Reproducibility of the Rocabado pain map

Espinoza, Sebastián; Varela, Daniela; Richter, Carla; Sepúlveda, G; Marfull, Norman

doi:10.1080/08869634.2020.1816038

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…Comprehensive radiographic studies were performed preoperatively; and contained wide open and closed mouth cone beam computed tomography (CBCT) as well as the oblique sagittal (wide open and closed mouth), axial (wide open and closed mouth), and coronal (closed mouth) planes of magnetic resonance imaging (MRI) scanning so that the projection angle was in line with Schüller’s position [ 15 ]. Preoperative and postoperative subjective evaluation was designed performing a visual analogue scale (VAS) scores to evaluate pain (0 ~ 10, 0 being “no pain”, 10 being “the most pain imaginable”) [ 16 ]. Preoperative and postoperative objective assessments embraced joint noise on function, deviation on opening, range of movement, and cosmesis.…”

Section: Methodsmentioning

confidence: 99%

Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

Peng

Gong

et al. 2023

BMC Musculoskelet Disord

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Objective The transplantation of temporalis myofascial flap (TMF) is an indispensable method to treat severe temporomandibular joint disorders with disk failure. How to select the indication and the ways of transplantation is still a challenging topic for achieving the ideal effect. We reported the new methods and follow-up results of the patients treated with pedicled TMF transplantation. Methods Retrospective case series was performed at Temporomandibular Joint Specialist Clinic, the First Affiliated Hospital of Xinjiang Medical University, from December 2014 to August 2022. 39 patients (50 sides) included anterior disk displacement without reduction and disk perforation who underwent discectomy and immediate reconstruction with pedicled TMF. The initial and postoperative maximum mouth opening (MMO), and pain visual analogue scale (VAS) were compared via paired t-test and Wilcoxon signed-rank sum test, respectively. Results The average of follow-up time was 30.07 months. The reconstructed temporomandibular joints basically achieved stable occlusion, good function, and satisfactory effect. The patients displayed a remarkable reduction of VAS score of pain, and improvement of the MMO compared with that before operation (P < 0.001). MR scanning revealed the grafts in joint space showed band-shaped soft tissue density of medium signal and had the clear edges, without interruption and fragment. Conclusion Reconstruction of the temporomandibular joint disk by transplantation of the TMF applying modified minimally invasive surgery was a feasible method, which could improve the function of joints and prevent adhesion, without obvious complications in donor region.

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Section: Methodsmentioning

confidence: 99%

Modified minimally invasive surgery in reconstructing the temporomandibular joint disk by transplantation of the temporalis myofascial flap

Peng

Gong

et al. 2023

BMC Musculoskelet Disord

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“…This information can be noted and documented to show the severity of the discomfort: for example, a mild, moderate, and severe pain range (Level 1, 2, and 3). 17 Additional studies including radiographs, MRIs, blood work, etc. can be performed to further document the specifics of synovitis.…”

Section: Diagnosing Synovitismentioning

confidence: 99%

A Review of Temporomandibular Joint (TMJ) Synovitis and the Important Role of the Nuclear Protein, High Mobility Group Box 1 (HMGB1)

DiFabio,

Mirdamadi,

Kim

2024

FACE

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Studies identifying TMJ synovitis biomarkers are few and far between. During the late 1990s, Chuck Milam’s oxidative stress and re-perfusion models elucidated the molecular mechanisms of TMJ synovitis which centrally involves the cytokines TNF-α, IL-1β, and IL-6. However, a new understanding of TMJ synovitis has been developed given the fields current knowledge on pattern recognition receptors (PRRs), damageassociated molecular patterns (DAMPs), pathogen-associated molecular patterns (PAMPs) and most notably, high mobility group box 1 (HMGB1). Among these molecular markers, the oxidation of HMGB1 plays a key role in promoting pathological inflammation. In this perspective, we explore the role of HMGB1 during TMJ synovitis and how a traumatized TMJ responds to different HMGB1 post translational modifications (PTMs). Specifically, synovial inflammation will be explored in the context of how different PTMs of HMGB1 directs leukocytes to produce chemokines or cytokines. We will also look at the different modifications of HMGB1 molecule via Reduction Oxygenation Reactions. These recently identified mechanisms provide a suitable addition to the currently understood molecular actions of TMJ synovitis noted by Milam and others in the late 1990s and early 2000s. We will then conclude with a discussion on the use of antibodies to the HMGB1 molecule for a variety of conditions: cancers, sepsis, liver disease, traumatic brain injuries and early intervention for joint synovitis along with the use of different delivery modalities.

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