측두하악관절에 발생된 골성 강직

Bony ankylosis of temporomandibular joint

  • 이병도 (원광대학교 치과대학 구강악안면방사선학교실, 원광 치의학 연구소) ;
  • 윤영남 (원광대학교 치과대학 구강악안면방사선학교실, 원광 치의학 연구소) ;
  • 엄기두 (원광대학교 치과대학 구강악안면방사선학교실, 원광 치의학 연구소) ;
  • 나종일 (원광대학교 치과대학 구강악안면방사선학교실, 원광 치의학 연구소) ;
  • 이완 (원광대학교 치과대학 구강악안면방사선학교실, 원광 치의학 연구소)
  • Lee Byeong-Do (Department of Oral & Maxillofacial Radiology, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute) ;
  • Yoon Young-Nam (Department of Oral & Maxillofacial Radiology, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute) ;
  • Um Ki-Doo (Department of Oral & Maxillofacial Radiology, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute) ;
  • Ra Jong-Ill (Department of Oral & Maxillofacial Radiology, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute) ;
  • Lee Wan (Department of Oral & Maxillofacial Radiology, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute)
  • 발행 : 2002.06.01

초록

Ankylosis of joint is defined as limited movement due to infection, trauma, or surgical procedure. A 59-year-old female with a chief complaint of limited movements during mouth opening had a positive history of trauma to her right TMJ area about 5 years ago. From that time, progressive mouth opening limitation and intermittent pain have occurred. At the time of admission the patient showed mandibular deviation to the right side during mouth opening, with a maximum opening limited to 5 mm. On plain radiographs, right condylar enlargement and joint space reduction by newly formed bony tissues were observed. CT scans showed right condylar enlargement, cortical sclerosis, and thickening of the condyle, articular fossa and articular eminence.

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