Department of Radiology, Crouse Hospital, Syracuse, NY, USA.
Am J Otolaryngol. 2011 Jan-Feb;32(1):52-4. doi: 10.1016/j.amjoto.2009.09.008. Epub 2009 Dec 22.
Osteochondromas are the most common benign bone tumor, most commonly found in the ends of long bones; however, they rarely involve facial bones, particularly the mandible. Osteochondromas involving the coronoid process have rarely been reported in the literature but pose a diagnostic dilemma. When large enough, osteochondromas of the mandibular coronoid process can form a joint with the zygomatic arch (Jacob's disease). This pseudoarticulation results in restricted jaw motion, which can clinically be mistaken for temporomandibular joint dysfunction. We report a case of a 39-year-old man with chronic restricted jaw motion undiagnosed for several years.
骨软骨瘤是最常见的良性骨肿瘤,最常发生于长骨的末端;然而,它们很少涉及面骨,特别是下颌骨。文献中很少有涉及髁突的骨软骨瘤的报道,但这构成了诊断上的难题。当骨软骨瘤足够大时,下颌骨的髁突可以与颧骨弓(雅各布病)形成关节。这种假性关节导致下颌运动受限,临床上可能被误诊为颞下颌关节功能紊乱。我们报告了一例 39 岁男性,数年来慢性下颌运动受限但未被诊断。