Surgical management of a pneumatized articular eminence of the temporal bone

Kulikowski, B.Michael; Schow, Sterling R.; Kraut, Richard A.; Colonel, Lieutenant

doi:10.1016/0278-2391(82)90228-2

Cited by 35 publications

(19 citation statements)

References 2 publications

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“…Kulikowski et al (1982) reported a case of unilateral pneumatized temporal bone eminence which perforated during eminectomy. They reported that successful obturation of the defects was accomplished.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of the pneumatized articular eminence in the temporal bone

Yavuz

Aras

Güngör

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 98%

Prevalence of the pneumatized articular eminence in the temporal bone

Yavuz

Aras

Güngör

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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“…Diagnosis of pneumatization of the articular eminence and TMJ fossa is important because it is a defect that facilitates the spread of various disease processes along the joint, including tumors, inflammation, and fractures due to minimal resistance (11). Also, in cases where it is necessary to surgically manipulate the articular eminence, PAT should be considered a complicating factor (4,12). Determination of these structures prior to surgical intervention may be helpful in the prevention of possible complications.…”

Section: Discussionmentioning

confidence: 99%

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

İlgüy¹,

Dölekoğlu²,

Fişekçioğlu³

et al. 2015

Balkan Med J

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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.

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“…A significant association was found between different signs, and TMD was associated with an angle class III malocclusion, and extreme maxillary overjet in other studies [31]. The presence of PAE can be a contraindication for performing eminoplasty or eminectomy to treat recurrent chronic mandibular dislocation in these patients [4,5,7,14,17,19,21]. Lindenmuth and Clark [19] indicated that such surgical considerations dictate that an awareness of pneumatization of the articular eminence be part of our anatomical knowledge.…”

Section: Discussionmentioning

confidence: 88%

Pneumatized articular eminence in a cohort of orthodontic patients with different sagittal skeletal anomalies: a retrospective cone beam computed tomography study

et al. 2010

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Objectives The aim of this study was to determine the prevalence and characteristics of pneumatized articular eminence (PAE) in dental patients using cone beam computed tomography (CBCT) with respect to age, sex, and type of skeletal anomaly. The results were then compared to prevalence studies regarding PAE in the literature. Study design A retrospective study of 603 orthodontic patients aged between 6 and 24 years was performed using sagittal and coronal CBCT images at the Department of Oral and Maxillofacial Radiology (Erzurum, Turkey). The age, gender, skeletal anomaly, and lateral were recorded for all patients, and the types were noted for cases of PAE. The chi-squared test was used for statistical analyses. Results Sixty-four PAEs were found in 39 orthodontic patients, representing a prevalence of 6.47%. No significant differences in sex (p = 0.153), age (before and after puberty, p = 0.389), and type of skeletal anomaly were observed (p = 0.271). Conclusions A higher frequency of PAE was detected among dental patients aged 6-24 years when compared to previous studies, most likely because of the use of CBCT images. No significant relation was observed between PAE and the type of skeletal anomalies. One, however, must be aware of these structures to avoid complications in cases for which surgical treatment is planned due to the occlusion and recognize its role in the onset or perpetuation of temporomandibular joint dysfunction.

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Surgical management of a pneumatized articular eminence of the temporal bone

Cited by 35 publications

References 2 publications

Prevalence of the pneumatized articular eminence in the temporal bone

Prevalence of the pneumatized articular eminence in the temporal bone

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

Pneumatized articular eminence in a cohort of orthodontic patients with different sagittal skeletal anomalies: a retrospective cone beam computed tomography study

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