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題 名 | Using an Autogenous Coronoid Process Pedicled on Temporal Muscle Grafts in a Patient with Tophaceous Pseudogout of the Temporomandibular Joint=使用自體顳肌蒂冠狀突移植體於顳顎關節痛風石性假性痛風患者 |
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作 者 | 陳泓志; 陳毓宏; 張浩陞; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 27:3 2016.09[民105.09] |
頁 次 | 頁235-250 |
分類號 | 416.953 |
關鍵詞 | 焦磷酸鈣二水合物晶體沉積症; 痛風石性假性痛風; 顳顎關節; 自體顳肌蒂冠狀突移植; 髁狀突切除術; 關節盤切除術; Calcium pyrophosphate dihydrate crystal deposition disease; Tophaceous pseudogout; Temporomandibular joint; Autogenous coronoid process pedicled on temporal muscle grafts; Condylectomy; Discectomy; |
語 文 | 英文(English) |
中文摘要 | 發生於顳顎關節的焦磷酸鈣二水合物晶體沉積症,也稱為痛風石性假性痛風,是罕見的。一名57歲的男性在兩個月內逐漸發覺左耳前顳顎關節區域腫脹症狀並伴隨有牙關緊閉,顏面不對稱和疼痛相關情形。顳顎關節的放射影像學呈現多發鈣化腫塊伴隨硬化變化與相鄰顳骨區域輕度骨質侵蝕。進行經耳前切線成功進行包含下顎骨髁狀突及關節盤切除之手術腫瘤切除手術。病理檢驗證實為顳顎關節的焦磷酸鈣二水合物晶體沉積症。我們亦提出以自體顳肌蒂冠狀突移植重建顳顎關節之缺損。目前病患無復發症狀。 |
英文摘要 | Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease, also called tophaceous pseudogout, of the temporomandibular joint (TMJ) is rare. A 57-year-old man had a 2-month history of progressive swelling of the left preauricular region accompanied by trismus, facial asymmetry, and facial pain. TMJ imaging revealed several calcied masses in the joint space, with sclerotic changes and mild bone erosion of the adjacent temporal portion. Surgical excision, which included condylectomy and discectomy, was performed successfully using the preauricular approach. Pathological examination showed CPPD of the TMJ. Moreover, we present the feasibility of an autogenous coronoid process pedicled on temporal muscle grafts for TMJ reconstruction. The patient is presently disease free without recurrence. |
本系統中英文摘要資訊取自各篇刊載內容。