Limited mouth opening with a square mandible configuration: a case of masticatory muscle tendon-aponeurosis hyperplasia
Limited mouth opening with a square mandible configuration: a case of masticatory muscle tendon-aponeurosis hyperplasia
复制标题
DOI：
10.1093/jscr/rjv020
复制
发表时间：
2015-03-01
影响因子：
0.5
通讯作者：
Yoda, Tetsuya
中科院分区：
文献类型：
--
作者：
Sato, Tsuyoshi;Hayashi, Naoki;Yoda, Tetsuya
世界各地的大多数临床医生可能没有意识到咀嚼肌肌腱-腱膜增生（MMTAH）的存在，这可能会导致诸如颞下颌关节疾病（TMD）等误诊。在这里，我们从教育的角度介绍这种疾病。2013年2月，一名39岁的女性出现张口受限。她的面部结构以方形下颌骨为特征。没有TMD的证据。磁共振成像（MRI）显示双侧咬肌增大。另外，双侧咬肌前方有一个“厚”的腱膜。在最大开口时，沿着咬肌前缘的口内触诊沿着证实了硬索状结构，与MRI的发现一致。MMTAH被诊断。当临床医生在口腔检查中注意到开口受限时，他们应该了解与开口受限和方形下颌构型相关的疾病，如MMTAH。
Most clinicians throughout the world are probably unaware of the existence of masticatory muscle tendon-aponeurosis hyperplasia (MMTAH), potentially leading to misdiagnoses such as temporomandibular joint disorder (TMD). Here, we introduce this disease from the viewpoint of education. In February 2013, a 39-year-old woman presented with limited mouth opening. Her facial configuration was characterized by a square mandible. Therewas no evidence of TMD. Magnetic resonance imaging (MRI) showed bilateral enlargement of the masseter muscles. Additionally, a 'thick' aponeurosis of the anterior aspect of the masseter muscle was noted bilaterally. On maximal mouth opening, intraoral palpation along the anterior border of the masseter muscle confirmed a hard cord-like structure, consistent with the findings on MRI. MMTAH was diagnosed. When clinicians notice limited mouth opening on oral examination, they should be knowledgeable about diseases associated with limited mouth opening and a square mandibular configuration, such as MMTAH.