorders (TMD) by potentially affecting the movement and function of the mandibular condyle.

Objective: This study investigates the relationship between patients with TMD and the presence of FH and PTF to enhance diagnostic and therapeutic approaches.

Methods: This retrospective study analyzed cone beam computed tomography (CBCT) images from 212 patients. Patients were categorised into TMD and control groups based on standardized DC/TMD protocols. An observer, blinded to the patient's clinical status, then analyzed the CBCT images. The CBCT images were evaluated for the presence and characteristics of FH, PTF, and condyle shape and position.

Results: A higher incidence of FH and PTF was observed in patients with TMD than in the control group. FH was present on the right side in 33.3% of patients with TMD and 18% of controls and on the left side in 23.8% of patients with TMD and 10.9% of controls. Open and semi-open FPT statistically differed between the TMD and control groups (p < 0.05). The length of FH in patients with TMD was significantly larger (2.11 ± 0.44 mm) than in the controls (1.67 ± 0.56 mm). The position of the condyle showed a statistically significant difference between the groups (p < 0.05).

Conclusion: FH and PTF subtypes are significantly associated with TMD, underscoring their importance in clinical practice.

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岩石鼓室裂解剖特征与胡氏孔存在与颞下颌疾病的关系。
背景:Huschke孔(FH)和岩石鼓室裂(PTF)是通过潜在影响下颌髁的运动和功能而影响颞下颌关节疾病(TMD)的解剖结构。目的:探讨TMD患者与FH和PTF的关系,以提高诊断和治疗方法。方法:本回顾性研究分析了212例患者的锥形束计算机断层扫描图像。根据标准化的DC/TMD方案将患者分为TMD组和对照组。在不知道患者临床状况的情况下,由观察者对CBCT图像进行分析。评估CBCT图像中FH、PTF、髁突形状和位置的存在和特征。结果:TMD患者FH和PTF的发生率高于对照组。在33.3%的TMD患者和18%的对照组中,FH出现在右侧;在23.8%的TMD患者和10.9%的对照组中,FH出现在左侧。结论:FH和PTF亚型与TMD有显著相关性,在临床实践中具有重要意义。
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来源期刊
Journal of oral rehabilitation
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.
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