Harsha Kumar

Pondicherry Institute of Medical Sciences

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i-10 index

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Hussam Hassan

G Ravichandra

Andhra University

Devadasa Acharya K

Yenepoya University

Aashish Sasidharan

Aster Medcity

Suhas Setty

Sri Siddhartha Medical College

R. Aadithya

Pondicherry Institute of Medical Sciences

Sharad Ramdas

Flinders Medical Centre

K N Muralidhar

Vinayaka U. S

Yenepoya University

Pappu Lingam

Pondicherry Institute of Medical Sciences

Cooperative Institutions

Pondicherry Institute of Medical Sciences

Yenepoya University

Aster Medcity

Tamil Nadu Dr. M.G.R. Medical University

Christian Medical College & Hospital

Sri Siddhartha Medical College

Sri Siddhartha Academy of Higher Education

Siddhartha Medical College

Siddhartha University

Manipal Academy of Higher Education

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Painful TMJ, disc displacement, MRI.

Vinayaka U. S Hussam Hassan Devadasa Acharya K G Ravichandra Muralidhar K. N

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Assessment of temporomandibular joint dysfunction in condylar fracture of the mandible using the Helkimo index

Indian Journal of Plastic Surgery (2017)

Suhas Setty Sharad Ramdas Pappu Lingam Harsha Kumar Aashish Sasidharan

ABSTRACT Introduction: Condylar fractures of the mandible are functionally important fractures as the condyle of the mandible being a part of the temporomandibular joint (TMJ) and can lead to TMJ dysfunction if not properly treated. Materials and Methods: This was a cross-sectional study of a total of 33 treated patients with fracture of the mandibular condyle who underwent examination as per the Helkimo index. Their dysfunction was quantified and clinicoepidemiological characteristics were assessed. It was found that majority of our patients were young males involved in a two-wheeler accident. All patients underwent intermaxillary fixation as the minimum treatment and 30% underwent open reduction and internal fixation in addition. Results: There was no statistically significant association between the degree of clinical dysfunction and factors such as age, mechanism of injury, type of condyle fracture, presence of other mandible fractures, and surgical procedure. However, dislocation of the mandibular condyle was found to be a negative prognostic factor and all these patients had some degree of dysfunction. Conclusion: The overall prevalence of TMJ dysfunction according to the Helkimo index was 90%. About 61% of patients had mild dysfunction (Di1) and 30% had moderate dysfunction (Di2). None of the patients had severe dysfunction. To conclude, the Helkimo index is a simple, effective, inexpensive, reliable screening index to assess TMJ dysfunction in condylar fractures of mandible.

Mandible (arthropod mouthpart)

10.4103/ijps.ijps_125_16

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MRI EVALUATION OF PATTERN OF DISC DISPLACEMENT OF TEMPOROMANDIBULAR JOINT IN UNILATERAL TEMPOROMANDIBULAR JOINT PAIN AND COMPARISON WITH CONTRALATERAL ASYMPTOMATIC TEMPOROMANDIBULAR JOINT

Journal of Evolution of Medical and Dental Sciences (2015)

U S Vinayaka Hussam Hassan Devadasa Acharya K G Ravichandra K N Muralidhar

Temporomandibular joints (TMJ) are a pair of synovial joints on both side of head, which helps in movement of mandible resulting in speech, facial expression & mastication.Internal derangements of TMJ are the common causes of non-traumatic pain around TMJ.There are few studies concerning this finding and MRI evaluation of TMJ in establishing the diagnosis. AIMS & OBJECTIVES:The purpose of this study is to evaluate the relationship of internal disc displacement and pattern of disc displacement with the painful TMJ using MR Imaging of painful TMJ.RESULTS: We imaged 30 TMJ of 15 patients with unilateral TMJ pain and the symptomatic TMJ was compared with asymptomatic TMJ.The position of disc was noted for both painful & asymptomatic side.DISCUSSION: In our study we imaged 30 TMJs using MRI.For all the 15 study participants, the painful TMJ was compared with contralateral asymptomatic joint.We found that anterior, anteromedial & anterolateral disc diaplcements were associated with TMJ symptoms, however the superior displacement was found to be asymptomatic.CONCLUSION: The anterior, anterolateral and anteromedial displacement of disc of TMJ is commonly associated with TMJ pain.However the superior displacement was asymptomatic.MRI is very useful in evaluating painful TMJ by assessing the disc displacement and associated findings.However the long-term association and remission of symptoms of disc displacement needs further evaluation.

10.14260/jemds/2015/2165

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