根据颈椎计算机断层扫描图像怀疑与强直性脊柱炎有关的颞下颌关节强直:图解文章。

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Imaging Science in Dentistry Pub Date : 2024-06-01 Epub Date: 2024-05-07 DOI:10.5624/isd.20230243
Ikuho Kojima, Shinnosuke Nogami, Shin Hitachi, Yusuke Shimada, Yushi Ezoe, Yuka Yokoyama-Sato, Masahiro Iikubo
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引用次数: 0

摘要

本报告显示了一例颞下颌关节(TMJ)强直病例,根据计算机断层扫描(CT)图像观察到的颈椎骨性强直,怀疑与强直性脊柱炎有关。一名 53 岁的男子主诉张口困难。病史显示,他在 20 多岁时开始意识到颈部活动困难。CT 显示右下颌骨髁状突有明显的骨关节病变,提示颞下颌关节纤维性强直。此外,还观察到颈椎椎体和从轴线(C2)到 C5 连续的面关节骨性强直。整个脊柱的 CT 还显示骶髂关节骨性畸形和骨性强直。根据这些发现,怀疑是强直性脊柱炎。在颞下颌关节强直的病例中,如果观察到颈椎骨性强直,则应考虑强直性脊柱炎并发症的可能性。
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Temporomandibular joint ankylosis suspected to be associated with ankylosing spondylitis based on cervical computed tomography images: A pictorial essay.

This report showed a case of temporomandibular joint (TMJ) ankylosis suspected to be associated with ankylosing spondylitis based on the observation of bony ankylosis of the cervical spine on computed tomography (CT) images. A 53-year-old man presented with a chief complaint of difficulty in opening his mouth. His medical history indicated that in his 20s, he became aware of the difficulty in moving his neck. CT revealed marked osteoarthritic changes in the right mandibular condyle, suggesting fibrotic TMJ ankylosis. In addition, bony ankylosis of the cervical vertebral body and facet joints from the axis (C2) to C5 in continuity was observed. CT of the entire spine also showed bony deformity of the sacroiliac joints and bony ankylosis. Based on these findings, ankylosing spondylitis was suspected. The possibility of an ankylosing spondylitis complication should be considered in cases of TMJ ankylosis if bony ankylosis of the cervical spine is observed.

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来源期刊
Imaging Science in Dentistry
Imaging Science in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.90
自引率
11.10%
发文量
42
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