Khonsari R-H, Corre P, Bouguila J, Lumineau J-P, Heuzé Y
Service d'ORL et chirurgie cervicofaciale, centre hospitalier du Mans, 72037 Le Mans, France.
Rev Stomatol Chir Maxillofac. 2010 Sep;111(4):221-4. doi: 10.1016/j.stomax.2010.07.002.
Bifid condyles are uncommon and include post-traumatic aberrant reorganization of the temporomandibular joint (TMJ) and congenital forms.
We report two cases of unilateral bifid condyles, responsible for functional dysfunction of the TMJ. The first case, probably of congenital origin, was oriented frontally. The second case, oriented in the sagittal plane, was probably post-traumatic. Functional treatment was used for both patients.
Bifid condyles is asymptomatic in most cases. Their most frequent clinical consequence is TMJ pain. Surgical treatment is rarely indicated. Determining the congenital or post-traumatic origin of bifid condyles is often difficult. The orientation of the supernumerary condyle head could help for the etiological diagnosis.
双髁突并不常见,包括颞下颌关节(TMJ)创伤后异常重组和先天性形式。
我们报告两例单侧双髁突病例,它们导致了颞下颌关节的功能障碍。第一例可能为先天性起源,呈额状位。第二例呈矢状位,可能是创伤后形成的。两名患者均采用了功能治疗。
双髁突在大多数情况下无症状。其最常见的临床后果是颞下颌关节疼痛。很少需要手术治疗。确定双髁突的先天性或创伤后起源往往很困难。额外髁突头的方向有助于病因诊断。