Lucamba Agnelo Josué, Grillo Ricardo, Jodas Cláudio Roberto Pacheco, Teixeira Rubens Gonçalves
Department of Oral & Maxillofacial Surgery, Hospital Josina Machel, Luanda, Angola.
Department of Oral & Maxillofacial Surgery, School of Dentistry, Faculdade São Leopoldo Mandic, Rua Dr. 13 Ponte José Rocha Junqueira Preta, Campinas, 13045-755 Brazil.
J Maxillofac Oral Surg. 2023 Feb 25;23(1):1-4. doi: 10.1007/s12663-023-01871-1.
This study aims to report a delayed Gardner syndrome diagnosis mimicking temporomandibular ankylosis.
An 11-year-old patient was treated at the Hospital Josina Machel, Luanda, Angola for severe chronic trismus without TMJ involvement. Some difficulties in diagnosis and final results were discussed.
A delayed diagnosis of Gardner syndrome was treated by the authors. The delay was due to a lack of timely CT scans and some COVID-19 pandemic restrictions. This delay worsened the patient´s clinical condition for several months. Classic surgical gap arthroplasty has been used and considered successful, particularly when material is scarce.
Classical surgical techniques are still very useful in some parts of the world that do not rely on modern technology. International collaboration through teledentistry, case review over the Internet, and humanitarian or educational missions are very helpful in low-income countries.
本研究旨在报告一例误诊为颞下颌关节强直的迟发性加德纳综合征病例。
一名11岁患者在安哥拉罗安达的若西纳·马谢尔医院接受治疗，患有严重的慢性牙关紧闭症，但未累及颞下颌关节。文中讨论了诊断过程中遇到的一些困难及最终结果。
作者对一例迟发性加德纳综合征进行了治疗。诊断延迟是由于缺乏及时的CT扫描以及一些新冠疫情防控限制措施。这种延迟使患者的临床状况恶化了数月。已采用经典的手术间隙关节成形术，且认为手术成功，尤其是在物资匮乏的情况下。
在一些不依赖现代技术的地区，经典的外科技术仍然非常有用。通过远程牙科进行国际合作、互联网病例审查以及人道主义或教育任务对低收入国家非常有帮助。
