Totsuka Y, Fukuda H, Iizuka T, Shindoh M, Amemiya A
First Dept. of Oral Surgery, School of Dentistry, Hokkaido University, Sapporo, Japan.
J Craniomaxillofac Surg. 1990 Jan;18(1):27-32. doi: 10.1016/s1010-5182(05)80600-6.
A case of unilateral enlargement of the coronoid process of the mandible is presented. The patient, a 37-year-old woman complained of restricted mandibular movement and swelling in the left zygomatic region. Coronoidectomy was performed intraorally, producing improved mandibular movement. The specimen consisted of a large amount of cartilage and mature bone. Most of the cartilage showed a marked disturbance in endochondral ossification. The histopathological diagnosis was osteochondroma. A review of the basic nature of the disease in the reported cases is presented. The value of computed tomography in deciding on a surgical procedure is briefly mentioned.
本文报告一例下颌骨冠状突单侧增大的病例。患者为一名37岁女性,主诉下颌运动受限及左侧颧区肿胀。经口行冠状突切除术,术后下颌运动得到改善。标本包含大量软骨和成熟骨。大部分软骨显示软骨内成骨明显紊乱。组织病理学诊断为骨软骨瘤。本文还对已报道病例中该疾病的基本性质进行了综述。简要提及了计算机断层扫描在决定手术方案中的价值。