一例咬肌营养不良性钙化病例。
A case of dystrophic calcification in the masseter muscle.
作者信息
Kim Heon-Young, Park Jung-Hyun, Lee Jun-Bum, Kim Sun-Jong
机构信息
Department of Oral and Maxillofacial surgery, Ewha Womans University Mok-dong Hospital, Mok 5-dong, Yangcheon-gu, Seoul, 158-710 South Korea.
出版信息
Maxillofac Plast Reconstr Surg. 2017 Nov 5;39(1):31. doi: 10.1186/s40902-017-0130-4. eCollection 2017 Dec.
BACKGROUND
Dystrophic calcification can occur in any soft tissue with the absence of a systemic mineral imbalance and is often associated with trauma, infection, or inflammation. It is easily found in the site of the heart and skeletal muscles and rarely appears in the head and neck area.
CASE REPORT
We present a rare case of multiple calcified masses in the left masseter muscle of a 26-year-old female with a history of trauma in the area. In computed tomography, multiple radiopaque masses were observed inside the left masseter muscle and blood test results were normal. The calcified masses were diagnosed as dystrophic calcification and removed by surgery without any complications.
CONCLUSION
Different types of calcifications may occur in the cheek area, and they need to be distinguished from dystrophic calcification. Thorough clinical examination and history taking is required together with blood testing and radiographic examinations.
背景
营养不良性钙化可发生于任何无全身性矿物质失衡的软组织中，且常与创伤、感染或炎症相关。其在心脏和骨骼肌部位易于发现，而在头颈部区域则很少出现。
病例报告
我们报告一例罕见病例，一名26岁女性，左侧咬肌出现多个钙化肿块，该区域有创伤史。在计算机断层扫描中，左侧咬肌内观察到多个不透射线的肿块，血液检查结果正常。这些钙化肿块被诊断为营养不良性钙化，并通过手术切除，无任何并发症。
结论
面颊区域可能出现不同类型的钙化，需要与营养不良性钙化相鉴别。需要进行全面的临床检查和病史采集，并结合血液检查和影像学检查。
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