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本文报道了一例37岁男性患者,主诉咀嚼困难及前牙进行性开(牙合),患者认为是12年前修复的局部固定义齿所致。口腔检查见患者前牙开(牙合),仅第二、三磨牙有接触,眉弓及下颌骨较大。根据患者的症状及体征、头侧位X线片显示蝶鞍增大、头颅大、系列口内咬翼片见牙齿呈进行性无(牙合)接触,以及实验室检查排除了其它病症,确诊为脑垂体肿瘤所致的肢端肥大症,且其病史至少5年以上。
This article reports a 37-year-old male with a complaint of chewing difficulty and anterior occlusion of the anterior teeth. The patient considered the partial fixation of the denture repaired 12 years ago. Oral examination showed anterior teeth in patients with open (occlusion), only the second and third molars have contact, eyebrows and mandible larger. According to the patient's symptoms and signs, the head of the X-ray films showed increased sella, large head, mouth series of oral bite to see the teeth showed no occlusal contact, and laboratory tests ruled out other conditions, diagnosed as Acromegaly caused by pituitary tumors, and the history of at least 5 years.