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1/9. A physiotherapeutic approach to craniomandibular disorders: a case report.

    This is a case report of a 19-year-old female who presented with a unilateral weakness of the right masseter muscle evidenced by electromyographic examination. The presence of a mandibular deviation to the right during opening because of this weakness was treated with neuromuscular electrical stimulation (NMES). After the physiotherapeutic treatment, the electrical activity of the right masseter muscle increased during function and the mandibular deviation disappeared. electromyography (EMG) can have a useful role in the determination of the muscular profile, and for evaluating therapeutics. ( info)

2/9. Long-term electromyography as a possible diagnostic aid for detecting craniomandibular dysfunctions.

    As there is a positive correlation between oral parafunctional habits and craniomandibular disorders, objective electromyographic findings on parafunctional jaw activities could be very interesting for the diagnosis and management of craniomandibular disorders. The described pocket-sized and battery-operated electromyographic measuring device fulfils the essential requirements for monitoring and recording parafunctional activity in a chosen time period. It is easy to handle and can therefore be operated by a trained patient. At the end of the registration the collected data are transferred to a computer for statistical or graphical analysis. With this device, long-term electromyography on patients in their usual environment is possible. Further studies on parafunctional behaviours applying long-term electromyography could increase the understanding of craniomandibular disorders. ( info)

3/9. prevalence of structural bony change in the mandibular condyle.

    Estimated on data derived from a longitudinal study of 172 orthodontic subjects, structural bony change in the mandibular condyle occurs in 5% of the individuals documented from childhood to adulthood. The first appearance generally was between 12 and 16 years of age. Differential diagnosis based upon signs and symptoms of CMD registered simultaneously, as proposed in the 1990 guidelines for craniomandibular disorders appeared to be inconsistent. To illustrate how suddenly the process of bony change may proceed, a case report is presented in which a severe change transpired within a 1-year interval in a 13-year-old patient. ( info)

4/9. Multiple globoid meningiomas associated with craniomandibular fibrous dysplasia: case report.

    A 20-year-old male with craniomandibular deformity and almost total visual loss of the right eye due to bilateral optic atrophy underwent cerebral nonenhanced computed tomography (NECT) examinations. He had multiple sphenoidal-temporoparietal meningiomas, with adjacent hyperostoses and distant calvarial hyperdense lesions, as well as sclerotic expansion of right mandibular condyle. history, clinical and imaging findings were suggestive of associated fibrous dysplasia (FD), which explained the visual loss due to optic nerve compression through sphenoidal optic foramens. Cranial and mandibular FD and concurrent multiple globoid meningiomas in this case may suggest a mutual influence, which may explain the etiopathogenesis of FD lesions and/or bone hyperdensities adjacent or distant to meningiomas. ( info)

5/9. A case of craniomandibular dermatodysostosis associated with focal glomerulosclerosis.

    This paper reports an isolated case of the exceedingly rare cutaneo-skeletal condition craniomandibular dermatodysostosis, in which focal glomerular sclerosis and end-stage renal failure developed and renal transplantation was required. ( info)

6/9. Chronic headache and nocturnal bruxism in a 5-year-old child treated with an occlusal splint.

    A report is presented of a 5-year-old girl who had an 11-month history of chronic headache and nocturnal bruxism. Treatment using a removable appliance that provided maximum support in centric relation was successful in relieving the headache during a follow-up period of 22 months. ( info)

7/9. parotid gland carcinoma simulating signs and symptoms of craniomandibular disorders--a case report.

    The following case involves a 33-year-old woman who received two accidental blows to her left temporomandibular joint (TMJ) region six months before her first visit to the Institute of dentistry, University of Oulu. Both clinical and computed tomography (CT) examinations of this left TMJ strongly favored a diagnosis of craniomandibular disorders (CMD). However, a fine needle biopsy and an histopathological examination of the parotid gland established the final diagnosis as poorly differentiated adenocarcinoma of the parotid gland. The course of the disease was very aggressive developing several metastases, and the patient died 24 months after the diagnosis. The presence of facial nerve paralysis, especially in combination with cheek numbness in the parotid region, should have strongly suggested the possibility of such a malignancy. ( info)

8/9. Malignant lesions presenting as symptoms of craniomandibular dysfunction.

    Three cases of carcinoma, seen in a head/neck pain management practice during the past 2 years and presenting as craniomandibular dysfunction symptoms, are reported. Clinicians should always consider a differential diagnosis because of the variety of potential causes of the symptoms presented by the patient. These symptoms act as clues to help to differentiate between a routine or "evil" process. The need for imaging and remaining, when the clinical symptoms do not correlate with the clinical examination through established guidelines for craniomandibular dysfunction or head/neck pain, is of paramount importance. ( info)

9/9. A skull base epidermoid cyst causing the symptoms of a craniomandibular disorder.

    This article describes a case report of a 52 year old patient with a ten year history of orofacial pain who was misdiagnosed with a craniomandibular disorder (CMD) and trigeminal neuralgia. After a epidermoid cyst in the skull base had been diagnosed and removed the complaints diminished and finally disappeared. ( info)


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