Dentofacial Deformity Caused by Bulky Osteochondroma: Report of an Unusual Case and the Importance of Cone Beam Computed Tomography

Tantanapornkul, Weeraya; Dhanuthai, Kittipong; Sinpitaksakul, Phonkit; Itthichaisri, Chumpot; Kamolratanakul, Paksinee; Changsirivatanathamrong, Vacharee

doi:10.2174/1874210601711010237

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…CBCT overcomes this limitation as it allows physicians to evaluate complex cases in the maxillofacial area and provides information that aids in the more precise and detailed diagnosis of certain TMJ pathological conditions. 13 In this case of suspected condylar osteochondroma, CBCT was used as an alternative to CT or MRI. Even though the imaging characteristics were identical, CBCT may display a more clearly trabecular structure and the base between the tumor and normal bone than CT. 10,14 Based on CBCT analysis, the lesion was classified as either bony outgrowth or condylar expansion.…”

Section: Discussionmentioning

confidence: 99%

Benign tumor finding in Temporomandibular Joint: Cone Beam CT application and radiographical features of suspected condylar osteochondroma

Dewi

Nurrachman

Epsilawati

2021

JRDI

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Objectives: This case report is aimed to present a finding of a benign tumor at the Temporomandibular Joint (TMJ) area involving the condylar head of the mandible that radiographically showed the typical features of osteochondroma using and emphasizing on the application of Cone Beam CT (CBCT) imaging. Case Report: A 24-year-old female patient came to the Radiology Department of Unpad Dental Hospital as referred from her previous dental surgeon to get CBCT examination of her entire right side of mandible with a provisional diagnosis of mandibular hyperplasia. Conclusion: Osteochondroma and condylar hyperplasia are often clinically difficult to differentiate, CBCT imaging can easily distinguish the enlargement of condylar head in condylar hyperplasia with irregular condylar mass and altered trabecular pattern in osteochondroma. CBCT may be helpful in establishing the diagnosis of condylar tumors originating from bone.

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Section: Discussionmentioning

confidence: 99%

Benign tumor finding in Temporomandibular Joint: Cone Beam CT application and radiographical features of suspected condylar osteochondroma

Dewi

Nurrachman

Epsilawati

2021

JRDI

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“…Radiographic appearance of osteochondroma of the mandibular condyle can be pathognomonic, appearing as an irregularly shaped, mixed density and expansile lesion 4 . Early diagnosis is essential in order to provide adequate treatment, which may affect the patient's quality of life 13 .…”

Section: Discussionmentioning

confidence: 99%

Mandible condyle osteochondroma: clinical case report

Souza

Junqueira

Raitz

2017

RGO, Rev. Gaúch. Odontol.

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Osteochondroma is one of the most common benign bone tumours. However, it a rare in the mandibular condyle. Depending on the symptoms and duration of the osteochondroma, the management ranges from excision of the tumor alone to condylectomy along with tumor excision. This paper presents a case of Osteochondroma after surgical treatment affecting the mandible of a 39-year-old man and highlights the diagnosis, surgical procedures and 3-year follow-up period. At the clinical examination, the patient presented severe mandibular lateral deviation to the right, left side disocclusion with a slight oral opening limitation, dental abrasion compatible with bruxism and class III. After 3-year follow-up 3 years later revealed that the surgical management posed was successful for Osteochondroma and the patient is currently under regular review.

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“…In some complex cases, in order to obtain a stable and good jaw system function and good facial morphology, multiple surgical procedures including resection of mandibular condylar lesions, joint reconstruction, orthognathic surgery, mandibular contour trimming and surgical correction of secondary dentofacial deformity are often required. 1,[6][7][8] Extraoral approach from the affected side of the submandibular or tragus is commonly used, 9 however, the skin scar and risk of facial nerve injury has always been a high concern. The present study investigated the long-term outcome of simultaneous treatment of condylar osteochondroma and secondary dentofacial deformities via an intraoral surgical approach.…”

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confidence: 99%

Simultaneous Management of Condylar Osteochondroma and Secondary Malformation With a New Intraoral Approach

Zheng

Dong

et al. 2022

Journal of Craniofacial Surgery

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Purpose: The present study aimed to investigate the clinical efficacy of simultaneous management of condylar osteochondroma and its secondary dentofacial deformities using an intraoral surgical approach. Methods: Six patients with condylar osteochondroma were treated with intraoral vertical ramus osteotomies and condylar resection. The free rising branch was used for reconstructing the temporomandibular joint. The simultaneous orthognathic surgery and plastic surgery were performed sequentially to correct the secondary dentofacial deformities. The indexes of aesthetic symmetry, occlusion relationship, temporomandibular joint function, condylar height, and volume change were assessed in the subsequential follow up. Results: The mean follow up period was 31 months. All patients had no tumor recurrence. The ipsilateral joint function, occlusal relationship, and facial symmetry were satisfied. The ipsilateral condylar reconstruction had no obvious bone resorption and the ramus height was maintained well. Postoperative assessment showed the preoperative design was accurately fulfilled. Conclusions: The simultaneous condylar osteochondroma resection and temporomandibular joint reconstruction using intraoral approach avoids extraoral scars and correct facial asymmetry without compromising the long-term joint function and occlusal relationship.

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Dentofacial Deformity Caused by Bulky Osteochondroma: Report of an Unusual Case and the Importance of Cone Beam Computed Tomography

Cited by 4 publications

References 15 publications

Benign tumor finding in Temporomandibular Joint: Cone Beam CT application and radiographical features of suspected condylar osteochondroma

Benign tumor finding in Temporomandibular Joint: Cone Beam CT application and radiographical features of suspected condylar osteochondroma

Mandible condyle osteochondroma: clinical case report

Simultaneous Management of Condylar Osteochondroma and Secondary Malformation With a New Intraoral Approach

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