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題 名 | Hyperplasia of Bilateral Coronoid Process--A Case Report=雙側下顎骨喙狀突過度增生--病例報告 |
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作 者 | 蔡孟君; 吳哲輝; 張明智; 李嘉鐸; 游竣傑; 黃鵬宇; 林宏政; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 29:1 2018.03[民107.03] |
頁 次 | 頁68-75 |
分類號 | 416.95 |
關鍵詞 | 下顎骨喙狀突; 喙狀突切除手術; 喙狀突切開術; Coronoid process hyperplasia; Coronoidectomy; Coronoidotomy; |
語 文 | 英文(English) |
中文摘要 | 背景:張口度受限的原因有很多,包括顳下頜關節紊、創傷或感染。此外,仍有較低的比例爲先天性或發育性下顎骨疾病。下顎骨喙狀突過度增生,也就是增大的下顎骨喙狀突,是一種疾病。它的過度生長限制了下顎骨的運動,並因爲運動時與顴骨後部相衝突而造成張口受限。它是漸進的,很少見且不會感到痛。病例報告:一名13歲男性沒有藥物或食物過敏的紀錄,有過敏性鼻炎。他沒有吸煙、嚼食檳榔或飲酒的習慣。張口受限的問題已經困擾他一年了。他曾在許多不同院所進行檢查,並持續觀察張口受限的狀況。環口全景X光影像和電腦斷層影像都顯示他的雙側喙狀突過度增生。最後,他因爲日常生活中的不方便而決定進行手術。右側進行喙狀突切除手術;左側進行喙狀突切開術。手術後,他可以張口度可達到四指。3個月後的追蹤檢查張口度的結果也是一樣。結論:下顎骨喙狀突切除手術及喙狀突切開術可以解決喙狀突過度增生造成的張口受限問題。兩種手術方式各有利弊,沒有明顯的證據證明哪一種更好,臨床醫師可依臨床需要以選擇任一方式。 |
英文摘要 | BACKGROUND: There were numerous reasons for restriction of mouth opening, including temporomandibular joint disorder, trauma or infection. Also, there is a small prevalence that congenital or developmental mandibular disorders caused the limitation of mouth opening. Coronoid process hyperplasia, which characterized enlarged coronoid process, is one kind of the disorders. The excessive growing of the process inhibits the mandible movement and causes trismus because of stucking by the posterior portion of zygomatic bone. It's progressive but painless and also rare. CASE REPORT: A 13-year-old male had allergic rhinitis but denied drug or food allergy. He denied any cigarette smoking, betel nut chewing or alcohol consuming habit. He had suffered from trismus for a year. He went to many places for examination and kept following up the trismus condition. The panoramic film and CT revealed unusual size of his bilateral coronoid process. Finally, he decided to have the surgery due to the more inconvenient in his daily life. He had been through the surgery of coronoidectomy in the right side and coronoidotomy in the left side. After the surgery, he was able to open his mouth to 4 fingers wide. So patient did 3 months post-operation following up. CONCLUSIONS: Both coronoidectomy and coronoidotomy can solve the problem of trismus induced from coronoid process hyperplasia. There are pros and cons in both surgical techniques and there is no obvious evidence to prove that which one is the better. Surgeons can choose either way due to the clinical needs. |
本系統中英文摘要資訊取自各篇刊載內容。