A CONSERVATIVE SURGICAL APPROACH TO OSTEOCHONDROMA OF THE TEMPOROMANDIBULAR JOINT

Yıl 2016, Supplement 16, 18 - 22, 24.11.2016

M. Selim Yavuz Mustafa Cemil Büyükkurt Zeynep Savaş Bayramoğlu Özlem Velioğlu Nesrin Gürsan

https://doi.org/10.17567/ataunidfd.290513

Öz

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 

Anahtar Kelimeler

Osteochondroma, Temporomandibular Joint

Kaynakça

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