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关节外关节强直:一种罕见的表现。

Extraarticular joint ankylosis: a rare presentation.

机构信息

Dental and Oral Surgery Unit-1, Christian Medical College, Vellore, Tamil Nadu, India

Dental Surgery Unit 1, Christian Medical College, Vellore, Tamil Nadu, India.

出版信息

BMJ Case Rep. 2021 Nov 29;14(11):e244616. doi: 10.1136/bcr-2021-244616.

Abstract

Pseudoankylosis is a rare condition that causes inability to open the mouth due to condition related to outside of the temporomandibular joint. Most literature refers to this hypomobility disorder, a result of fusion of the zygomatic bone to the coronoid process, and very rarely is insidious coronoid hyperplasia causing mechanical interference with the posterior maxilla has been reported. We present a case of a 45-year-old woman, who presented with coronoid malformation and overgrowth resulting in progressive decrease in mouth opening. She was managed with coronoidectomy, following which good mouth opening was obtained. In this paper we discuss about the diagnosis and management of this rare disorder.

摘要

假性关节强直是一种罕见的疾病,由于颞下颌关节外的病变导致无法张口。大多数文献提到这种运动障碍是由于颧骨与喙突融合所致,而很少有报道称是由于喙突的隐匿性增生导致机械性干扰上颌后部。我们报告了一例 45 岁女性,她因喙突畸形和过度生长导致张口逐渐减小。我们对其进行了喙突切除术,术后张口度得到改善。本文讨论了这种罕见疾病的诊断和治疗。

相似文献

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Extraarticular joint ankylosis: a rare presentation.关节外关节强直:一种罕见的表现。
BMJ Case Rep. 2021 Nov 29;14(11):e244616. doi: 10.1136/bcr-2021-244616.
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Pseudoankylosis of the temporomandibular joint caused by zygomatic malformation.由于颧骨畸形导致的颞下颌关节假性关节强直。
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本文引用的文献

1
Ankylosis of the Coronoid Process to the Zygomatic Bone: A Case Report and Review of the Literature.冠状突与颧骨融合:一例报告及文献综述
J Oral Maxillofac Surg. 2019 Jun;77(6):1230.e1-1230.e11. doi: 10.1016/j.joms.2018.10.006. Epub 2018 Oct 18.
2
The surgical management of extra-articular ankylosis in noma patients.走马疳患者关节外强直的手术治疗
Int J Oral Maxillofac Surg. 2018 Dec;47(12):1527-1533. doi: 10.1016/j.ijom.2018.07.012. Epub 2018 Aug 10.
3
The outcome of coronoidectomy in bilateral coronoid process hyperplasia.双侧冠状突增生行冠状突切除术的结果
Cranio. 2018 Jan;36(1):53-60. doi: 10.1080/08869634.2017.1283788. Epub 2017 Feb 21.
6
Mouth opening limitation caused by coronoid hyperplasia: a report of four cases.喙突增生导致的张口受限:4例报告
J Korean Assoc Oral Maxillofac Surg. 2014 Dec;40(6):301-7. doi: 10.5125/jkaoms.2014.40.6.301. Epub 2014 Dec 26.
8
Coronoid hyperplasia in chronic progressive trismus.喙突增生症致慢性进行性牙关紧闭。
Med Hypotheses. 2011 Nov;77(5):863-8. doi: 10.1016/j.mehy.2011.07.058. Epub 2011 Aug 23.
9
Jacob's disease: report of a rare case and literature review.雅各布病:一例罕见病例报告及文献复习。
Int J Oral Maxillofac Surg. 2011 Jul;40(7):753-7. doi: 10.1016/j.ijom.2011.02.011. Epub 2011 Mar 15.
10
Wedge subcoronoid ostectomy: an alternative to coronoidotomy.楔形下颌骨冠突下切除术:一种替代冠突切开术的方法。
Int J Oral Maxillofac Surg. 2010 Nov;39(11):1127-9. doi: 10.1016/j.ijom.2010.06.022. Epub 2010 Aug 4.

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