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后牙缺失患者单侧下颌髁突骨折的延迟诊断

Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous Patient.

作者信息

Anupama Sahani, Hettiarachchi Pilana Vithanage Kalani Shihanika

机构信息

Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri Lanka.

出版信息

Case Rep Dent. 2021 May 16;2021:5579236. doi: 10.1155/2021/5579236. eCollection 2021.

Abstract

BACKGROUND

Fractures of the mandible are common in elderly patients, and among them, condylar fractures are the most frequent type. A change in occlusion is the most common physical finding in patients with fractures of the mandible. Therefore, it is challenging to identify mandibular fractures in posterior edentulous patients due to the lack of posterior occlusal contacts. It is crucial to do radiological investigations in such patients to exclude fractures. . This article describes a case of delayed diagnosis of a unilateral mandibular condylar fracture for a week's duration and treating the condition as temporomandibular pathology in a posterior edentulous, 52-year-old patient.

CONCLUSION

This clinical case highlights the importance of radiological investigations and occlusal analysis for early diagnosis of condylar fractures, particularly in posterior edentulous patients, lacking posterior occlusal contacts.

摘要

背景

下颌骨骨折在老年患者中很常见,其中髁突骨折是最常见的类型。咬合改变是下颌骨骨折患者最常见的体征。因此,由于缺乏后牙咬合接触,在无牙后牙区患者中识别下颌骨骨折具有挑战性。对这类患者进行放射学检查以排除骨折至关重要。本文描述了一例52岁无牙后牙区患者单侧下颌髁突骨折延迟诊断一周,并被误诊为颞下颌关节疾病的病例。

结论

本临床病例强调了放射学检查和咬合分析对髁突骨折早期诊断的重要性,特别是在缺乏后牙咬合接触的无牙后牙区患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1b5/8147526/39da2aa0f0cf/CRID2021-5579236.001.jpg

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