Abstract
ABSTRACT
Osteochondroma is an
exophytic lesion that arises from the bone cortex and is capped with
cartilage. Although osteochondromas are
rare in the craniofacial area, the most affected areas are commonly coronoid
process and condyle. The surgical
treatment for an OC of the mandibular condyle has normally either been
condylectomy or local excision with or without reconstruction.
This paper describes a case
of osteochondroma of the mandibular condyle in a 48-year-old woman who was referred with
facial asymmetry, deviation of chin, cross-bite to the contralateral side and
malocclusion. Panoramic radiographs and
computerized tomographic scans of the patient confirmed the presence of a bony
expansion of the left condyle. Based on clinical and radiographic evaluations,
the clinical diagnosis was made as osteochondroma. High condylectomy procedure
was planned for reshaping condylar head without additional reconstructive
surgery. Condylectomy was performed using a preauricular approach with total
removal of the lesion under general anesthesia. The healing was uneventful, and
the patient was satisfied with appearance and occlusion in two years.
Keywords: Osteochondroma, Temporomandibular Joint, Mandibular Condyle
TEMPOROMANDİBULAR EKLEMİN OSTEOKONDROMASINA
KONSERVATİF CERRAHİ YAKLAŞIM
ÖZ
Osteokondrom, kemik
korteksinden büyüyen ve kartilajla kaplı
ekzofitik bir lezyondur. Kraniofasial
bölgede nadir görülmesine rağmen en çok etkilenen alanlar koronoid proses ve
kondildir. Mandibular kondilde görülen osteokondromların cerrahi tedavisi, lezyonun
rekonstrüksiyonla birlikte veya rekonstrük- siyon yapılmadan kondilektomi veya
lokal eksizyonudur.
Bu raporda
yüzde asimetri, çene ucu
deviasyonu, karşı tarafta dişlerin çapraz kapanışı ve
maloklüz- yona neden olmuş osteokondrom
belirtileriyle başvuran 48 yaşındaki kadın hastanın tedavisi ve 2 yıllık
takip sonuçları bildirilmektedir. Alınan panoramik
radyografi ve bilgisayarlı tomografi görüntüleriyle sol kondildeki kemik
ekspansiyonu doğrulandı. Klinik ve
radyografik değerlendirmelere
dayanarak klinik tanı osteokondrom
olarak belirlendi. İlave rekonstrüktif cerrahi olmaksızın kondil
başının yeniden şekillendiril- mesi için yüksek seviyeli kondilektomi planlandı.
Genel anestezi altında preaurikular yaklaşımla lezyon bütünüyle çıkarılarak kondilektomi yapıldı. Sorunsuz
iyileşme gözlenirken 2 yıl sonunda hastanın mevcut oklüzyon ve
görünümden memnun olduğu görüldü.
Anahtar Kelimeler: Osteokondrom; temporoman- dibüler eklem; mandibular kondil
Keywords
References
- 1. Baniwal S, Meru S, Biswas B. Osteochondroma of the glenoid fossa-A case report. Br J Oral Maxillofac Surg 2007; 45: 579-81.
- 2. Ramos-Murguialday M, Morey-Mas MÁ, Janeiro-Barrera S, García-Sánchez A, Molina-Barraguer I, Iriarte-Ortabe JI. Osteochondroma of the temporomandibular joint: Report of 2 cases emphasizing the importance of personalizing the surgical treatment. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;113:41-7.
- 3. Ribas Mde O, Martins WD, de Sousa MH, Zanferrari FL, Lanzoni T. Osteochondroma of the mandibular condyle: Literature review and report of a case. J Contemp Dent Pract 2007; 8: 52-9.
- 4. González-Otero S, Navarro-Cuéllar C, Escrig-de Teigeiro M, Fernández-Alba-Luengo J, Navarro-Vila C. Osteochondroma of the mandibular condyle: Resection and reconstruction using vertical sliding osteotomy of the mandibular ramus. Med Oral Patol Oral Cir Bucal. 2009 Apr 1;14: 194-7.
- 5. Saito T, Utsunomiya T, Furutani M, Yamamoto H. Osteochondroma of the mandibular condyle: A case report and review of the literature. J Oral Sci 2001;43: 293-7.
- 6. Seki H, Fukuda M, Takahashi T, Iino M. Condylar osteochondroma with complete hearing loss: Report of a case. J Oral Maxillofac Surg 2003; 61: 131-3.
- 7. Porter DE, Simpson AH. The neoplastic pathogenesis of solitary and multiple osteochondromas. J Pathol 1999;188: 119-25.
