颞下颌关节紊乱与茎突骨折并存：一份临床报告。

The coexistence of temporomandibular disorders and styloid process fracture: a clinical report.

作者信息

Atsu Saadet Saglam, Tekdemir Ibrahim, Elhan Alaittin

机构信息

Department of Prosthodontics, Faculty of Dentistry, University of Kirikkale, Turkey.

出版信息

J Prosthet Dent. 2006 Jun;95(6):417-20. doi: 10.1016/j.prosdent.2006.04.005.

DOI:10.1016/j.prosdent.2006.04.005

PMID:16765153

Abstract

This clinical report describes the diagnosis and treatment of a patient with both temporomandibular disorders (TMD) and styloid process fracture. The presence of tender muscles of mastication, facial pain, especially upon awakening, frequent grinding sounds, and tooth attrition indicated a diagnosis of TMD with bruxism as a possible etiological factor. However, the preliminary diagnosis of styloid process fracture based on the patient's sensation of a foreign body in the throat and some discomfort when turning the head was confirmed using radiography. The styloid process fracture was treated using conservative nonsurgical therapy, and an occlusal splint was used to treat the TMD. The patient's symptoms were significantly reduced at the 12-month follow-up visit.

摘要

本临床报告描述了一位患有颞下颌关节紊乱病（TMD）和茎突骨折患者的诊断与治疗情况。咀嚼肌压痛、面部疼痛（尤其是醒来时）、频繁的磨牙声以及牙齿磨损表明该患者被诊断为TMD，磨牙症可能是病因之一。然而，基于患者喉咙有异物感以及转头时的一些不适而初步诊断的茎突骨折，经X线摄影得以确诊。茎突骨折采用保守非手术疗法进行治疗，同时使用咬合夹板治疗TMD。在12个月的随访中，患者症状明显减轻。