Sasaki Jun, Suzuki Kenta, Kashihara Sho, Saito Terumi
Department of Maxillofacial Surgery, Okazaki City Hospital, Aichi, Japan (Chief: Dr Terumi SAITO).
Ann Med Surg (Lond). 2024 Sep 4;86(10):6221-6226. doi: 10.1097/MS9.0000000000002523. eCollection 2024 Oct.
Tori in the maxilla and mandible are often clinically asymptomatic, but can often lead to issues such as obstruction of denture attachment and dysarthria. The authors describe a case involving a substantial torus in the maxilla and mandible that significantly affected speech articulation.
A 72-year-old woman presented with a pronounced torus in the maxilla and mandible. Surgical resection of the lesion resulted in improved tongue movement. Through both pre and postoperative assessments, the authors evaluated pronunciation, generated a three-dimensional (3D) computed tomography (CT)-based image, and quantified the extent of bone removal. A 6-month follow-up demonstrated no recurrence of the condition.
Surgical intervention leads to improvements in soft palate sounds. The surgical intervention proved effective in ameliorating speech articulation difficulties, and the application of 3D-CT image construction was valuable.
To summarize, the authors successfully managed and treated a giant torus in the maxilla and mandible, a condition scarcely been reported in the literature. This report is the first to detail the application of 3D analysis for the evaluation a torus.
上颌骨和下颌骨的隆突在临床上通常无症状，但常常会导致诸如义齿附着受阻和构音障碍等问题。作者描述了一例涉及上颌骨和下颌骨巨大隆突且严重影响言语清晰度的病例。
一名72岁女性患者上颌骨和下颌骨有明显的隆突。病变的手术切除使舌运动得到改善。通过术前和术后评估，作者评估了发音情况，生成了基于三维（3D）计算机断层扫描（CT）的图像，并对骨切除范围进行了量化。6个月的随访显示病情未复发。
手术干预可改善软腭音。手术干预被证明对改善言语清晰度困难有效，3D-CT图像构建的应用很有价值。
总之，作者成功处理并治疗了上颌骨和下颌骨的巨大隆突，这是一种在文献中鲜有报道的情况。本报告首次详细介绍了3D分析在上颌骨隆突评估中的应用。
