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囊内骨折后下颌髁突无菌性骨髓炎及坏死

Aseptic osteomyelitis and necrosis of the mandibular condylar head after intracapsular fracture.

作者信息

Sanders B, McKelvy B, Adams D

出版信息

Oral Surg Oral Med Oral Pathol. 1977 May;43(5):665-70. doi: 10.1016/0030-4220(77)90048-2.

DOI:10.1016/0030-4220(77)90048-2
PMID:266145
Abstract

Aseptic osteomyelitis and necrosis of the mandibular condylar head is a rare complication which may occur several months after an untreated intracapsular fracture. Clinical symptoms are pain in the temporomandibular joint on the affected side and limitation of opening of the mouth. Radiographically, the condylar head is characteristically eroded and irregular. Treatment consists of surgical removal of the necrotic condylar head and débridement of the area, which are performed via a preauricular approach.

摘要

无菌性骨髓炎和下颌髁突头坏死是一种罕见的并发症,可能在未经治疗的囊内骨折数月后发生。临床症状为患侧颞下颌关节疼痛和张口受限。影像学上,髁突头的特征是被侵蚀且不规则。治疗包括通过耳前入路手术切除坏死的髁突头并对该区域进行清创。

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