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Biomedical subjects

E Piehslinger

Publications and source records attributed to E Piehslinger.

31 records · Page 2Linked to original sources
PubMed1994

Orthopedic jaw movement observations. Part V: Transversal condylar shift in protrusive and retrusive movement.

Unguided protrusive and retrusive mandibular movement was investigated in 76 asymptomatic volunteers and temporomandibular joint (TMJ) patients using computerized axiography. In 38 of these subjects, guided pro-/retrusion was also recorded. Measurements were performed in a three-dimensional Cartesian coordinate system (x = anteroposterior; y = transversal, toward the hinge axis; z = craniocaudal). Transversal shift (y) was measured and evaluated as well as the distance "s" and horizontal condylar inclination (HCl) at the point of maximum transversal deviation. The patterns of the tracings were analyzed with a view to diagnostic improvements. The objective of this study was to evaluate transversal shift and to examine the postulate of symmetrical behavior of the TMJs in pro-/retrusion. The mean mandibular shift was 0.15 mm to the left. This maximum deviation was seen in a mean distance "s" of 7.42 mm in relation to the Cartesian coordinate system in reference position. These results suggest a functional dominance of the right part of the mandible in protrusive and retrusive movement.

Adolescent↗
PubMed1994

The reproducibility of condylar hinge axis positions in patients, by different operators, using the electronic mandibular position indicator.

Three operators each made five recordings from 15 symptomatic patients using the electronic mandibular position indicator. The method consisted of measuring bilateral spatial changes of the hinge axis recalculated by the computer to an intercondylar distance of 110 mm and a third position, calculated from the rotation of the hinge axis, at the incisal guidance table. All individual patient recordings were related to the origin of the same coordinate system. This origin is designated and defined as the reference position, with purposeful elimination of any stated joint position for this definition. The measurements were in all planes of space at 10-millimicron increments, including the rotation of the transverse hinge axis in hundredths of degrees. These data showed that the reproducibility of hinge axis positions, ie, reference positions, to hinge axis condylar positions dictated by the maximum intercuspation of teeth was in average less than 0.2 mm for each record from all operators and patients.

Analysis of Variance↗
PubMed1993

[MRI of the temporomandibular joint. Demonstrability and significance of the retro-articular vascular plexus].

The retro-articular vascular plexus of the temporomandibular joint (TMJ) is of great importance for the function of this joint. Aim of this study was to determine the amount of increase of signal intensity in the retro-articular vascular plexus after intravenous injection of contrast medium and to figure out potential advantages of this procedure. The posterior band of the articular disc--a landmark in the diagnosis of disc dislocations--becomes prominent after injection of contrast medium. Forty-five temporomandibular joints were studied before, and after intravenous injection of contrast medium with magnetic resonance imaging (MRI) using T1-weighted images in parasagittal plane. In all cases a measurable increase of signal intensity was demonstrable in healthy volunteers as well as in patients with normal or pathological TMJ findings. In 53.3% of cases the posterior band was better differentiable after administration of contrast medium. In patients with suspicion of pathological features in series without contrast medium, in 27.3% of those cases administration of contrast medium led to a more precise--"diagnostic"--evaluation of disc location. The study emphasizes the use of contrasts medium for evaluations of disc dislocation with MRI in cases of pathological or unclear findings in precontrast MRI series.

Adolescent↗
PubMed1993

Orthopedic jaw movement observations. Part I: Determination and analysis of the length of protrusion.

An analysis and quantitation of protrusive and retrusive mandibular movement is provided. This report is one study along with four other parts analyzing the mandibular opening movement, the transversal shift during protrusion and retrusion, the mediotrusive movement and mastication. Protrusive movements of 225 individuals (180 patients, 45 volunteers) were analyzed using computerized axiography. Investigating both asymptomatic volunteers and patients with abnormal joint mobility helps to improve evaluation of these abnormalities. With the aid of diagnostic computer software, the length of the pathways was measured and the characteristics of the curves were analyzed. An average group was defined based on the values found in asymptomatic individuals, comprising 50% of our volunteers. The interquartile range for the male volunteers was 8.79-12.27 mm for the right joint and 9.43-12.93 mm for the left joint; for female volunteers it was 8.32-10.64 mm and 9.2-11.26 mm, respectively.

Diagnosis, Computer-Assisted↗
PubMed1993

Orthopedic jaw movement observations. Part II: The rotational capacity of the mandible.

