查詢結果分析
來源資料
頁籤選單縮合
題名 | Bilateral Coronoid Process Hyperplasia with Limitation on Mouth Opening: Case Report=雙側冠狀突肥大合併張口限制:病例報告 |
---|---|
作者 | 林文源; 羅綸洲; 陳昱瑞; 羅慧夫; Lin, Wen-yuan; Lo, Lun-jou; Chen, Yu-ray; Noordhoff, M. Sameul; |
期刊 | 長庚醫學 |
出版日期 | 19990300 |
卷期 | 22:1 1999.03[民88.03] |
頁次 | 頁123-127 |
分類號 | 416.9 |
語文 | eng |
關鍵詞 | 冠狀突肥大; 張口受限; Coronoid hyperplasia; Mouth opening restriction; |
中文摘要 | 冠狀突肥大造成下顎活動受限相當少見,這種病變常被忽視但容易經由牙科全口 X光射影診斷出來。在側面測顱X光射影測量冠狀突的高度以及冠狀突╱踝突高度的比例可 以診斷冠狀突肥大。冠狀突肥大的原因可以是先天或後天的,鑑別診斷有時候困難,先天型 的冠狀突肥大通常在年齡早期發生並出現臨床症狀。冠狀突肥大的發生機轉可能是顳肌的活 動性因為壓力或緊張而增加的關係。因為冠狀突肥大而張口受限的病人首先應該嘗試保守療 法,如果無效再採用外科治療,外科治療以冠狀突切除術佐以術後早期活動和積極復健治療 可以矯正此問題。本文報告一病例以及成功的治療經過。 |
英文摘要 | Coronoid process hyperplasia with limitation of mouth opening is rare. The pathology is often ignored, but it can be easily detected using dental panoramic view of x-ray films. Definition of the coronoid process hyperplasia can be made by measuring the height of coronoid process and the ratio of coronoid/condyle height on lateral cephalometric x-ray film. Etiology of the coronoid process hyperplasia can be congenital or acquired. Differentiation of the diagnosis may be difficult. The congenital type occurs at early age with clinical manifestations. Proposed hypotheses for the formation of coronoid process hyperplasia include increased activity within the temporalis muscle from conditions such as functional stress, compression, and tension. For patients with coronoid process hyperplasia and restriction on mouth opening, conservative treatment should first be attempted. Surgical treatment is considered if conservative treatment fails. Coronoidectomy with early mobilization and aggressive physiotherapy corrects the problem. We present a patient with coronoid process hyperplasia with limitation of mouth opening who was successfully treated. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。