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Pediatric Temporomandibular Joint Disorders, An Issue of Oral and Maxillofacial Surgery Clinics of North America

Pediatric Temporomandibular Joint Disorders, An Issue of Oral and Maxillofacial Surgery Clinics of North America

Shelly Abramowicz

(2017)

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Book Details

Abstract

This issue of Oral and Maxillofacial Surgery Clinics of North America focuses on Pediatric Temporomandibular Joint Disorders, and is edited by Dr. Shelly Abramowicz. Articles will include: Development of the Temporomandibular Joint; Non-surgical Management of Pediatric Temporomandibular Joint Dysfunction; Treatment of the TMJ in a Child with Juvenile Idiopathic Arthritis; Tumors of the Pediatric TMJ; Trauma to the Pediatric TMJ; Congenital abnormalities of the TMJ; Acquired abnormalities of the TMJ; TMJ reconstruction in the growing child; Evaluation of Pediatric Patient with Temporomandibular Joint Complaints; Management of Juvenile Idiopathic Arthritis; Pediatric TMJ Radiology; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Pediatric\rTemporomandibular\rJoint Disorders\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents v
Preface: Pediatric Temporomandibular Joint Disorders v
Development of the Pediatric Temporomandibular Joint v
Evaluation of Pain Syndromes, Headache, and Temporomandibular Joint Disorders in Children v
Imaging of the Pediatric Temporomandibular Joint v
Nonsurgical Management of Pediatric Temporomandibular Joint Dysfunction v
Trauma to the Pediatric Temporomandibular Joint vi
Pediatric Tumors of the Temporomandibular Joint vi
Congenital Abnormalities of the Temporomandibular Joint vi
Acquired Abnormalities of the Temporomandibular Joint vi
Treatment of the Temporomandibular Joint in a Child with Juvenile Idiopathic Arthritis vi
Temporomandibular Joint Reconstruction in the Growing Child vii
ORAL AND MAXILLOFACIAL SURGERY\rCLINICS OF NORTH AMERICA\r viii
FORTHCOMING ISSUES viii
May 2018 viii
August 2018 viii
November 2018 viii
RECENT ISSUES viii
November 2017 viii
August 2017 viii
May 2017 viii
Erratum ix
Preface:\rPediatric Temporomandibular Joint Disorders xi
Development of the Pediatric Temporomandibular Joint 1
Key points 1
INTRODUCTION 1
Anatomy of the Temporomandibular Joint 2
Development of the Temporomandibular Joint 2
Development of Surrounding Structures 4
Developmental Changes with Age 5
Malformations of the Temporomandibular Joint 7
Clinical Ramifications 7
SUMMARY 8
REFERENCES 8
Evaluation of Pain Syndromes, Headache, and Temporomandibular Joint Disorders in Children 11
Key points 11
THE TRIGEMINOVASCULAR SYSTEM AND PAIN 12
TEMPOROMANDIBULAR JOINT DISORDERS 12
Background and Pathogenesis 12
Variables in Temporomandibular Joint Disorders in Children 12
EVALUATION OF TEMPOROMANDIBULAR JOINT DISORDERS 13
HISTORY 13
Preparation 13
Taking the History 14
HEADACHE 14
HEADACHE SUBTYPES 15
Migraine Headache 15
Tension Headache 15
Cluster Headache 15
PHYSICAL EXAMINATION FOR HEADACHE AND TEMPOROMANDIBULAR JOINT DISORDERS 17
Pediatric Neurologic/Developmental Examination 17
Temporomandibular Joint Examination 17
Imaging 17
CAUSE OF FACIAL PAIN AND TEMPOROMANDIBULAR JOINT DISORDERS IN CHILDREN 18
TRAUMA 18
Macrotrauma 18
Microtrauma 18
Neuropathic Pain 19
Rheumatologic and Systemic 20
Infectious 20
Anatomical-Structural Anomaly 20
Movement Disorders 20
Psychosocial Factors 20
SUMMARY 21
REFERENCES 21
