Corchero-Martín Guadalupe, Gonzalez-Terán Tomás, García-Reija María Fe, Sánchez-Santolino Sergio, Saiz-Bustillo Ramón
Med Oral Patol Oral Cir Bucal. 2005 May-Jul;10(3):277-9.
The double headed mandible condyle is a rare alteration that is frequently diagnosticated as an incidental finding in a panoramic radiograph. The different theories about its etiology are explained in this article. Symptoms described with bifid condyles vary from case to case, but in most instances are absent. Computer tomography is the ideal imaging method to evaluate the condyle morphology and to role out any degenerative process to achieve the differential diagnosis. Treatment is conservative for symptomatic patients with TMJ disorders, surgical treatment is described in literature in TMJ ankylosis that develops in bifid condyles secondary to trauma.
双头下颌髁是一种罕见的变异,常在全景X线片检查时偶然发现。本文解释了关于其病因的不同理论。双髁所描述的症状因病例而异,但在大多数情况下并无症状。计算机断层扫描是评估髁形态并排除任何退行性病变以进行鉴别诊断的理想成像方法。对于有颞下颌关节紊乱症状的患者,治疗是保守的,文献中描述了在创伤继发双髁的颞下颌关节强直时的手术治疗。