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Temporomandibular Disorder Caused by Nasopharyngeal Cancer
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º¯¿µ¼· ( Byun Young-Sub ) - ¿¬¼¼´ëÇб³ Ä¡°ú´ëÇÐ ±¸°³»°úÇб³½Ç
±è±â¼ ( Kim Ki-Seo ) - ¿¬¼¼´ëÇб³ Ä¡°ú´ëÇÐ ±¸°³»°úÇб³½Ç
¾ÈÇüÁØ ( Ahn Hyung-Joon ) - ¿¬¼¼´ëÇб³ Ä¡°ú´ëÇÐ ±¸°³»°úÇб³½Ç
ÃÖÁ¾ÈÆ ( Choe Jong-Hun ) - ¿¬¼¼´ëÇб³ Ä¡°ú´ëÇÐ ±¸°³»°úÇб³½Ç
±ÇÁ¤½Â ( Kwon Jeong-Seung ) - ¿¬¼¼´ëÇб³ Ä¡°ú´ëÇÐ ±¸°³»°úÇб³½Ç
KMID : 0355220080330040395
Abstract
ÃøµÎÇϾÇÀå¾Ö Áõ»óÀ¸·Î ³ªÅ¸³ª´Â ±¸°¾È¸éºÎÀÇ ÅëÁõ ¹× °³±¸Á¦ÇÑ Áõ»óÀº ´ëºÎºÐ °ü·Ã ±¸Á¶¹° ÀÚüÀÇ ±¸Á¶ÀûÀ̰ųª ±â´ÉÀûÀÎ º¯È¿¡ ÀÇÇØ À¯¹ßµÇÁö¸¸, µå¹°°Ô ´Ù¸¥ º´ÀûÀÎ »óÅ·ΠÀÎÇÏ¿© ¹ß»ýÇÒ ¼öµµ ÀÖÀ¸¹Ç·Î Áø´Ü ¹× Ä¡·á¿¡ ÀÖ¾î¼ ÁÖÀÇ°¡ ¿ä±¸µÈ´Ù. ƯÈ÷ ÅëÁõ ¾ç»ó ¹× ÀÓ»ó ¼Ò°ß, Àü½ÅÀû µ¿¹Ý Áõ»ó, Ä¡·á¿¡ ´ëÇÑ ¹ÝÀÀ µî¿¡ ´ëÇÑ Æò°¡¿¡¼ µÎ°æºÎ Á¾¾ç°ú °°ÀÌ ´Ù¸¥ Áúȯ¿¡ ÀÇÇÑ ÃøµÎÇϾÇÀå¾Ö Áõ»óÀÌ Àǽɵǰųª ÀϹÝÀûÀÎ ÃøµÎÇϾÇÀå¾Ö¿Í ´Ù¸¥ ¼Ò°ßÀÌ ³ªÅ¸³ª´Â °æ¿ì¿¡´Â Àü»êÈ´ÜÃþÃÔ¿µ ¶Ç´Â ÀÚ±â°ø¸í¿µ»ó µîÀÇ ºÎ°¡ÀûÀÎ ¹æ»ç¼±ÇÐÀû °Ë»ç¸¦ Àû±ØÀûÀ¸·Î ½ÃÇàÇÏ¿© ºÎ°¡ÀûÀÎ Á¤º¸¸¦ ¾ò´Â °ÍÀÌ ÇÊ¿äÇÏ´Ù. º» Áõ·Ê¿¡¼´Â ÃøµÎÇϾÇÀå¾Ö Áõ»óÀ¸·Î ³»¿øÇÏ¿´´ø ºñÀεξÏÁ¾ ȯÀÚÀÇ Áø´Ü ¹× Ä¡·á °úÁ¤À» ÅëÇØ, ÃøµÎÇϾÇÀå¾ÖÀÇ Áø´Ü ¹× Ä¡·á¿¡ ÀÖ¾î¼ ºñÀεξÏÁ¾ µî µÎ°æºÎ Á¾¾çÀÇ °¡´É¼ºÀ» °í·ÁÇØ¾ß ÇÒ ÀÓ»óÀû ¼Ò°ß¿¡ ´ëÇØ °íÂûÇÏ°íÀÚ ÇÑ´Ù.
Orofacial pain and limited range of mouth opening as symptoms of temporomandibular disorder are mainly triggered by the structural and/or functional changes of temporomandibular joint and related structure itself. But careful diagnostic evaluation should be needed because they may be occurred by another pathologic conditions such as neoplasm in head and neck region. If there would be atypical pain characteristics or clinical features, systemic comorbid symptoms, or poor response to treatment, advanced imaging modalities such as CT or MRI will be mandatory for differential diagnosis. We experienced the case which was diagnosed as nasopharyngeal cancer mimicking temporomandibular disorder, and reviewed clinical considerations for proper differential diagnosis.
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Nasopharyngeal carcinoma;Temporomandibular disorder
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