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| 全身(远处)感染致颞下颌关节强直:1例报告及文献复习 | |
| 引用本文： | 苑士清,董瑞,李天中,胡敏,梁立民,马军利,陶冶. 全身(远处)感染致颞下颌关节强直:1例报告及文献复习[J]. 上海口腔医学, 2014, 23(3): 381-384 |
| 作者姓名： | 苑士清 董瑞 李天中 胡敏 梁立民 马军利 陶冶 |
| 作者单位： | 1.解放军总医院 口腔颌面外科,北京 100853; 2.高碑店市医院 口腔科,河北 高碑店 074000; 3.天津医科大学口腔医院 口腔颌面外科,天津 300070 |
| 摘 要： | 颞下颌关节强直可由创伤、感染、退行性变及间隙缺损导致。其中以局部感染多见,而全身感染则罕见。本文报道1例因全身远处感染导致双侧颞下颌关节强直的患者,该35岁女性患者因开口困难近20年就诊,并于20年前出现包括颞下颌关节区的全身多处脓肿,CT显示髁突与颞骨融合。采用双侧颞下颌关节截除术及人工关节置换术治疗,术后3个月开口度达2.5 cm,患者获得了满意的进食及语言功能。 |
| 关 键 词： | 感染 髁突 颞下颌关节 关节强直 |
| 收稿时间： | 2013-01-23 |
Temporomandibular joint ankylosis caused by systemic (distal) infection: A case report and literature review |
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| YUAN Shi-qing,DONG Rui,LI Tian-zhong,HU Min,LIANG Li-min,MA Jun-li,TAO Ye. Temporomandibular joint ankylosis caused by systemic (distal) infection: A case report and literature review[J]. Shanghai journal of stomatology, 2014, 23(3): 381-384 | |
| Authors: | YUAN Shi-qing DONG Rui LI Tian-zhong HU Min LIANG Li-min MA Jun-li TAO Ye |
| Affiliation: | 1.Department of Oral and Maxillofacial Surgery, People’s Liberation Army General Hospital . Beijing 100853; 2.Department of Stomatology, Hospital of Gaobeidian City. Gaobeidian 074000, Hebei Province; 3.Department of Oral and Maxillofacial Surgery, Stomatology Hospital of Tianjin Medical University. Tianjin 300070, China |
| Abstract: | There were many causes for temporomandibular joint (TMJ) ankylosis including infection, trauma, degenerative changes and space-occupying lesion. This article reported a case of bilateral TMJ ankylosis caused by systemic (distal) infection. A 35-year old female patient complained of difficulty of opening mouth for about 20 years. She developed abscess in several places all over the body including bilateral TMJ 20 years ago. CT indicated that the condylar process was fused with the temporal bone. The patient was treated with resection of bilateral condylar/coracoid process and total joint prosthesis replacement. The maximal incisal opening was 2.5 cm 3 months post operation. The patient obtained a satisfied function of eating and speaking. |
| Keywords: | Infection Condylar process Temporomandibular joint Ankylosis |
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