Head and neck manifestations of fibrodysplasia ossificans progressiva: Clinical and imaging findings in 2 cases.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Imaging Science in Dentistry Pub Date : 2023-09-01 Epub Date: 2023-06-20 DOI:10.5624/isd.20230069
Gyu-Dong Jo, Ju-Hee Kang, Jo-Eun Kim, Won-Jin Yi, Min-Suk Heo, Sam-Sun Lee, Kyung-Hoe Huh
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引用次数: 0

Abstract

Fibrodysplasia ossificans progressiva is a rare hereditary disorder characterized by progressive heterotopic ossification in muscle and connective tissue, with few reported cases affecting the head and neck region. Although plain radiographic findings and computed tomography features have been well documented, limited reports exist on magnetic resonance findings. This report presents 2 cases of fibrodysplasia ossificans progressiva, one with limited mouth opening due to heterotopic ossification of the lateral pterygoid muscle and the other with restricted neck movement due to heterotopic ossification of the platysma muscle. Clinical findings of restricted mouth opening or limited neck movement, along with radiological findings of associated heterotopic ossification, should prompt consideration of fibrodysplasia ossificans progressiva in the differential diagnosis. Dentists should be particularly vigilant with patients diagnosed with fibrodysplasia ossificans progressiva to avoid exposure to diagnostic biopsy and invasive dental procedures.

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进行性骨化性纤维发育不良的头颈部表现:2例临床和影像学表现。
进行性骨化性纤维发育不良是一种罕见的遗传性疾病,其特征是肌肉和结缔组织进行性异位骨化,很少有报道涉及头颈部。尽管平面放射学检查结果和计算机断层扫描特征已被充分记录,但关于磁共振检查结果的报道有限。本报告报告2例进行性骨化性纤维发育不良,一例由于翼外肌异位骨化导致开口受限,另一例由于颈阔肌异位骨化而导致颈部活动受限。口腔张开受限或颈部活动受限的临床表现,以及相关异位骨化的放射学表现,应促使在鉴别诊断中考虑进行性骨化纤维发育不良。牙医应特别警惕被诊断为进行性骨化性纤维发育不良的患者,避免接触诊断性活检和侵入性牙科手术。
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来源期刊
Imaging Science in Dentistry
Imaging Science in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.90
自引率
11.10%
发文量
42
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