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Semiología de la ATM

Camilo A. Serrano Prada, Residente Cirugía Maxilofacial - PUJ
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camilo serrano prada

on 21 May 2015

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Transcript of Semiología de la ATM

Somático, localización difuso, poca correlación entre el origen y la referencia
Semiología de los Trastornos
Temporo Mandibulares

Cirugía Maxilofacial
Camilo A. Serrano Prada
Residente Cirugía Maxilofacial
Pontificia Universidad Javeriana
serrano.camilo@javeriana.edu.co

Características Articulación Temporomandibular
Boca Cerrada
Boca Abierta
Articular
Muscular
Dolor
Limitaciones en Funcionalidad
Posición de la cabeza
Ruidos Articulares
Causa Definitiva
Crecimiento
Alteración Transversal
Dextrognatismo
Alteración Transversal
Levognatismo
Retrognatismo Mandibular
Alteración Anteroposterior
Prognatismo Mandibular
Alteración Anteroposterior
Apertura Máxima
Apertura Máxima forzada
Lateralidad
Protrusión
Intrarticulares
- Contracción muscular
- Trauma
- Infeccion

Extrarticulares
- Enfermedad de Jacob
- Anquilosis
- Adherencias
- Luxación ATM
- Trauma
Hipometria bucal
20mm - <50mm
Trismo
< 20mm
Tétanos
Apertura oral:
W: 50mm
M: 50-60mm
Lateralidad izquierda
8mm
Lateralidad derecha
8mm
Enfermedad de Jacob
Anquilosis
Adherencias
Clicks / Crepitación
Desplazamiento anterior con Reducción
Osteoartrosis
Desplazamiento anterior sin Reducción
Sindrome de Eagle
Risa Sardónica
Opistótonos
Microtrauma
Macrotrauma
Bruxismo
Onicofagia
Articulación Diartrosis, Ginglimoartroidal, bicondilea, sinovial.
Componentes óseos.
Temporal
MI
Disco articular
Cápsula
Intrinsecos
Extrinsecos
Ligamentos
DETERMINANTES
Componentes
Disco
Músculos
Tejido retrodiscal
Ligamentos
Acromegalia
Secuencia de Pierre Robin
Hiperplasia condilar izquierda
Luxación de ATM
Subluxación de ATM
Maniobra de Nelaton
Patrones de contracción muscular anormal de naturaleza compleja que se aprenden, terminan por hacerse inconscientes e involuntarios y se ejecutan en forma en forma mecánica
Parafunciones
Gracias.
G. Dimitroulis, The role of surgery in the management of disorders of the Temporomandibular Joint: a critical review of the literature Part 1, International Journal of Oral and Maxillofacial Surgery, Volume 34, Issue 2, March 2005, Pages 107-113
X. Alomar, J. Medrano, J. Cabratosa, J.A. Clavero, M. Lorente, I. Serra, J.M. Monill, A. Salvador, Anatomy of the Temporomandibular Joint, Seminars in Ultrasound, CT and MRI, Volume 28, Issue 3, June 2007, Pages 170-183
X. Alomar, J. Medrano, J. Cabratosa, J.A. Clavero, M. Lorente, I. Serra, J.M. Monill, A. Salvador, Anatomy of the Temporomandibular Joint, Seminars in Ultrasound, CT and MRI, Volume 28, Issue 3, June 2007, Pages 170-183
X. Alomar, J. Medrano, J. Cabratosa, J.A. Clavero, M. Lorente, I. Serra, J.M. Monill, A. Salvador, Anatomy of the Temporomandibular Joint, Seminars in Ultrasound, CT and MRI, Volume 28, Issue 3, June 2007, Pages 170-183
Deflexión
Desviación
Articulación Diartrosis, Ginglimoartroidal, bicondilea, sinovial.
Muscular - Ligamentos - Articular
Muscular - Ligamentos - Articular
Matthijs Tuijt, Jan Harm Koolstra, Frank Lobbezoo, Machiel Naeije, Differences in loading of the temporomandibular joint during opening and closing of the jaw, Journal of Biomechanics, Volume 43, Issue 6, 19 April 2010, Pages 1048-1054
Alteración Anteroposterior
Apnea : Cese completo por 20 segundos

