Papadaki Maria E, Tayebaty Fardad, Kaban Leonard B, Troulis Maria J
Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Harvard School of Dental Medicine, 55 Fruit Street, Warren Bldg. 1201, Boston, MA 02114, USA.
Oral Maxillofac Surg Clin North Am. 2007 May;19(2):223-34, vii. doi: 10.1016/j.coms.2007.01.002.
Idiopathic condylar resorption almost exclusively affects women. Its exact etiology and pathogenesis remain unclear. It has been associated with rheumatoid arthritis, temporomandibular joint internal derangement, condylar fractures, connective tissue or autoimmune diseases, orthodontic treatment, and orthognathic surgery. In most cases, however, there is no identifiable precipitating event, hence the term "idiopathic condylar resorption." The female predisposition to this condition may be attributed to the influence of estrogen and prolactin on the bone response. Treatment of idiopathic condylar resorption is controversial. Condylectomy and reconstruction with costochondral graft offer definitive management of active idiopathic condylar resorption.
特发性髁突吸收几乎仅见于女性。其确切病因和发病机制尚不清楚。它与类风湿性关节炎、颞下颌关节内紊乱、髁突骨折、结缔组织或自身免疫性疾病、正畸治疗及正颌外科手术有关。然而，在大多数情况下，并无明确的诱发事件，因此有了“特发性髁突吸收”这一术语。女性易患此病可能归因于雌激素和催乳素对骨反应的影响。特发性髁突吸收的治疗存在争议。髁突切除术及肋软骨移植重建为活动性特发性髁突吸收提供了确定性治疗。