- 8. Yu HB, Sun H, Li B, Zhao ZL, Zhang L, Shen SG, Wang XD. Endoscope-assisted conservative condylectomy in the treatment of condylar osteochondroma through an intraoral approach. Int J Oral Maxillofac Surg. 2013; 42: 1582- 6.
- 9. Roychoudhury A, Bhatt K, Yadav R, Bhutia O, Roychoudhury S. Review of osteochondroma of mandibular condyle and report of a case series. J Oral Maxillofac Surg. 2011 Nov; 69:2815-23
- 10. Karras SC, Wolford LM, Cottrell DA. Concurrent osterchondroma of the mandible condyle and ipsilateral cranial base resulting in TMJ ankylosis. Report of a case and review of the literature. J Oral Maxillofac Surg. 1996;54: 640–6.
- Baldridge OL, Henny FA. Condylectomy for the persistently painful temporomandibular joint. J Oral Surg 1957; 15: 24-31.
- 20. Henny FA. Surgical treatment of the painful temporomandibular joint. J Am Dent Assoc 1969; 79: 171-7.
- 21. Cherry CQ, Frew A Jr. High condylectomy for treatment of arthritis of the temporomandibular joint. J Oral Surg 1977; 35: 285-8.
- 22. Alexandridis C, Caputo AA, Eliades GC. Functional stress modification after high condylectomy surgery. J Oral Rehabil 1991; 18: 317-26
Abstract
References
- 1. Baniwal S, Meru S, Biswas B. Osteochondroma of the glenoid fossa-A case report. Br J Oral Maxillofac Surg 2007; 45: 579-81.
- 2. Ramos-Murguialday M, Morey-Mas MÁ, Janeiro-Barrera S, García-Sánchez A, Molina-Barraguer I, Iriarte-Ortabe JI. Osteochondroma of the temporomandibular joint: Report of 2 cases emphasizing the importance of personalizing the surgical treatment. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;113:41-7.
- 3. Ribas Mde O, Martins WD, de Sousa MH, Zanferrari FL, Lanzoni T. Osteochondroma of the mandibular condyle: Literature review and report of a case. J Contemp Dent Pract 2007; 8: 52-9.
- 4. González-Otero S, Navarro-Cuéllar C, Escrig-de Teigeiro M, Fernández-Alba-Luengo J, Navarro-Vila C. Osteochondroma of the mandibular condyle: Resection and reconstruction using vertical sliding osteotomy of the mandibular ramus. Med Oral Patol Oral Cir Bucal. 2009 Apr 1;14: 194-7.
- 5. Saito T, Utsunomiya T, Furutani M, Yamamoto H. Osteochondroma of the mandibular condyle: A case report and review of the literature. J Oral Sci 2001;43: 293-7.
- 6. Seki H, Fukuda M, Takahashi T, Iino M. Condylar osteochondroma with complete hearing loss: Report of a case. J Oral Maxillofac Surg 2003; 61: 131-3.
- 7. Porter DE, Simpson AH. The neoplastic pathogenesis of solitary and multiple osteochondromas. J Pathol 1999;188: 119-25.
- 8. Yu HB, Sun H, Li B, Zhao ZL, Zhang L, Shen SG, Wang XD. Endoscope-assisted conservative condylectomy in the treatment of condylar osteochondroma through an intraoral approach. Int J Oral Maxillofac Surg. 2013; 42: 1582- 6.
- 9. Roychoudhury A, Bhatt K, Yadav R, Bhutia O, Roychoudhury S. Review of osteochondroma of mandibular condyle and report of a case series. J Oral Maxillofac Surg. 2011 Nov; 69:2815-23
- 10. Karras SC, Wolford LM, Cottrell DA. Concurrent osterchondroma of the mandible condyle and ipsilateral cranial base resulting in TMJ ankylosis. Report of a case and review of the literature. J Oral Maxillofac Surg. 1996;54: 640–6.
- Baldridge OL, Henny FA. Condylectomy for the persistently painful temporomandibular joint. J Oral Surg 1957; 15: 24-31.
- 20. Henny FA. Surgical treatment of the painful temporomandibular joint. J Am Dent Assoc 1969; 79: 171-7.
- 21. Cherry CQ, Frew A Jr. High condylectomy for treatment of arthritis of the temporomandibular joint. J Oral Surg 1977; 35: 285-8.
- 22. Alexandridis C, Caputo AA, Eliades GC. Functional stress modification after high condylectomy surgery. J Oral Rehabil 1991; 18: 317-26
Details
| Journal Section | Articles |
|---|---|
| Authors | |
| Publication Date | November 24, 2016 |
| Published in Issue | Year 2016 Supplement 16 |
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