Bernaola-Paredes Wilber E, Pereira Amanda Mesquita, Albuquerque Luiz Thayná A, Martins Ivan Solani, Lima Flavio Fidêncio, Vallejo-Rosero Kleber A
A.C. Camargo Cancer Center, Sao Paulo, Brazil.
School of Dentistry, Santo Amaro University (UNISA), Sao Paulo, Brazil.
Int J Surg Case Rep. 2020;75:66-70. doi: 10.1016/j.ijscr.2020.08.049. Epub 2020 Sep 4.
Torus palatinus (TP) is a slow growing maxillary exostosis, commonly found in the in the hard palate on either side of the median raphe of the palatine bone. Its aetiology is still unclear, but it has been attributed to genetic events and environmental agents, with a slight predilection for the female gender.
The aim of this case report was to describe an unusual presentation of nodular TP in younger female patient, with medical history of hysterectomy when she was 25 years old. The TP manifested insidious progression that affected functional activities such as eating, swallowing and normal pronunciation. Furthermore, we describe our experience during pre-planning the surgery by using 3D-scan-printing, and the conservative surgical approach performed.
DISCUSSION/CONCLUSION: TP may be associated with epidemiological, environmental and systemic disorders of patients suffering from this condition. Conservative surgical removal continues to be the first choice treatment when the TP must be removed. Further studies are considered necessary to elucidate the etiological factors.
腭隆突（TP）是一种生长缓慢的上颌骨外生骨疣，常见于腭骨正中缝两侧的硬腭。其病因尚不清楚，但被认为与遗传因素和环境因素有关，女性略为多见。
本病例报告的目的是描述一名年轻女性患者中结节状TP的不寻常表现，该患者25岁时行子宫切除术。TP呈隐匿性进展，影响进食、吞咽和正常发音等功能活动。此外，我们描述了在术前规划手术时使用三维扫描打印的经验以及所采用的保守手术方法。
讨论/结论：TP可能与患有这种疾病的患者的流行病学、环境和全身疾病有关。当必须切除TP时，保守手术切除仍然是首选治疗方法。认为有必要进行进一步研究以阐明病因。
