_osteopathy north carolina state 颞下颌关节骨病北卡罗莱纳州课件

《_osteopathy north carolina state 颞下颌关节骨病北卡罗莱纳州课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、CraniomandibularOsteopathy&CalvarialHyperostosisChristinaCopple,DVMRadiologyResidentNCSUCVM-VTHAccession#97223CraniomandibularOsteopathy(CMO)OccurrencemostcommonlyinyoungterrierbreedsWestHighlandwhite–autosomalrecessiveinheritanceScottishterriersCairnterriersBostonterriersN

2、onterrierbreedsinclude:LabradorRetriever&DobermanPinscherBullmastiffs–CalvarialHyperostosishttp://www.hauva.com/pics/westie.jpgEtiologyunknownClinicalsignsseenat3–8monthsMandibularswellingDifficultyprehendingfoodDroolingPainonopeningofthemouthPhysicalexam-firmandoftenpainfu

3、lswellingofthemandibleand/orthetemporomandibularregion;pyrexiamaybenotedRarelyinvolveslongbone,butinterrierslamenessorlimbswellingmayprecedechangesintheskullIfsevere=restrictedjawmovements(iffusionbetweenthetympanicbullae&angularprocessesofthemandible)andmasticatorymuscleat

4、rophyCraniomandibularOsteopathy(CMO)ProliferativebonediseaseincreasedboneopacityNon-neoplasticBonesofendochondralorigin=occipitalbone,tympanicbullaeandmandibularramiBilateralbutasymmetricirregularnewboneofmandibleandtympanicbulla-petroustemporalboneMayseeconfinementtoaspeci

5、ficregioneithermandibleortympanicbulla-petroustemporalareaCalvariumandtentoriumossiumareoftenthickenedCraniomandibularOsteopathy(CMO)http://x9f.xanga.com/1efc8b076653073018722/b24828942.jpgEttinger6thed.Volume2;pg1977(Note:alsogoodradiographicimagesinThrall5thed.2007;pg137)

6、Diagnosis:signalment,clinicalsigns,radiographicorCTfindingsInatypicalcases(rarelyaffectedbreedsorunilaterallesions)bonebiopsymaybehelpfulSelf-limiting–abnormalboneproliferationslows,becomingstaticatskeletalmaturity(~1yrofage)Lesionsmayregressbutradiographicabnormalitiesorpr

7、ehensiledysfunctionmayremainGuardedprognosisifchangestoaffectedareasareseverewithankylosisandadhesionsthatpermanentlyrestrictjawmovementCraniomandibularOsteopathy(CMO)CMOLiteratureReviewComputedTomographyofCraniomandibularOsteopathyinaDogCitesreportsofCMOinGreatDane,Boxer,

8、andEnglishBulldogBriefdiscussionofsimilaritiesbetweenCMOandinfantilecorticalhypero