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颞下颌关节双侧脱位复位与遗传性出血性毛细血管扩张症:病例报告及病理生理模型

Reduction of bilateral dislocation of TMJ and Rendu Osler Weber syndrome: case report and physiopathological model.

作者信息

Boccalatte L A, Nassif M G, Figari M F

机构信息

Head and Neck Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Maxillofacial Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

出版信息

J Surg Case Rep. 2018 Mar 29;2018(3):rjy054. doi: 10.1093/jscr/rjy054. eCollection 2018 Mar.

DOI:10.1093/jscr/rjy054
PMID:29977502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6007498/
Abstract

Temporomandibular joint dislocation (TMJ) is an infrequent clinical situation, representing 3% of all the human body's dislocations. The etiological factors reported are associated to alterations typical of the joint or of the muscular-ligament apparatus, or to clinical conditions that may cause dislocation. We present the case of a 46-year-old patient with hereditary hemorrhagic telangiectasia with bilateral dislocation of the TMJ. There are several potential causes (antipsychotics, intubation, etc.) although the deposit of manganese in the basal ganglia that produce extrapyramidal symptoms could be the most consistent cause.

摘要

颞下颌关节脱位(TMJ)是一种不常见的临床情况,占人体所有脱位的3%。报道的病因与关节或肌肉韧带装置的典型改变有关,或与可能导致脱位的临床状况有关。我们报告一例46岁患有遗传性出血性毛细血管扩张症并双侧颞下颌关节脱位的患者。虽然基底节中锰的沉积产生锥体外系症状可能是最符合的病因,但还有几种潜在病因(抗精神病药物、插管等)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35bf/6007498/5844ca450f6e/rjy054f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35bf/6007498/5844ca450f6e/rjy054f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35bf/6007498/5844ca450f6e/rjy054f01.jpg

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Reduction of bilateral dislocation of TMJ and Rendu Osler Weber syndrome: case report and physiopathological model.颞下颌关节双侧脱位复位与遗传性出血性毛细血管扩张症:病例报告及病理生理模型
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本文引用的文献

1
Central nervous system manganese induced lesions and clinical consequences in patients with hereditary hemorrhagic telangiectasia.遗传性出血性毛细血管扩张症患者中枢神经系统锰诱导的病变及临床后果
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Temporomandibular joint dislocation.颞下颌关节脱位
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Parkinsonism Relat Disord. 2014 Jan;20 Suppl 1:S108-12. doi: 10.1016/S1353-8020(13)70027-0.
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Unrecognized bilateral temporomandibular joint dislocation after general anesthesia with a delay in diagnosis and management: a case report.全身麻醉后未被识别的双侧颞下颌关节脱位及诊断和处理延迟:一例病例报告
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