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患者男性,17岁。10年前因发热,左耳溢脓1周后张口受限,并逐渐加重。5年前行左乳突根治术,但张口受限无改善,于1989年9月入院。检查:颜面不对称,呈小颌畸形面容。双颞颌关节未触及活动,张口度为零。上下前牙向唇侧呈扇形,后牙咬(牙合)关系正常。X线片示:左颞颌关节间隙消失,髁状突和关节凹融合成致密团块状,乙状切迹存在。右颞颌关节腔清晰。诊断:左侧颞颌关节骨性强直。在全麻下行带血管蒂第二(足庶)骨及近侧
Patient male, 17 years old. 10 years ago due to fever, left ear overflow pus after 1 week restricted mouth, and gradually increased. 5 years ago radical left mastoid radical surgery, but no improvement in mouth restriction, was admitted to hospital in September 1989. Check: face asymmetry, was a small jaw deformity face. Bilateral temporomandibular joint did not touch activity, mouth opening is zero. Upper and lower anterior teeth were fan-shaped lips, teeth bite (occlusion) relationship is normal. X-ray film showed: the left temporomandibular joint gap disappeared, condyle and joint concave fusion dense block, sigmoid notch exist. Right temporomandibular joint cavity clear. Diagnosis: left temporomandibular joint bony ankylosis. Under general anesthesia with vascular pedicle second (foot Shu) bone and proximal