Using computerized axiography, particularly the electronic mandibular position indicator (EMPI), the mandibular opening movement was measured in 86 asymptomatic volunteers and temporomandibular joint (TMJ) patients. Terminal hinge-axis movement and hinge-axis rotation at maximum-guided mouth opening were recorded. The angle of hinge-axis rotation was used as a parameter for both movements, in accordance with the neutral-zero method. This is a well-established technique in orthopedics and is the standard tool for quantitative functional analysis of joints. An average group was defined, 50% being volunteers. The interquartile range for terminal hinge-axis movement in this study was 5.42 degrees-7.41 degrees in the volunteers and 4.73 degrees-7.25 degrees in the patients. The interquartile range for hinge-axis rotation at maximum opening was from 29.09 degrees-34.87 degrees in the volunteers and from 26.7 degrees-35 degrees in the patients. Computerized axiography is a refined tool for analyzing rotational and translational capacities of the mandible. It is a valid and practical method for orthopedic-diagnostic evaluation of mandibular movements and gives objective criteria for diagnosis in accident victims.

Adolescent↗
PubMed1993

Reproducibility of the condylar reference position.

The reproducibility of the condylar reference position was examined at the pont of unstrained hinging movement of the mandible in subjects with TMJ symptoms and in asymptomatic subjects. Three different operators performed the procedure to detect interoperator variability. Each operator made five registrations using computerized axiography in the electronic mandibular position indicator mode. Data were evaluated by an analysis of variance using three factors: (1) repetitions of the single operator, (2) data from symptomatic versus asymptomatic patients, and (3) values of different operators. The results showed that none of these factors had a significant influence on reproducibility of the condylar reference position. High reproducibility was obtained in both symptomatic and asymptomatic groups. Measured values remained within +/- 0.1 mm in 58.6% and within +/- 0.2 mm in 24.3% of the registrations.

Adolescent↗
PubMed1992

Sonography of nonneoplastic disorders of the salivary glands.

We examined 637 patients with salivary gland disorders by real-time sonography. In 270 patients, the possibility of neoplasia of the salivary glands could not be excluded by ultrasound. In the remaining 367 patients, the following disorders were diagnosed sonographically: acute inflammation (72 patients), Sjögren's syndrome or chronic inflammation (81 patients), abscess (9 patients), sialolithiasis (192 patients), and cysts (13 patients). The present study discusses the ultrasound appearances of a variety of diseases and the indications and limits of sonography in the evaluation of salivary gland pathology.

Abscess↗
PubMed1991

Computerized axiography: principles and methods.

This paper reviews earlier methods for the analysis of mandibular movement and gives a detailed account of state-of-the-art procedures. Special emphasis is given to computerized axiography and the application of this method to the diagnostics of the temporomandibular joint (TMJ). The article discusses the advantages of computerized axiography over the mechanical device and points out the limitations of the axiographic method. One major advantage of the computerized system is having the enlarged diagram of tracings on the computer screen. This means that small changes such as initial disk displacements can be diagnosed more readily than with the mechanical device.

Dental Articulators↗
PubMed1991

Arterial supply of the oral mucosa.

In 15 human heads, bilateral injection through the common carotid artery was carried out in order to find out whether there are any more or less distinctly limited segments of the oral mucosa supplied by certain arterial branches that would represent the nutritive pedicles of the respective segments. It seems that the gingiva libera of the buccal side in the region of the upper molars and premolars represents such a segment. In spite of small anastomoses between the right and left sublingual arteries, one half of the sublingual mucosa may also be considered as a segment. The same refers to the mucosa of one half of the hard palate. Even smaller units of varying extent of the palatine mucosa may be differentiated as distinct vascular areas. For the majority of the oral mucosa, however, no limitations of vascular segments with distinct arterial pedicles could be discovered.

Arteries↗
PubMed1991

[The blood supply of the cervical esophagus].

In accordance with former authors the arteries for the cervical esophagus originate mainly from the inferior thyroid artery. In a few cases additional vessels originated directly from the subclavian artery. After a variable course they approach the esophagus in a purely transverse direction. The uppermost vessels originating from the inferior thyroid artery may send branches to the posterior wall of the trachea and also supply the anterior wall of the esophagus. The surgical separation of the two organs is dangerous for the esophagus.

Esophagus↗
PubMed1991

[Intra- and extra-capsular condyle fractures in the growth period. Therapy, clinical course, complications].

37 patients had been reviewed after surgical (n = 25) or conservative (n = 12) treatment of condylar fractures. Morphologic and functional outcomes were equal in spite of the poorer starting position of the patients that had been operated on. Injuries and complications due to the operation, such as facial nerve palsy, growth inhibition or obvious scars have never been found. Conservatively treated and operated patients alike showed a moderate limitation of opening and mediotrusion on the fracture side, and both groups showed a flattening of the protrusion path.

Adolescent↗