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MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy

Received: 2 October 2020     Accepted: 2 November 2020     Published: 11 November 2020
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Abstract

The aim of this study was to radiologically evaluate dermis-fat graft and temporalis muscle flap as replacements after TMJ discectomy. Patients and methods: fourteen female patients were categorized into two equal groups (seven patients on each group,) group (A) and group (B). Group A underwent TMJ discectomy followed by interpositional muscle flap. Group B underwent TMJ discectomy followed by interpositional dermis-fat graft. Pre-operative MRI (T1, T2 and proton density) were obtained in addition to 3 months and 12 months post-operative MRI for comparison and follow up of the graft. Results: Temporalis muscle flaps were diagnosed in all group (A) patients (12 joints). The dermis-fat graft was detected within the operated joints or surrounding the condyle in three patients of group B while mostly resorbed in the other four patients after one year follow up. Conclusion: Discectomy and dermis-fat graft appears to be a successful surgical option regarding to the clinical parameters. However, summed degenerative changes depending on surgical operation should be retained. Temporalis muscle flap still the gold standard after TMJ menesictomy.

Published in International Journal of Medical Imaging (Volume 8, Issue 4)
DOI 10.11648/j.ijmi.20200804.14
Page(s) 89-92
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Temporalis Muscle Flap, TMJ Discectomy, Dermis-Fat Graft

References
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    Fatma Wageeh Attya, Moustafa Mohamed El-Sayed Taha, Ahmed Mohamed Salah, Mahmoud El-Shamy, Mohammed Abd El-Mageed Katamesh, et al. (2020). MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy. International Journal of Medical Imaging, 8(4), 89-92. https://doi.org/10.11648/j.ijmi.20200804.14

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    ACS Style

    Fatma Wageeh Attya; Moustafa Mohamed El-Sayed Taha; Ahmed Mohamed Salah; Mahmoud El-Shamy; Mohammed Abd El-Mageed Katamesh, et al. MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy. Int. J. Med. Imaging 2020, 8(4), 89-92. doi: 10.11648/j.ijmi.20200804.14

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    AMA Style

    Fatma Wageeh Attya, Moustafa Mohamed El-Sayed Taha, Ahmed Mohamed Salah, Mahmoud El-Shamy, Mohammed Abd El-Mageed Katamesh, et al. MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy. Int J Med Imaging. 2020;8(4):89-92. doi: 10.11648/j.ijmi.20200804.14

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  • @article{10.11648/j.ijmi.20200804.14,
      author = {Fatma Wageeh Attya and Moustafa Mohamed El-Sayed Taha and Ahmed Mohamed Salah and Mahmoud El-Shamy and Mohammed Abd El-Mageed Katamesh and Mohamed Galal Gamal El-Deen Beheiri},
      title = {MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy},
      journal = {International Journal of Medical Imaging},
      volume = {8},
      number = {4},
      pages = {89-92},
      doi = {10.11648/j.ijmi.20200804.14},
      url = {https://doi.org/10.11648/j.ijmi.20200804.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20200804.14},
      abstract = {The aim of this study was to radiologically evaluate dermis-fat graft and temporalis muscle flap as replacements after TMJ discectomy. Patients and methods: fourteen female patients were categorized into two equal groups (seven patients on each group,) group (A) and group (B). Group A underwent TMJ discectomy followed by interpositional muscle flap. Group B underwent TMJ discectomy followed by interpositional dermis-fat graft. Pre-operative MRI (T1, T2 and proton density) were obtained in addition to 3 months and 12 months post-operative MRI for comparison and follow up of the graft. Results: Temporalis muscle flaps were diagnosed in all group (A) patients (12 joints). The dermis-fat graft was detected within the operated joints or surrounding the condyle in three patients of group B while mostly resorbed in the other four patients after one year follow up. Conclusion: Discectomy and dermis-fat graft appears to be a successful surgical option regarding to the clinical parameters. However, summed degenerative changes depending on surgical operation should be retained. Temporalis muscle flap still the gold standard after TMJ menesictomy.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy
    AU  - Fatma Wageeh Attya
    AU  - Moustafa Mohamed El-Sayed Taha
    AU  - Ahmed Mohamed Salah
    AU  - Mahmoud El-Shamy
    AU  - Mohammed Abd El-Mageed Katamesh
    AU  - Mohamed Galal Gamal El-Deen Beheiri
    Y1  - 2020/11/11
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ijmi.20200804.14
    DO  - 10.11648/j.ijmi.20200804.14
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 89
    EP  - 92
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20200804.14
    AB  - The aim of this study was to radiologically evaluate dermis-fat graft and temporalis muscle flap as replacements after TMJ discectomy. Patients and methods: fourteen female patients were categorized into two equal groups (seven patients on each group,) group (A) and group (B). Group A underwent TMJ discectomy followed by interpositional muscle flap. Group B underwent TMJ discectomy followed by interpositional dermis-fat graft. Pre-operative MRI (T1, T2 and proton density) were obtained in addition to 3 months and 12 months post-operative MRI for comparison and follow up of the graft. Results: Temporalis muscle flaps were diagnosed in all group (A) patients (12 joints). The dermis-fat graft was detected within the operated joints or surrounding the condyle in three patients of group B while mostly resorbed in the other four patients after one year follow up. Conclusion: Discectomy and dermis-fat graft appears to be a successful surgical option regarding to the clinical parameters. However, summed degenerative changes depending on surgical operation should be retained. Temporalis muscle flap still the gold standard after TMJ menesictomy.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Departement of Maxillofacial Surgery, Ahmed Maher Teaching Hospital, Cairo, Egypt

  • Departement of Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Cairo, Egypt

  • Departement of Maxillofacial Surgery, Ahmed Maher Teaching Hospital, Cairo, Egypt

  • Departement of Radiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

  • Departement of Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Cairo, Egypt

  • Departement of Oral and Maxillofacial Surgery, Faculty of Oral and Dental medicine, Cairo University, Giza, Egypt

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