A CONSERVATIVE SURGICAL APPROACH TO OSTEOCHONDROMA OF THE TEMPOROMANDIBULAR JOINT
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
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
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Details
Primary Language
Turkish
Subjects
-
Journal Section
Case Report
Authors
M. Selim Yavuz
This is me
Mustafa Cemil Büyükkurt
This is me
Zeynep Savaş Bayramoğlu
This is me
Özlem Velioğlu
This is me
Nesrin Gürsan
This is me
Publication Date
November 24, 2016
Submission Date
February 7, 2017
Acceptance Date
May 11, 2016
Published in Issue
Year 2016