Alterations in kinematics of temporomandibular joint associated with chronic neck pain

alexandrossfakianakis shared this article with you from Inoreader Alterations in kinematics of temporomandibular joint associated with chronic neck pain via Journal of Oral Rehabilitation Abstract Background Temporomandibular disorder (TMD) is an umbrella term for pain and dysfunction of the temporomandibular joint (TMJ) and its associated structures. Patients with TMD show changes in TMJ kinematics and masticatory muscle activation. TMD is commonly comorbid with non-specific chronic neck pain (NCNP), which may be one of the risk factors for TMD. Objectives This study aimed to investigate whether patients with NCNP have altered TMJ kinematics and masticatory muscle activity. Methods This was a cross-sectional exploratory study including 19 healthy participants and 20 patients with NCNP but without TMD symptoms. TMJ kinematics was measured during mouth opening and closing, jaw protrusion and jaw lateral deviation. Surface electromyography was used to record the muscle activity of the anterior temporalis, masseter, sternocleidomastoid, and upper trapezius while clenching. Furthermore, cervical posture, cervical range of motion (ROM), and pressure pain threshold of the neck and masticatory muscles were measured. Results Compared with the healthy group, the NCNP group showed significantly reduced upper cervical rotation ROM (p=0.041), and increased condylar path length (p=0.02), condylar translation (opening p=0.034, closing p=0.011), and mechanical pain sensitivity of the upper trapezius (p=0.018). Increased condylar translation was significantly correlated with reduced upper cervical mobility and poor cervical posture (r=−0.322 to −0.397; p=0.012–0.046). Conclusion Increased condylar translation and path length in patients with NCNP may indicate poor control of TMJ articular movement, which may result from neck pain or may be a compensation for limited neck mobility. Evaluation of excessive TMJ translation may be considered in patients with NCNP. View on Web

Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Total thyroidectomy versus hemithyroidectomy with intraoperative radiofrequency ablation for unilateral thyroid cancer with contralateral nodules: A propensity score matching study

alexandrossfakianakis shared this article with you from Inoreader Total thyroidectomy versus hemithyroidectomy with intraoperative radiofrequency ablation for unilateral thyroid cancer with contralateral nodules: A propensity score matching study via Most Recent Articles: Journal of Otolaryngology - Head & Neck Surgery For unilateral papillary thyroid carcinoma (PTC) patients with contralateral benign nodules, optimal treatment decisions are made according to patient preference and the disease's pathological features. This s... View on Web

Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Isolated cerebral toxoplasmosis 17 years post renal transplant

alexandrossfakianakis shared this article with you from Inoreader Isolated cerebral toxoplasmosis 17 years post renal transplant via Transplant Infectious Disease View on Web

Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

A novel nonsense PKD1L1 variant cause heterotaxy syndrome with congenital asplenia in a Han Chinese patient

alexandrossfakianakis shared this article with you from Inoreader A novel nonsense <i>PKD1L1</i> variant cause heterotaxy syndrome with congenital asplenia in a Han Chinese patient via Journal of Human Genetics - Issue - nature.com science feeds Journal of Human Genetics, Published online: 13 June 2022; doi:10.1038/s10038-022-01053-w A novel nonsense PKD1L1 variant cause heterotaxy syndrome with congenital asplenia in a Han Chinese patient View on Web

Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Upper Airway Stimulation for Children With Down Syndrome and Obstructive Sleep Apnea

alexandrossfakianakis shared this article with you from Inoreader Upper Airway Stimulation for Children With Down Syndrome and Obstructive Sleep Apnea via JAMA Otolaryngology–Head & Neck Surgery Current Issue The treatment of persistent obstructive sleep apnea (OSA) after an adenotonsillectomy is a challenge, especially for children with Down syndrome. As otolaryngologists with sleep subcertification, we are keenly aware of the current limitations for both medical and secondary surgical treatment options for this cohort. We applaud the insight of Yu and colleagues for their landmark investigation in this issue of JAMA Otolaryngology–Head & Neck Surgery on upper airway stimulation (UAS) for adolescents with Down syndrome and OSA, which expan ds the role of UAS from adults to children. View on Web

Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Within‐patient evaluation of chewing efficiency and maximum bite force of conventional dentures, fixed prostheses, and milled bar overdentures used for All‐on‐4 implant rehabilitation of atrophied mandibular ridges: A short‐term randomized trial

alexandrossfakianakis shared this article with you from Inoreader Within‐patient evaluation of chewing efficiency and maximum bite force of conventional dentures, fixed prostheses, and milled bar overdentures used for All‐on‐4 implant rehabilitation of atrophied mandibular ridges: A short‐term randomized trial via Clinical Implant Dentistry and Related Research Abstract Purpose This crossover study aimed to evaluate chewing efficiency and maximum bite force (BF) of conventional dentures, fixed prostheses, and milled bar overdentures (MO) used for All-on-4 implant rehabilitation of atrophied mandibular ridges. Methods Sixteen edentulous participants with resorbed mandibular ridges received new conventional dentures (CD, control). Four implants were inserted after 3 months in the mandible using the All-on-4 protocol and loaded immediately with acrylic prosthesis. In a crossover manner, each patient had either fixed restoration (FR, 12 occlusal units) or MO (14 occlusal units) randomly in a crossover study design. Chewing efficiency was evaluated using the mixing ability test. The hue deviation (HD) of two-colored gum was calculated after being chewed for 5, 10, 20, 30, and 50 masticatory cycles. Maximum BF was evaluated using a BF device. HD and BF were measured after using CD, FR, and MO prostheses. Results For all groups, the highest HD (i.e., the lowest chewing efficiency) was noted with 5 strokes, followed by 10, 20, 30 strokes, and the lowest HD (i.e., the highest chewing efficiency) was noted with 50 strokes. For all number of chewing strokes, CD showed the highest HD, then FR, and MO recorded the lowest HD. The highest BF was observed with MO, then FR, and the lowest BF was noted with CD. Conclusion Within the limitations of this short-term investigation, both FR and MO used for All-on-4 implant rehabilitation of patients with resorbed mandibular ridges improve masticatory efficiency and maximum BFs compared to CD. However, MO was associated with significantly higher chewing efficiency and maximum BFs than fixed prosthesis. View on Web

Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Epithelial –myoepithelial carcinoma of the maxillofacial and sinonasal region: a systematic review of presenting characteristics, treatment modalities, and associated outcomes

alexandrossfakianakis shared this article with you from Inoreader Epithelial –myoepithelial carcinoma of the maxillofacial and sinonasal region: a systematic review of presenting characteristics, treatment modalities, and associated outcomes via International Journal of Oral and Maxillofacial Surgery via MedWorm.com Epithelial –myoepithelial carcinoma (EMC) is a rare salivary gland malignancy. Controversy exists in the literature regarding the effectiveness of treatment modalities employed in the management of EMC. This systematic review was undertaken to understand the presenting characteristics of EMC and identify the most common treatment modalities and their associated outcomes, in order to help guide an evidenced-based approach to the algorithm of care. The MEDLINE (PubMed) and Embase databases were searched (up to February 23, 2022), and the review was performed in accordance with the PRISMA statement. (Source: International Journal of Oral and Maxillofacial Surgery) View on Web

Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.