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1病例报告患者女,38岁。因渐进性张口受限20余年入我院就诊。入院查体:体温36.5℃,脉搏86/min,呼吸20次/min,血压100/70mmHg,颌面部不对称,左侧颌下可见一长约3cm瘢痕,挤压未见分泌物,左侧颞颌关节活动度明显减弱,压痛(-),张口度约3mm,口型正常,全口牙列缺损,已无明确咬合关系。腮腺、下颌下腺及舌下腺导管开口通畅,无异常分泌物。三维CT重建及口腔全景片显示,左侧颞颌关节骨质增厚明显,与上颌关节结节粘连,左侧下颌骨升支宽度较右侧减小。初步诊断为左侧颞下颌关节强直。拟在全麻下行左侧颞下颌关节成形术,但因
1 case report Patients female, 38 years old. More than 20 years due to progressive mouth opening into our hospital. Admission examination: body temperature 36.5 ℃, pulse 86 / min, breathing 20 beats / min, blood pressure 100 / 70mmHg, maxillofacial asymmetry, the left can be seen a submandibular ca. 3cm scar, squeeze no secretions left Temporal and mandibular joint activity was significantly weakened, tenderness (-), mouth opening of about 3mm, normal mouth, full mouth dentition defect, no clear occlusion relationship. Parotid gland, submandibular gland and sublingual gland duct opening patency, no abnormal secretions. Three-dimensional CT reconstruction and oral panoramic film showed that the left temporomandibular joint bone thickening significantly, with the maxillary joint nodules, the width of the left mandibular ascending than the right side decreases. The initial diagnosis of left temporomandibular joint ankylosis. To be under general anesthesia left temporomandibular joint arthroplasty, but because