两裂下颌髁的横断成像-一种罕见的疾病

M. Asan, R. Castelino, S. Babu, Supriya Bhat
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引用次数: 0

摘要

下颌髁是颞下颌关节的主要组成部分。下颌双髁突(BMC)是髁突的一种罕见形态变体,在大多数情况下都是无症状的,在常规放射学检查中可以在正位体图上偶然诊断出来。但是正位体成形术是一种二维成像方式,在颞下颌区域叠加了各种结构,这给BMC的诊断带来了实际困难。髁突的确切形态结构可以在计算机断层扫描(CT)和锥形束计算机断层扫描等先进成像技术中更准确地可视化,有助于诊断髁突裂。BMC的放射外观随分离槽的方向和深度而变化。在大多数情况下,典型的放射学表现是髁突头部完全或不完全裂开,由凹槽分隔。本文介绍了一例右侧单侧BMC,诊断为CBMT。
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Cross-sectional Imaging of Bifid Mandibular Condyle – A Rare Condition
Mandibular condyles constitute a major part of the temporomandibular joint. Bifid mandibular condyle (BMC) is a rare morphological variant of the condyle that is asymptomatic in most cases and can be diagnosed incidentally on a orthopantomogram during routine radiographic examination. But orthopantomography is a 2-dimensional imaging modality with various structures superimposed over the temporomandibular region causing practical difficulty in the diagnosis of BMC. The exact morphological architecture of the condyles can be more accurately visualized in advanced imaging techniques like computed tomography (CT) and cone beam computed tomography (CBMT), helping in the diagnosis of the bifid condyles. The radiological appearance of BMC varies depending on direction and depth of the separating groove. The typical radiographic presentation in most cases is a complete or incomplete split of the condylar heads, separated by a groove. This paper presents a case of a unilateral BMC on the right side which was diagnosed CBMT.
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