Giant orf is a zoonotic infection that is endemic in sheep and goats. It may be transmitted to humans by direct contact with infected animals or contaminated objects and is typically found on the hands. We report the case of a sheep farmer with facial orf that proliferated dramatically with the formation of satellite lesions after curettage.
Mandibular coronoid process hyperplasia is a rare developmental condition. It commonly presents with progressive restriction of mouth opening, due to the impingement of the enlarged and elongated coronoid process on the distal aspect of the zygomatic arch during mandibular movement. It may present unilaterally or bilaterally. Surgical intervention to improve opening is advocated in cases with significant functional impairment, followed by post-operative physiotherapy. A case of bilateral coronoid process hyperplasia in a 28-year-old man treated with bilateral coronoidectomy, with subsequent post-operative relapse in degree of opening successfully treated via manipulation under intravenous sedation is presented.
Clinical relevanceTo raise the awareness of clinicians to the possibility of coronoid process hyperplasia in cases of unexplained trismus.
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