Objectives
This study aims to report a delayed Gardner syndrome diagnosis mimicking temporomandibular ankylosis.
Methods
An 11-year-old patient was treated at the Hospital Josina Machel, Luanda, Angola for severe chronic trismus without TMJ involvement. Some difficulties in diagnosis and final results were discussed
Case report
A delayed diagnosis of Gardner syndrome was treated by the authors. The delay was due to a lack of timely CT scans and some COVID-19 pandemic restrictions. This delay worsened the patient´s clinical condition for several months. Classic surgical gap arthroplasty has been used and considered successful, particularly when material is scarce.
Conclusions
Classical surgical techniques are still very useful in some parts of the world that do not rely on modern technology. International collaboration through teledentistry, case review over the Internet, and humanitarian or educational missions are very helpful in low-income countries.
The orthokeratinized odontogenic cyst, currently classified as a separate entity from the odontogenic keratocyst, is a rare developmental cyst that affects the gnatic bones. It predo- minantly affects young male patients. Its clinical behavior is benign with a predominance of involvement by the posterior region of the mandible. Treatment involves enucleation, with or without prior decompression. The present case reports a 17-year-old male patient with bilateral lesion manifestation, the left osteolytic process being of large proportions. The patient was subjected to decompression prior to enucleation, and this conservative treatment is essential for successful treatment. The patient was followed up for 1 year with no signs of recurrence.
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