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剖析面部先天性浸润性脂肪瘤这一独特病例及其罕见关联——病例报告

Unravelling the unique case of congenital infiltrating lipomatosis of face with its rare associations-A case report.

作者信息

Singh Ramandeep, Gupta Aakash, Pradhan Gaurav Shanker, Kataria Arshit

机构信息

Department of Radiodiagnosis, All India Institute of Medical Sciences, Bathinda, Punjab, 151001, India.

Department of Dentistry, All India Institute of Medical Sciences, Bathinda, Punjab, 151001, India.

出版信息

J Oral Biol Craniofac Res. 2024 Nov-Dec;14(6):767-772. doi: 10.1016/j.jobcr.2024.10.006. Epub 2024 Oct 20.

Abstract

Congenital infiltrating lipomatosis of facial (CIL-F) is a rare tumour of adipose tissue resulting in a progressive craniofacial deformity with involvement of the underlying bones, muscles and joints. We report a very rare case of CIL-F with left sided temporomandibular joint ankylosis in a young patient who presented with facial swelling and reduced mouth opening. This case highlights the imaging features, differential diagnosis and brief management of CIL-F with special emphasis on CT and MRI findings. Also, some associations of CIL-F such as TMJ ankylosis and extraocular muscle hypertrophy has been described, which has been reported very rarely.

摘要

先天性面部浸润性脂肪瘤(CIL-F)是一种罕见的脂肪组织肿瘤,可导致进行性颅面畸形,并累及下方的骨骼、肌肉和关节。我们报告了一例非常罕见的CIL-F病例,该病例发生在一名年轻患者身上,其左侧颞下颌关节强直,表现为面部肿胀和张口受限。本病例重点介绍了CIL-F的影像学特征、鉴别诊断及简要治疗方法,特别强调了CT和MRI表现。此外,还描述了CIL-F的一些关联情况,如颞下颌关节强直和眼外肌肥大,这些情况此前报道极少。

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