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外伤致下颌骨髁突入颅一例

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF STOMATOLOGY
Issue:
1
DOI:
10.3321/j.issn:1002-0098.2008.01.019
Key Word:
No keyword available

Abstract´╝Ü @@ 患者女性,24岁.入院前10 h骑车不慎跌落至路边沟中,自觉下颌骨右侧受撞击后致开闭口障碍,事故发生时患者神志清楚,无昏迷,无头晕头痛,无恶心呕吐,无大小便失禁,行走自如.就诊当地医院,曾诊断右侧颞下颌关节脱位,手法复位未成功,遂转院就诊.临床检查:患者一般情况良好,神志清楚,四肢活动正常;颌面部基本对称、无肿胀,颌面部皮肤无外伤,上下颌骨、颧骨、颧弓未扪及异常骨动度;口腔内无软组织裂伤及牙外伤,舌运动正常;左右颞下颌关节区轻度触压痛,上下前牙无法闭合,呈开(牙合)状态,间隙1.0 cm,最大开口度可达1.5 cm.

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