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Biomedical subjects

W J Spitzer

Publications and source records attributed to W J Spitzer.

At least 55 records · Page 3Linked to original sources
PubMed1987

Condylar position following ramus osteotomy and functional osteosynthesis. A clinical function-analytic and computer tomographic study.

Opponents of the application of a stable fixation of the fragments with compression screws in osteotomies of the mandibular ramus quite often claim that there is the possibility of a postoperative dislocation of the proximal fragment with consequent functional disturbances of the temporo-mandibular joint. For determination of the frequency and the extent of such possible displacements of the condyle, a total of 174 patients, in whom ramus osteotomies were performed, were clinically examined. In 9 of them, a functional analysis and in 10 other patients, a CT scan investigation of the position of the TM joint, was carried out. Only in 1 case could a considerable dislocation of the proximal fragment be observed, which was due to a strong unilateral deviation of the ascending ramus. For correction of the functional disturbance the bone screws had to be removed in this particular case. In those cases where a functional analysis and CT study were undertaken, only slight changes of the pre- and post-operative position of the condyles were observed: it did not lead to clinical disturbances and complaints.

Bone Screws↗
PubMed1986

[Nuclear magnetic resonance tomography of the temporomandibular joint].

Because of its position, the temporomandibular joint is difficult to demonstrate by conventional radiological methods. Even the use of complex methods, such as arthro-tomography or CT, does not result in the satisfactory demonstration of the soft tissues and, in particular, of the articular disc. Magnetic resonance was carried out in 24 patients; it was possible to differentiate functional from morphological changes in the cartilage and these are discussed. Measurements were carried out during progressive opening of the mouth. This permits direct demonstration of reversible and irreversible cartilage displacement and of other changes in the joint and cartilages.

Humans↗