Evaluation of Pneumatization in the Articular Eminence and Roof of the Glenoid Fossa with Cone-Beam Computed Tomography

Background: Detection of air cavities, so called pneumatizations, nearby to the temporomandibular joint (TMJ) area is important, as they represent sites of minimal resistance and facilitate the spread of various pathologies into the joint as inflammation, tumor or fractures and serve as a possible c...

Full description

Bibliographic Details
Main Authors: Mehmet İlgüy, Semanur Dölekoğlu, Erdoğan Fişekçioğlu, Nilüfer Ersan, Dilhan İlgüy
Format: Article
Language:English
Published: Galenos Publishing House 2015-03-01
Series:Balkan Medical Journal
Subjects:
Online Access:http://balkanmedicaljournal.org/text.php?lang=en&id=243
_version_ 1797909897086500864
author Mehmet İlgüy
Semanur Dölekoğlu
Erdoğan Fişekçioğlu
Nilüfer Ersan
Dilhan İlgüy
author_facet Mehmet İlgüy
Semanur Dölekoğlu
Erdoğan Fişekçioğlu
Nilüfer Ersan
Dilhan İlgüy
author_sort Mehmet İlgüy
collection DOAJ
description Background: Detection of air cavities, so called pneumatizations, nearby to the temporomandibular joint (TMJ) area is important, as they represent sites of minimal resistance and facilitate the spread of various pathologies into the joint as inflammation, tumor or fractures and serve as a possible complicating factor in TMJ surgery. Aims: To determine the prevalence of pneumatization of the articular eminence (PAT) and roof of the glenoid fossa (PRGF) using cone-beam computed tomography (CBCT). Study Design: Cross-sectional study. Methods: Acquired images of 111 patients (222 TMJs) were evaluated. The presence of pneumatization was recorded at the articular eminence and roof of the glenoid fossa. Age and gender were recorded for all patients and type (unilocular or multilocular) and laterality were noted for the cases of pneumatization. Results: The mean age of the study group was 48.86±18.31 years. Among all the patients, 73 (65.8%) had PAT, while 13 (11.7%) had PRGF. Forty-two (37.8%) of the patients had PAT bilaterally; whereas 3 of them (2.7%) presented PRGF bilaterally. The percentage of PAT was higher for females (73.6%) than males (51.3%) (p<0.05). Conclusion: CBCT images are an accurate and reliable means of detection of the exact size and type of pneumatization and the relationship of pneumatization to the adjacent tissues. This is especially significant before a surgical intervention is planned in this region, in order to make a sound diagnosis.
first_indexed 2024-04-10T11:15:41Z
format Article
id doaj.art-6c388e1468844dd98c2a99bfbbf714ef
institution Directory Open Access Journal
issn 2146-3123
2146-3131
language English
last_indexed 2024-04-10T11:15:41Z
publishDate 2015-03-01
publisher Galenos Publishing House
record_format Article
series Balkan Medical Journal
spelling doaj.art-6c388e1468844dd98c2a99bfbbf714ef2023-02-15T16:18:51ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312015-03-01321646810.5152/balkanmedj.2015.15193Evaluation of Pneumatization in the Articular Eminence and Roof of the Glenoid Fossa with Cone-Beam Computed TomographyMehmet İlgüy0Semanur Dölekoğlu1Erdoğan Fişekçioğlu2Nilüfer Ersan3Dilhan İlgüy4Department of Dentomaxillofacial Radiology, Yeditepe University Faculty of Dentistry, İstanbul, TurkeyDepartment of Dentomaxillofacial Radiology, Yeditepe University Faculty of Dentistry, İstanbul, TurkeyDepartment of Dentomaxillofacial Radiology, Yeditepe University Faculty of Dentistry, İstanbul, TurkeyDepartment of Dentomaxillofacial Radiology, Yeditepe University Faculty of Dentistry, İstanbul, TurkeyDepartment of Dentomaxillofacial Radiology, Yeditepe University Faculty of Dentistry, İstanbul, TurkeyBackground: Detection of air cavities, so called pneumatizations, nearby to the temporomandibular joint (TMJ) area is important, as they represent sites of minimal resistance and facilitate the spread of various pathologies into the joint as inflammation, tumor or fractures and serve as a possible complicating factor in TMJ surgery. Aims: To determine the prevalence of pneumatization of the articular eminence (PAT) and roof of the glenoid fossa (PRGF) using cone-beam computed tomography (CBCT). Study Design: Cross-sectional study. Methods: Acquired images of 111 patients (222 TMJs) were evaluated. The presence of pneumatization was recorded at the articular eminence and roof of the glenoid fossa. Age and gender were recorded for all patients and type (unilocular or multilocular) and laterality were noted for the cases of pneumatization. Results: The mean age of the study group was 48.86±18.31 years. Among all the patients, 73 (65.8%) had PAT, while 13 (11.7%) had PRGF. Forty-two (37.8%) of the patients had PAT bilaterally; whereas 3 of them (2.7%) presented PRGF bilaterally. The percentage of PAT was higher for females (73.6%) than males (51.3%) (p<0.05). Conclusion: CBCT images are an accurate and reliable means of detection of the exact size and type of pneumatization and the relationship of pneumatization to the adjacent tissues. This is especially significant before a surgical intervention is planned in this region, in order to make a sound diagnosis.http://balkanmedicaljournal.org/text.php?lang=en&id=243Cone-Beam Computed Tomographypneumatizationtemporomandibular joint
spellingShingle Mehmet İlgüy
Semanur Dölekoğlu
Erdoğan Fişekçioğlu
Nilüfer Ersan
Dilhan İlgüy
Evaluation of Pneumatization in the Articular Eminence and Roof of the Glenoid Fossa with Cone-Beam Computed Tomography
Balkan Medical Journal
Cone-Beam Computed Tomography
pneumatization
temporomandibular joint
title Evaluation of Pneumatization in the Articular Eminence and Roof of the Glenoid Fossa with Cone-Beam Computed Tomography
title_full Evaluation of Pneumatization in the Articular Eminence and Roof of the Glenoid Fossa with Cone-Beam Computed Tomography
title_fullStr Evaluation of Pneumatization in the Articular Eminence and Roof of the Glenoid Fossa with Cone-Beam Computed Tomography
title_full_unstemmed Evaluation of Pneumatization in the Articular Eminence and Roof of the Glenoid Fossa with Cone-Beam Computed Tomography
title_short Evaluation of Pneumatization in the Articular Eminence and Roof of the Glenoid Fossa with Cone-Beam Computed Tomography
title_sort evaluation of pneumatization in the articular eminence and roof of the glenoid fossa with cone beam computed tomography
topic Cone-Beam Computed Tomography
pneumatization
temporomandibular joint
url http://balkanmedicaljournal.org/text.php?lang=en&id=243
work_keys_str_mv AT mehmetilguy evaluationofpneumatizationinthearticulareminenceandroofoftheglenoidfossawithconebeamcomputedtomography
AT semanurdolekoglu evaluationofpneumatizationinthearticulareminenceandroofoftheglenoidfossawithconebeamcomputedtomography
AT erdoganfisekcioglu evaluationofpneumatizationinthearticulareminenceandroofoftheglenoidfossawithconebeamcomputedtomography
AT niluferersan evaluationofpneumatizationinthearticulareminenceandroofoftheglenoidfossawithconebeamcomputedtomography
AT dilhanilguy evaluationofpneumatizationinthearticulareminenceandroofoftheglenoidfossawithconebeamcomputedtomography