Imaging of the Pediatric Temporomandibular Joint 25
Key points 25
INTRODUCTION 25
TECHNIQUES 26
MRI 26
Computed Tomography 27
Radiography 27
Ultrasound Scan 28
Ultrasound-Guided Procedures 29
PATHOLOGIC IMAGING FINDINGS 30
Juvenile Idiopathic Arthritis 30
Condylar Hypoplasia 31
Disc Injury 31
Post Traumatic Disorders 32
SUMMARY 33
REFERENCES 33
Nonsurgical Management of Pediatric Temporomandibular Joint Dysfunction 35
Key points 35
INTRODUCTION 35
PATIENT EDUCATION, HOME-CARE PLAN, AND BIOBEHAVIORAL THERAPY 37
PHYSICAL THERAPY 37
ORTHOTIC JAW APPLIANCE THERAPY 38
PHARMACOTHERAPY 40
SUMMARY 42
REFERENCES 42
Trauma to the Pediatric Temporomandibular Joint 47
Key points 47
INTRODUCTION 47
EPIDEMIOLOGY AND ETIOLOGY 48
GROWTH AND DEVELOPMENT OF THE MANDIBLE 48
DISTRIBUTION AND PATTERNS OF INJURY 48
ASSOCIATED SOFT TISSUE INJURIES 49
TREATMENT CONSIDERATIONS 49
MANAGEMENT 50
Closed Treatment 50
Open Reduction and Internal Fixation 53
COMPLICATIONS 55
SUMMARY 56
REFERENCES 56
Pediatric Tumors of the Temporomandibular Joint 61
Key points 61
INTRODUCTION 61
TUMORS OF THE TEMPOROMANDIBULAR JOINT 62
Benign Tumors of Mesenchymal Origin 62
Lipoma 62
Fibro-osseous lesions 62
Neurofibroma 62
Giant cell tumor, giant cell granuloma, and hyperparathyroidism 63
Myxoma 64
Hemangioma 64
Langerhans cell histiocytosis 64
Benign Tumors of Bone and Cartilage 65
Chondroma and chondroblastoma 65
Osteochondroma, osteoma, and osteoid osteoma 65
Benign Tumors of Ectomesenchyme 66
Ameloblastoma 66
Malignant Tumors of Mesenchymal Origin 67
Hemangiopericytoma 67
Synovial sarcoma 67
Granulocytic sarcoma 67
Neuroblastoma 67
Hemangioendothelioma 67
Malignant Tumors of Bone and Cartilage 68
Chondrosarcoma 68
Ewing sarcoma 68
Osteosarcoma 68
Pseudotumors of the Temporomandibular Joint 68
Aneurysmal bone cyst 68
Synovial chondromatosis 69
Pigmented villonodular synovitis 69
SUMMARY 69
REFERENCES 69
Congenital Abnormalities of the Temporomandibular Joint 71
Key points 71
INTRODUCTION 71
TREATMENT CONSIDERATIONS 71
Initial Evaluation 71
Treatment Sequence 72
MANDIBULOFACIAL DYSOSTOSIS (TREACHER COLLINS SYNDROME) 75
Acquired Abnormalities of the Temporomandibular Joint 83
Key points 83
INTRODUCTION 83
ALTERATION OF NORMAL GROWTH PATTERN 83
MANDIBULAR UNDERGROWTH/DESTRUCTION 84
Juvenile Idiopathic Arthritis 84
Idiopathic Condylar Resorption 86
Temporomandibular Joint Ankylosis 87
Posttraumatic Defect 88
Postradiation Therapy Deformity 90
MANDIBULAR OVERGROWTH 90
Condylar Hyperplasia 90
Temporomandibular Joint Tumors 93
REFERENCES 94
Treatment of the Temporomandibular Joint in a Child with Juvenile Idiopathic Arthritis 97
Key points 97
INTRODUCTION 97
JUVENILE IDIOPATHIC ARTHRITIS AND TEMPOROMANDIBULAR JOINT 97
Incidence of Juvenile Idiopathic Arthritis in Temporomandibular Joint 97
Initial Presentation and Evaluation 98
IMAGING 99
Orthopantogram 99
Computed Tomography 99
MRI 99
TREATMENT 99
Initial Treatment Strategies and Monitoring 99
COMPLICATIONS OF LONGSTANDING TEMPOROMANDIBULAR JOINT INVOLVEMENT 101
Degenerative Changes in Quiescent Disease 101
Ankylosis 101
Facial Asymmetry 103
SUMMARY 105
REFERENCES 105
Temporomandibular Joint Reconstruction in the Growing Child 109
Key points 109
INTRODUCTION 109
INDICATIONS 109
Congenital Deformities 109
Acquired Deformities 110
Progressive Condylar Resorption 110
RECONSTRUCTIVE OPTIONS AND TECHNIQUE 111
Osteotomy 111
Distraction Osteogenesis 111
Autologous Reconstruction 111
Alloplastic Reconstruction 113
CONSIDERATIONS 115
SUMMARY 119
REFERENCES 119