Frontal ọkpụkpụ: Mmebe na daa ọrịa

The frontal ọkpụkpụ Nleta calvarium. Ọ jikọtara ya na uche ziri ezi (n'anya na isi), na-arụ a sọrọ ọrụ, na mejupụtara abụọ ngalaba: kwụ na vetikal. Kwụ ngalaba ekewa unpaired dịghị òkè na orbital akụkụ nke uzuoku.

The frontal ọkpụkpụ mejupụtara anọ n'akụkụ: abụọ orbital, ọ dịghị òkè na frontal akpịrịkpa. Frontal elu nwere ndị na-esonụ akpịrịkpa: frontal (elu), ụbụrụ (n'ime) na abụọ temporal (n'akụkụ). The frontal ọkpụkpụ na usoro nke na evolushọn mgbanwe, na-amalite frontal mounds, dapụtara na jụụ ọkpọiso gbanwere: si downhill ọ malitere convex. The frontal elu bụ convex n'ihu, ezigbo midline e nwere obere kwesiri ngosi elu. The ihu akụkụ nke elu elu nke akpịrịkpa abatakwa orbital n'elu. The frontal ọkpụkpụ (elu akpịrịkpa) na iche elu nke arcuate temporal temporal akara.

ọrịa

Hyperostosis nke frontal ọkpụkpụ syndrome ma ọ bụ Morgagni-Stewart-Morel maara na sayensị maka ihe karịrị 250 afọ, ma, ọbụna taa mmasị nke ndị ọkà mmụta sayensị na ọrịa a aga n'ihu. Dị ka a N'ihi ya nke a na ọrịa na e nwere uche, vegetative-vaskụla na metabolic na mmiri ọgwụ ọrịa. Ụfọdụ dere na hyperostosis isi mgbaàmà na-agụnye ibu oké ibu, ọbara mgbali elu, persistent isi ọwụwa. Ọtụtụ mgbe a na ọrịa na-achọkwa na ọrịa uche (atrophic myotonia, ọrịa ụbụrụ ọrịa, cerebrovascular ọrịa, ọrịa ọrịa). Otú ọ dị, nke mere nnọọ guzobere a pụrụ iche etiological akpata.

Osteoma nke frontal ọkpụkpụ - a obere ọrịa ji guzobe benign etuto ahụ. Ọ na-kweere na etiology nke osteoma metụtara na butere n'aka ihe na-akpata (puru nke mgbasaozi daa ọrịa kpọmkwem ụmụ 50 percent), dị ka a kọwara congenital exostosis.

The pathogenesis nke ọrịa

Osteomas mara atọ ụdị: siri ike, na medullary ogbo. Solid osteoma mejupụtara nke oké ihe onwunwe (efere), nke na-ndokwa yiri elu nke a neoplasm. Medullary ụdị osteoma nwere ọtụtụ cavities nke jupụtara ụmị ọkpụkpụ.

Dị ka Virchow iche abụọ na ụdị etuto ahụ: geteroplasticheskie (kpụrụ si connective anụ ahụ), hyperplastic (kpụrụ si ọkpụkpụ). The mbụ gụnyere osteophytes - obere n'ígwé na ọkpụkpụ. Ọ bụrụ na ha ogide dum gbaa nke ọkpụkpụ, na-akpọ ha hyperostosis. Ọ bụrụ na ọkpụkpụ uka na-agbala n'ụdị etuto ahụ na ohere, ọ exostosis, ma ọ bụrụ na ọ na-ẹdude n'ime ọkpụkpụ - enostosis.

Clinical ihe ịrịba ama osteoma

Osteomas, abụrụ ke n'ime elu nke frontal ọkpụkpụ, Bilie Ugboro isi ọwụwa, ọdụdọ, ebe nchekwa na-anaghị ekwe, mgbaàmà nke ụba intracranial nsogbu. Ọ bụrụ na ngwọta na-metụtara nanị akụkụ ụfọdụ na "sella" pụrụ igosipụta mmiri ọgwụ ahaghị nhata. Mgbe metụtara nanị akụkụ ụfọdụ na sinuses ebe a na-mepụtara diplopia, exophthalmos, ptosis, anisocoria, ebelata ọhụụ, wdg

Ọtụtụ mgbe osteoma metụtara nanị akụkụ ụfọdụ na elu (mpụta) n'elu ọkpụkpụ. Osteomas, metụtara nanị akụkụ ụfọdụ na-abụghị nke okpokoro isi ọkpụkpụ efere, puta ìhè n'ụdị a na ok, enweghi mgbu na ezigbo ọzụzụ. Diagnosis dabeere adakarị na radiological chọpụtara. Mgbe extracranial akpụ uto a nsogbu iku ume, ísì, mgbe ụfọdụ nkwarụ ọdịdị ihu ọkpụkpụ.

Ma ọtụtụ mgbe agbasa intracranial osteoma. Dị otú ahụ etuto ahụ na-egbu azụ mgbidi nke frontal sinuses, na-eme mkpakọ nke ụbụrụ umi. Ọ bụrụ na nke a enweghị nchịkwa usoro metụtara ọrịa ịzụlite arachnoiditis, ụbụrụ etuto, meningitis. Ọdịiche dị ọrịa si osteosarcoma na osteomyelitis. Neoplasms na-ewepụ surgically.