scholarly journals Mandibular Movement Restoration in a Child with Bilateral Coronoid Hyperplasia: A Case Report

2016 ◽  
Vol 4 (2) ◽  
pp. 293-295 ◽  
Author(s):  
Danica Popovik Monevska ◽  
Alberto Benedetti ◽  
Vladimir Popovski ◽  
Slave Naumovski ◽  
Aleksandar Grcev ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Tomographic Reconstruction ◽  
Nasotracheal Intubation ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Coronoid Process ◽  
Mandibular Movement ◽  
Posterior Portion ◽  
Intraoral Approach

BACKGROUND: Coronoid process hyperplasia is an uncommon finding, characterized by an enlargement of the coronoid process, causing a mechanical obstacle by its interposing in the posterior portion of the maxilla or zygomatic arch.CASE PRESENTATION: The article presents a case report of a bilateral coronoid process hyperplasia in a 3-year-old girl demonstrated with inability to open the mouth and restricted jaw movement. Panoramic x-ray and 3-dimensional computed tomographic reconstruction showed bilateral elongation of the coronoid processes associated with deformation of the mandibular condyle with no involvement of the articular space. A coronoid resection by intraoral approach was done, followed by an aggressive physiotherapy. A considerable improvement in mouth opening of 30 mm was achieved. We strongly suggest early surgical treatment of coronoid hyperplasia to recover morphology and function consequently to reduce skeletofacial deformities in young patients.CONCLUSIONS: The article presents a clinical and surgical case of bilateral coronoidectomy in a 3-year-old girl, with retrognathic mandible. The diagnosis of bilateral coronoid process hyperplasia was confirmed, and the surgical treatment was under general anesthesia, with nasotracheal intubation guided by a nasofiber endoscope, using an intraoral approach.

scholarly journals Bilateral Elongated Mandibular Coronoid Process and Restricted Mouth Opening: A Case Report

2017 ◽  
Vol 11 (1) ◽  
pp. 670-678 ◽  
Author(s):  
Thomas Starch-Jensen ◽  
Annette Dalgaard Kjellerup
Keyword(s):  
Case Report ◽  
Imaging Modality ◽  
Mouth Opening ◽  
Coronoid Process ◽  
Treatment Modalities ◽  
Mandibular Movement ◽  
Limited Mouth Opening ◽  
Joint Disorder ◽  
Surgically Induced

Introduction: Mandibular coronoid process hyperplasia is an uncommon congenital or developmental temporomandibular joint disorder, characterized by elongation of the coronoid process, which may cause limited mandibular movement as a consequence of interference between the hyperplastic coronoid process and the medial surface of the zygomatic arch. Methods: Mandibular coronoid process hyperplasia commonly affects males in the second decade of life and the exact aetiology and pathogenesis is unknown. The condition can be uni- or bilateral. Progressive painless reduction in mouth opening is the main clinical finding and computed tomography is the most reliable imaging modality for confirming the diagnosis. Results: Surgical intervention involving coronoidectomy and long-term intensive postoperative physiotherapy is the treatment of choice for mandibular coronoid process hyperplasia with impingement on the zygomatic bone and limited mouth opening. However, surgically induced fibrosis and the tendency for mandibular coronoid process regrowth may cause relapse and renewed limited mouth opening. Vigorous physical therapy should therefore be initiated shortly after surgery. Conclusion: The purpose of this case report is to present the clinical and radiographic features of elongated mandibular coronoid process in an 18-year-old male with limited mouth opening, and to discuss the various surgical treatment modalities.

Surgical treatment of mandibular condyle fracture with bicortical screws: case report

RSBO ◽  
2016 ◽  
Vol 13 (1) ◽  
pp. 50
Author(s):  
Guilherme Dos Santos Trento ◽  
Paola Cotait de Lucas Cors ◽  
Naylin Danyelle de Oliveira ◽  
Leandro Eduardo Klüppel ◽  
Delson João da Costa ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Mandibular Condyle ◽  
Condyle Fracture

scholarly journals Surgical treatment of Eagle’s Syndrome through intraoral access: a case report and literature review

2021 ◽  
Vol 1 (1) ◽  
pp. 15-21
Author(s):  
Rodrigo Cristhian Avelino Bezerra ◽  
Jonas Nogueira Ferreira Maciel Gusmão ◽  
Bruno Frota Amora Silva ◽  
Rodrigo Lemos Alves ◽  
Eliardo Silveira Santos ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Facial Pain ◽  
Clinical Case ◽  
Styloid Process ◽  
Eagle’S Syndrome ◽  
Intraoral Approach ◽  
Eagle Syndrome ◽  
Review Study

The styloid process is a bone projection that originates in the tympanic portion of the temporal bone. The enlongation of the styloid process, or the ossification of the styloid process, can originate a series of symptoms such as dysphagia, odynophagia, facial pain, otalgia, headache, tinnitus and trismus, establishing the clinical picture of Eagle Syndrome. In this report, we present an important clinical case of adult patient diagnosed with Eagle’s Syndrome who underwent surgery for reduction of the enlongated styloid process, by intraoral approach, added to a literature review study.

