Hirano A, Iio Y, Murakami R, Fujii T
Department of Plastic and Reconstructive Surgery, Nagasaki University School of Medicine, Japan.
Cleft Palate Craniofac J. 1994 Jul;31(4):309-12. doi: 10.1597/1545-1569_1994_031_0309_rttyfu_2.3.co_2.
The authors encountered an unusual case of recurrent trismus in a patient who had oral synechia, cleft lip and palate, digital anomalies, and external genital anomaly. Mandibular movement was severely restricted by congenital soft-tissue adhesion in the retromolar region. Despite aggressive surgical efforts and postoperative manipulations, limitation of mouth opening recurred soon after each operation. Furthermore, congenital and postoperative soft-tissue adhesion resulted in severe subsequent jaw deformities, which needed combined maxillary and mandibular advancement.
作者遇到了一例复发性牙关紧闭的特殊病例，该患者患有口腔粘连、唇腭裂、手指畸形和外生殖器畸形。下颌运动受到磨牙后区先天性软组织粘连的严重限制。尽管进行了积极的手术治疗和术后处理，但每次手术后不久张口受限又会复发。此外，先天性和术后软组织粘连导致了严重的后续颌骨畸形，这需要上颌和下颌联合前徙。
