@article{oai:shinshu.repo.nii.ac.jp:00002035, author = {山本, 雅也 and 古澤, 清文 and 長谷川, 貴史 and 田中, 三貴子 and 田中, 仁 and 井口, 光世}, issue = {1}, journal = {松本歯学}, month = {Apr}, note = {A case of unilateral temporomandibular joint (TMJ) fibrous ankylosis of a 27-year-old female was reported. On the first visit, she complained of limited ability to opener mouth, and tenderness of the preauricular region and the masseter associated with the deviation of the mandible to the affected side. Considering myogenous limitations of mouth opening ability with normal disc position revealed by MR images, conservative treatment such as the stabilization splint, patient education and manipulation was selected. However, the clinical symptoms did not improve. Double-contrast arthrography revealed fibrous adhesion in the capsule of affected side TMJ. Fibrous adhesion in the superior joint compartment not found on single-contrast arthrography and MR images could be clearly shown by double-contrast arthrography. After resection of the fibrous tissue by arthroscopic surgery, physical therapy was applied during the next seven months, and normal function was able to be reestablished. Again it must be emphasized that double-contrast arthrography and arthroscopy finding of TMJ space are available for prompt diagnosis of TMJ fibrous ankylosis., application/pdf}, pages = {67--70}, title = {顎関節腔二重造影像と鏡視下所見より確定診断が得られた線維性顎関節強直症の1例}, volume = {21}, year = {1995} }