Volume 8, Issue 4, December 2020, Page: 89-92
MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy
Fatma Wageeh Attya, Departement of Maxillofacial Surgery, Ahmed Maher Teaching Hospital, Cairo, Egypt
Moustafa Mohamed El-Sayed Taha, Departement of Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
Ahmed Mohamed Salah, Departement of Maxillofacial Surgery, Ahmed Maher Teaching Hospital, Cairo, Egypt
Mahmoud El-Shamy, Departement of Radiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
Mohammed Abd El-Mageed Katamesh, Departement of Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
Mohamed Galal Gamal El-Deen Beheiri, Departement of Oral and Maxillofacial Surgery, Faculty of Oral and Dental medicine, Cairo University, Giza, Egypt
Received: Oct. 2, 2020;       Accepted: Nov. 2, 2020;       Published: Nov. 11, 2020
DOI: 10.11648/j.ijmi.20200804.14      View  26      Downloads  11
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.
Keywords
Temporalis Muscle Flap, TMJ Discectomy, Dermis-Fat Graft
To cite this article
Fatma Wageeh Attya, Moustafa Mohamed El-Sayed Taha, Ahmed Mohamed Salah, Mahmoud El-Shamy, Mohammed Abd El-Mageed Katamesh, Mohamed Galal Gamal El-Deen Beheiri, MRI Features of Temporalis Muscle Flap Versus Dermis-fat Graft After TMJ Discectomy, International Journal of Medical Imaging. Vol. 8, No. 4, 2020, pp. 89-92. doi: 10.11648/j.ijmi.20200804.14
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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