SAHOS: Síndrome de Apnea e Hipoapnea Obstructiva Crónica
IDR: 5-20 / <30 / >30
Hipoapnea: Cese parcial 30 - 50% por 10 segundos

CPAP
Teresa Paiva, Hrayr Attarian, Chapter 18 - Obstructive sleep apnea and other sleep-related syndromes, In: José Biller and José M. Ferro, Editor(s), Handbook of Clinical Neurology, Elsevier, 2014, Volume 119, Pages 251-271
Okeson, J. P. (2007). Management of temporomandibular disorders and occlusion. Elsevier Health Sciences
Okeson, J. P. (2007). Management of temporomandibular disorders and occlusion. Elsevier Health Sciences
Agosto 25/2014
X. Alomar, J. Medrano, J. Cabratosa, J.A. Clavero, M. Lorente, I. Serra, J.M. Monill, A. Salvador, Anatomy of the Temporomandibular Joint, Seminars in Ultrasound, CT and MRI, Volume 28, Issue 3, June 2007, Pages 170-183.

Daniele Manfredini, Lorenzo Favero, Elvis Federzoni, Francesco Cocilovo, Luca Guarda-Nardini, Kinesiographic recordings of jaw movements are not accurate to detect magnetic resonance–diagnosed temporomandibular joint (TMJ) effusion and disk displacement: findings from a validation study, Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 114, Issue 4, October 2012, Pages 457-463
X. Alomar, J. Medrano, J. Cabratosa, J.A. Clavero, M. Lorente, I. Serra, J.M. Monill, A. Salvador, Anatomy of the Temporomandibular Joint, Seminars in Ultrasound, CT and MRI, Volume 28, Issue 3, June 2007, Pages 170-183.

N.N. Andrade, R. Kalra, S.P. Shetye, New protocol to prevent TMJ reankylosis and potentially life threatening complications in triad patients, International Journal of Oral and Maxillofacial Surgery, Volume 41, Issue 12, December 2012, Pages 1495-1500.
X. Alomar, J. Medrano, J. Cabratosa, J.A. Clavero, M. Lorente, I. Serra, J.M. Monill, A. Salvador, Anatomy of the Temporomandibular Joint, Seminars in Ultrasound, CT and MRI, Volume 28, Issue 3, June 2007, Pages 170-183.

Daniele Manfredini, Lorenzo Favero, Elvis Federzoni, Francesco Cocilovo, Luca Guarda-Nardini, Kinesiographic recordings of jaw movements are not accurate to detect magnetic resonance–diagnosed temporomandibular joint (TMJ) effusion and disk displacement: findings from a validation study, Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 114, Issue 4, October 2012, Pages 457-463
N.K. Sahoo, Pramod Kumar, Efficacy of Dautrey's procedure in chronic recurrent TMJ dislocation, Indian Journal of Dentistry, Volume 4, Issue 1, March 2013, Pages 52-55
Harry von Piekartz, Chapter 20 - Management of parafunctional activities and bruxism, In Headache, Orofacial Pain and Bruxism, edited by Peter Selvaratnam, Ken Niere, Maria Zuluaga, Stephen Friedmann, Cathy Sloan and Ed Byrne, Churchill Livingstone, Edinburgh, 2009, Pages 261-275
Michael Anbar, Barton M. Gratt, Role of nitric oxide in the physiopathology of pain, Journal of Pain and Symptom Management, Volume 14, Issue 4, October 1997, Pages 225-254
Mansur Ahmad, Lars Hollender, Quentin Anderson, Krishnan Kartha, Richard Ohrbach, Edmond L. Truelove, Mike T. John, Eric L. Schiffman, Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, Volume 107, Issue 6, June 2009, Pages 844-860
Mansur Ahmad, Lars Hollender, Quentin Anderson, Krishnan Kartha, Richard Ohrbach, Edmond L. Truelove, Mike T. John, Eric L. Schiffman, Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, Volume 107, Issue 6, June 2009, Pages 844-860
Mansur Ahmad, Lars Hollender, Quentin Anderson, Krishnan Kartha, Richard Ohrbach, Edmond L. Truelove, Mike T. John, Eric L. Schiffman, Research diagnostic criteria for temporomandibular disorders (RDC/TMD): development of image analysis criteria and examiner reliability for image analysis, Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, Volume 107, Issue 6, June 2009, Pages 844-860
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