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[青少年患者双侧冠状突增生。病例报告]

[Bilateral hyperplasia of the coronoid process in an adolescent patient. case report].

作者信息

Fernández Gustavo, Hernández-Andara Adalsa, Manresa Carlos, Ortega-Pertuz Ana I

机构信息

División de Cirugía y Traumatología Bucal y Maxilofacial, Hospital General del Oeste Dr. José Gregorio Hernández. Caracas, Venezuela.

Unidad de Diagnóstico por Imagen, Clínica Félix Boada. Caracas, Venezuela, Centro Diagnostico Docente Las Mercedes, Caracas, Venezuela.

出版信息

Rev Cient Odontol (Lima). 2024 Mar 30;12(1):e191. doi: 10.21142/2523-2754-1201-2024-191. eCollection 2024 Jan-Mar.

DOI:10.21142/2523-2754-1201-2024-191
PMID:39015306
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11247471/
Abstract

Hyperplasia of the coronoid process is a rare alteration that is characterized by the exaggerated and progressive development of said process over periods of months or years, both in height and volume, which finally causes mandibular hypomobility. It is important to highlight the importance of imaging for the correct diagnosis and treatment of said entity, taking into consideration the great variety of differential diagnoses that can occur. In this sense, conventional radiographs constitute a basic and indispensable tool for approaching the diagnosis. However, it is actually the CT scan that offers the greatest precision. The case of a 14-year-old male patient is presented, with no contributing medical history, who was referred for presenting progressive opening limitation since childhood, for which, after clinical and imaging evaluation, he was treated with total bilateral coronoidectomy, postoperative follow-up was performed. for a year in which recurrence of said entity could be observed. This case demonstrates the importance of correct diagnosis, as well as postoperative control and the rehabilitation scheme carried out by the patient.

摘要

冠状突增生是一种罕见的病变,其特征是在数月或数年的时间里,该突起在高度和体积上过度且渐进性地发育,最终导致下颌活动受限。必须强调影像学对于正确诊断和治疗该疾病的重要性,要考虑到可能出现的多种鉴别诊断。从这个意义上讲,传统X线片是进行诊断的基本且不可或缺的工具。然而,实际上CT扫描提供的精度最高。本文介绍了一名14岁男性患者的病例,该患者无相关病史,自幼出现渐进性开口受限,经临床和影像学评估后,接受了双侧冠状突全切术,并进行了为期一年的术后随访,期间观察到该病变复发。该病例证明了正确诊断、术后控制以及患者实施康复方案的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/8974aeadfd22/odontologica-12-01-e191-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/dce9464a175e/odontologica-12-01-e191-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/76d8ad5f261a/odontologica-12-01-e191-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/1437df588b38/odontologica-12-01-e191-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/b45ac455203b/odontologica-12-01-e191-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/fa9bb85cdb55/odontologica-12-01-e191-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/8974aeadfd22/odontologica-12-01-e191-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/dce9464a175e/odontologica-12-01-e191-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/76d8ad5f261a/odontologica-12-01-e191-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/1437df588b38/odontologica-12-01-e191-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/b45ac455203b/odontologica-12-01-e191-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/fa9bb85cdb55/odontologica-12-01-e191-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2c/11247471/8974aeadfd22/odontologica-12-01-e191-gf6.jpg

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1
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本文引用的文献

1
The Regrowth of Mandibular Coronoid Process After Coronoidectomy: A Retrospective Analysis of 57 Cases.髁突切除术后面下颌角的再生:57 例回顾性分析。
J Oral Maxillofac Surg. 2022 Jan;80(1):151-161. doi: 10.1016/j.joms.2021.08.002. Epub 2021 Aug 10.
2
Coronoid hyperplasia: A review.喙突增生:综述。
J Stomatol Oral Maxillofac Surg. 2020 Sep;121(4):397-403. doi: 10.1016/j.jormas.2019.12.019. Epub 2020 Jan 2.
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Bilateral elongated mandibular coronoid process in an Anatolian skull.一具安纳托利亚头骨中双侧下颌冠突延长。
Anat Cell Biol. 2016 Sep;49(3):217-220. doi: 10.5115/acb.2016.49.3.217. Epub 2016 Sep 29.
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Bilateral coronoid process hyperplasia with pseudocartilaginous joint formation: Jacob disease.双侧冠状突增生伴假软骨关节形成:雅各布病。
J Oral Maxillofac Surg. 2013 Feb;71(2):316-21. doi: 10.1016/j.joms.2012.05.029. Epub 2012 Aug 4.
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Int J Oral Maxillofac Surg. 2012 Dec;41(12):1483-9. doi: 10.1016/j.ijom.2012.03.029. Epub 2012 May 17.
6
Bilateral coronoid hyperplasia (Jacob disease on right and elongation on left): report of a case and literature review.双侧冠状突增生(右侧为雅各布病,左侧为延长):一例报告及文献综述。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Mar;107(3):e64-7. doi: 10.1016/j.tripleo.2008.10.017. Epub 2009 Jan 20.
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Bilateral coronoid hyperplasia in an adolescent: report of a case and review of the literature.青少年双侧冠状突增生:一例报告并文献复习
J Oral Maxillofac Surg. 2006 Feb;64(2):334-8. doi: 10.1016/j.joms.2005.10.032.
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Hyperplasia of the mandibular coronoid process: long-term follow-up after coronoidotomy.下颌冠突增生:冠突切除术后的长期随访
J Craniomaxillofac Surg. 1997 Jun;25(3):169-73. doi: 10.1016/s1010-5182(97)80010-8.
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Hyperplasia of the mandibular coronoid process: an analysis of 31 cases and a review of the literature.下颌冠突增生:31例分析及文献复习
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