A Large Torus Palatinus with Articulatory Disorder.

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A case of large torus palatinus and palatal exostoses at the hard palate of the maxilla is reported. The patient was a 52-year-old woman, who complained chiefly of an articulatory disorder caused by tori. Physical examination disclosed firm and hard masses, adhering to the hard palate of the maxilla. The masses were about 30 × 25, 30 × 20 and 20 × 10mm in length. Radiographic examination showed radiopaque appearances at the bilateral upper molar regions. The clinical diagnosis was exostoses. Surgical removal of the bony masses was performed under general anesthesia. Histopathological diagnosis confirmed exostoses. Generally, exostosis is not a rare disease, but such large examples, as seen in this case with articulatory disorder is extremely rare. Unfortunately we could not determine the cause of the lesions in this case.<BR>Eighteen months after surgery, the patient still showed no signs of exostoses or articulatory disorder.
北関東医学会の論文