Cimino Roberta, Steenks Michel H, Michelotti Ambrosina, Farella Mauro, PierFrancesco Nocini
TMD Unit, Department of Orthodontics, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy.
J Orofac Pain. 2003 Summer;17(3):254-61.
Temporomandibular disorders can usually be diagnosed on the basis of a thorough history and a comprehensive examination of the patient. Additional diagnostic tests, such as imaging of the temporomandibular joint (TMJ) area, are mandatory and must be flawless in case of atypical findings. The aim of this report is to illustrate pitfalls in clinical reasoning and in imaging procedures in the diagnosis of temporomandibular pain and dysfunction. A case report of a patient with osteocartilaginous exostosis of the mandibular condyle, which was erroneously diagnosed and treated as an internal derangement of the TMJ for half a year, is presented.
颞下颌关节紊乱通常可根据详尽的病史和对患者的全面检查来诊断。对于非典型表现，额外的诊断测试，如颞下颌关节（TMJ）区域的影像学检查是必不可少的，且必须完美无误。本报告旨在阐述颞下颌疼痛和功能障碍诊断中临床推理及影像学检查过程中的陷阱。本文呈现了一例下颌髁突骨软骨瘤患者的病例报告，该病例被误诊并按颞下颌关节内紊乱治疗了半年。
