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J Endod：上颌神经血管通道：额外发生还是病态表现？一篇病例汇报

2018-05-02 lishiting MedSci原创

解剖变异上颌骨
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这篇病例汇报描述的是一个附带发现：靠近上颌右侧恒侧切牙(tooth #7)解剖变异的神经血管通道。

这篇病例汇报描述的是一个附带发现：靠近上颌右侧恒侧切牙(tooth #7)解剖变异的神经血管通道。

一名32岁的患者右上颌中切牙(tooth #8)区域出现不适，自述幼年时曾有外伤史。tooth #8的根尖X线影像意外发现右上侧切牙tooth #7根尖1/3低密度透射影伴随炎症根尖吸收。对可疑吸收区域进行CBCT扫描发现，它是在骨内从远中到达tooth #7根尖的神经血管通道，重叠于tooth #7的根尖X线片影像。

这篇病例报告显示，在上颌骨质中存在骨通道是一种常见的现象。事实上，这些通道可以被称为窦状管（或它的分支），它其实是一个骨通道，来源于眶下管的常见解剖变异。虽然这种窦状管在文献中少有报道，但是它应该被作为上颌切牙区的一个潜在常见现象。临床医师应该意识到额外的骨内神经血管通道的存在，例如读片评估牙齿根尖状态时以及上颌前部手术时可能会有窦状管的存在。

原始出处：

Leven AJ， Sood B. Pathosis or Additional Maxillary Neurovascular Channel？ A Case Report. J Endod. 2018 Apr 18. pii： S0099-2399(18)30156-0. doi： 10.1016/j.joen.2018.02.025.

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    2023-01-30 ms5000001348730377 来自东京都

    谢谢分享

    21

    展开21条回复
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    2018-11-21 passed water

    #病例汇报#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2112187, encodeId=eee8211218eb1, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=21, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5f8f8520474, createdName=ms5000001348730377, createdTime=Mon Jan 30 21:52:52 CST 2023, time=2023-01-30, status=1, ipAttribution=东京都), GetPortalCommentsPageByObjectIdResponse(id=2006990, encodeId=0e66200699004, content=<a href='/topic/show?id=93dfe0782a6' target=_blank style='color:#2F92EE;'>#病例汇报#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70782, encryptionId=93dfe0782a6, topicName=病例汇报)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/101296147/72D57F5B3E12B2BB53D6BD015D14DCD6/100, createdBy=a92e2500162, createdName=passed water, createdTime=Wed Nov 21 18:16:00 CST 2018, time=2018-11-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=313817, encodeId=2f5431381eb9, content=学习了谢谢分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu May 10 13:14:43 CST 2018, time=2018-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1631145, encodeId=2e4c163114543, content=<a href='/topic/show?id=271b20090b0' target=_blank style='color:#2F92EE;'>#上颌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20090, encryptionId=271b20090b0, topicName=上颌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c07f21689347, createdName=hanhaisha2015, createdTime=Fri May 04 12:16:00 CST 2018, time=2018-05-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=311405, encodeId=d5e431140593, content=学习一下谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Wed May 02 23:36:42 CST 2018, time=2018-05-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=311378, encodeId=03e33113e858, content=学习了谢谢分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Wed May 02 21:29:43 CST 2018, time=2018-05-02, status=1, ipAttribution=)]
    2018-05-10 大爰

    学习了谢谢分享!!

    0

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    2018-05-04 hanhaisha2015

    #上颌#

    0

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    2018-05-02 changjiu

    学习一下谢谢

    0

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    2018-05-02 大爰

    学习了谢谢分享!!

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