Jacob病:1例报告和文献复习

Jacob's Disease: Report of a Case and Review of the Literature

目的:探讨Jacob病的临床特征、诊断、治疗及病理学特点。方法:对1例Jacob病患者进行分析并结合文献回顾。结果:Jacob 病是指下颌骨喙突增大并在颧弓内侧形成假关节的一种疾病,好发于13-62岁,平均26岁。全景片可清晰的显示颧突形态的改变, 而CT、三维CT更直观显示增大喙突与颧弓的位置关系。多数患者可通过口内进路手术切除增大的喙突,少数因喙突增生过大或双侧增大需选择冠状切口。根据骨和软骨的比例不同,增生的喙突有不同的病理诊断。结论:Jacob病临床相当少见,其病因病理需要进一步研究。

Objective： To disscuss the clinical manifestation ,daignasis,Threapy and patholagical characteristics of Jacobs disease. Methods： Review and analysis a case of Jacob＇s disease. Results： Joint formation between a and of the eoronoid process and zygomalie arch had been called as Jacobs diseases. The average are was 26 years （13-62）. The CT examinmions inclouds of 3 dinlention CT was better than X-ray in the diagonosis of Jacobs disease. For most of the cases, lhe intraoral approach was safe and effective method, and the pathological diagnosis of the coromoid process was osteochondroma Conclusion： The clinic and pmhology should he studied further.