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颞下颌关节色素沉着绒毛结节性腱鞘炎

Pigmented villonodular tenosynovitis of the temporomandibular joint.

作者信息

Dinerman W S, Myers E N

出版信息

Trans Sect Otolaryngol Am Acad Ophthalmol Otolaryngol. 1977 Jan-Feb;84(1):132-5.

PMID:857378
Abstract

A case report of pigmented villonodular tenosynovitis involving the temporomandibular joint is presented. The lesion had destroyed the ascending ramus and condyle of the mandible, anterior cartilaginous wall of the external auditory meatus, and a large part of the squamous portion of the temporal bone. Surgery included resection of a portion of the mandible, temporal squama, and dura of the temporal lobe with replacement by a fascia temporalis graft. Four years postoperatively, the patient is free of any evidence of recurrent disease. A discussion of the differential diagnosis of an infratemporal mass, natural history, and pathology of pigmented villonodular tenosynovitis are discussed herein.

摘要

本文报告一例累及颞下颌关节的色素沉着绒毛结节性腱鞘炎病例。该病变已破坏下颌骨升支和髁突、外耳道前软骨壁以及颞骨鳞部的大部分。手术包括切除部分下颌骨、颞骨鳞部和颞叶硬脑膜,并用颞肌筋膜移植进行替代。术后四年,患者无任何复发疾病的迹象。本文还讨论了颞下肿块的鉴别诊断、色素沉着绒毛结节性腱鞘炎的自然病程和病理学。

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