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中华口腔医学研究杂志(电子版) ›› 2021, Vol. 15 ›› Issue (01) : 1 -5. doi: 10.3877/cma.j.issn.1674-1366.2021.01.001

所属专题: 口腔医学 文献

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冠突过长:一种伪装成颞下颌关节疾病的罕见病
廖文婷1, 何一青1, 孙佳栋1, 孙养鹏1, 张志光1,()   
  1. 1. 中山大学附属口腔医院,光华口腔医学院,广东省口腔医学重点实验室,广州 510055
  • 收稿日期:2020-07-29 出版日期:2021-02-01
  • 通信作者: 张志光

Coronoid process hyperplasia: A rare disorder masquerading as temporomandibular joint disease

Wenting Liao1, Yiqing He1, Jiadong Sun1, Yangpeng Sun1, Zhiguang Zhang1,()   

  1. 1. Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincal Key Laboratory of Stomatology, Guangzhou 510055, China
  • Received:2020-07-29 Published:2021-02-01
  • Corresponding author: Zhiguang Zhang
引用本文:

廖文婷, 何一青, 孙佳栋, 孙养鹏, 张志光. 冠突过长:一种伪装成颞下颌关节疾病的罕见病[J]. 中华口腔医学研究杂志(电子版), 2021, 15(01): 1-5.

Wenting Liao, Yiqing He, Jiadong Sun, Yangpeng Sun, Zhiguang Zhang. Coronoid process hyperplasia: A rare disorder masquerading as temporomandibular joint disease[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2021, 15(01): 1-5.

冠突过长是一种下颌骨冠突异常骨性增生疾病,其临床表现多为进行性的无痛性张口受限。冠突过长在临床上罕见,因此误诊率较高。本文将对冠突过长的发病情况、病因、诊断及治疗进行相关文献的概括和总结。

Coronoid process hyperplasia (CPH) is defined as an abnormal elongation of the mandibular coronoid process consisting of histologically normal bone. It is a rare condition causing a slow, progressive reduction of mouth opening. Because of its low incidence, it is easy to be misdiagnosed. This review was to summarize the literature on the pathogenesis, etiology, diagnosis and treatment of coronoid process hyperplasia.

图1 冠突过长典型病例治疗前后图片资料 A:手术前张口完全受限;B:术前全颌曲面断层片,箭头示右侧冠突形态异常、左侧冠突增长;C:手术切除的右侧冠突;D:手术切除右侧冠突后,术中被动张口度2.0 cm;E:手术切除的左侧冠突;F:切除左侧冠突后,术中被动张口度为4.0 cm;G:术后1年复查锥形束CT(CBCT)示右侧冠突已被切除;H:术后1年复查CBCT示左侧冠突已被切除
图2 冠突切除术 A:口内切口暴露过长的冠突;B:切除过长的冠突
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