scholarly journals Osteoma of Mandibular Condyle as Cause of Acute Pain and Limited-mouth-opening: Case Report

2007 ◽  
Vol 48 (4) ◽  
pp. 193-197 ◽  
Author(s):  
Hakubun Yonezu ◽  
Mamoru Wakoh ◽  
Takamichi Otonari ◽  
Tsukasa Sano ◽  
Sadamitsu Hashimoto ◽  
...  
Keyword(s):  
Case Report ◽  
Acute Pain ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Limited Mouth Opening

scholarly journals Late removal of an upper third molar displaced into the infratemporal space using an intermaxillary fixation screw: a case report

2020 ◽  
Vol 9 (11) ◽  
pp. e129119457
Author(s):  
Eduardo Dallazen ◽  
Vinícius Almeida Carvalho ◽  
Eduardo Hochuli-Vieira ◽  
Cristian Statkievcz ◽  
Cecília Luiz Pereira-Stabile ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Third Molar ◽  
Mouth Opening ◽  
Mandibular Movement ◽  
Intermaxillary Fixation ◽  
Temporal Space ◽  
Intraoral Approach ◽  
Computer Tomography Scan ◽  
Patient Reported ◽  
Fixation Screw

Teeth displacement during extractions even tough rare are extremely unwanted, especially for infra temporal space. This accident generally necessitate additional treatment for their resolution, being either immediate or late. Several authors discribed surgical techniques for removal displaced teeth into the infratemporal space, varying according to the degree of displacement, being that in some of this cases, is necessary the utilization of complementary tools. This case describes the technique utilized for late removal of tooth 18 (upper right third molar) dislocated into the lower portion of the infratemporal space (confirmed by the Cone Bean Computer tomography Scan), exam was performed after the patient reported pain in the operated region and during mandibular movement too, with an interincisal opening maximum of 20 millimeters. The procedure was realized under local anesthesia by a conservative intraoral approach and aid of intermaxillary fixation screw to facilitate extraction. The patient recovered well, without complications, with remission of pain and restoration of mouth opening.

scholarly journals Surgical Reduction of Symphysis Fracture and Spontaneous Repositioning of the Mandibular Condyle: A Case Report

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Claudemir de Carvalho
Keyword(s):  
Physical Examination ◽  
Maxillofacial Surgery ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Dental Occlusion ◽  
Glenoid Cavity ◽  
Mandibular Movement ◽  
Mandibular Symphysis ◽  
Surgical Reduction ◽  
Condyle Fracture

The condylar process is a more fragile area, which is usually fractured by indirect trauma. The objective of this study is to report the case of a 10-year-old patient who presented to the Maxillofacial Surgery and Traumatology Service of the Regional Hospital of Vale do Paraíba, in Taubaté-SP, Brazil. Physical examination revealed limited mandibular movement with painful symptoms, crossbite, and upper incisor avulsion. A face tomography showed a fracture of the mandibular symphysis (right side) and a fracture of the left condyle. Surgical reduction of the mandibular symphysis fracture was performed. After exposure and reduction of bone segments, maxillomandibular block, rigid internal fixation and conservative treatment for condyle fracture were performed. A soft liquid diet and weekly outpatient follow-up was adopted for the first two months. After 15 days of surgery, the patient had mild edema, slight limitation in mouth opening, sutures without dehiscence and without signs of infection. In the first control tomography, the treated fracture was adequately reduced and the fractured condyle remained with medial displacement in the glenoid cavity. After one year, on physical examination, the patient presented satisfactory dental occlusion, preserved mandibular movements and no signs of nerve damage. The tomography showed the fracture consolidated, and the left mandibular condyle well positioned in the glenoid cavity. After two years, the third tomography was performed, showing remodelling of the left mandibular condyle.

Fiberoptic Nasotracheal Intubation in Pediatric Patients with Difficult Mouth Opening: A case report

2002 ◽  
Vol 43 (6) ◽  
pp. 795
Author(s):  
Woo Chang Lee ◽  
Bon Nyeo Koo ◽  
Ki Jun Kim ◽  
Kyeong Tae Min ◽  
Wyun Kon Park ◽  
...  
Keyword(s):  
Case Report ◽  
Pediatric Patients ◽  
Nasotracheal Intubation ◽  
Mouth Opening

scholarly journals Bilateral Dislocation of Mandibular Condyles following General Anesthesia—An Overlooked Problem: A Case Report

2019 ◽  
Vol 13 (02) ◽  
pp. 291-293 ◽  
Author(s):  
Mohd Toufeeq ◽  
Murali Venkata Rama Mohan Kodali ◽  
Srikanth Gunturu ◽  
Kiran Kumar ◽  
Kavya Surapaneni
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Temporomandibular Joint ◽  
Traumatic Injury ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Orotracheal Intubation ◽  
Temporal Fossa

AbstractDislocation of mandibular condyles can occur following excessive mouth opening or traumatic injury to the temporomandibular joint. It can also occur during general anesthesia that at times may go un-noticed in the modern-day theater setup. Here, we describe a case of bilateral dislocation of mandibular condyle following orotracheal intubation for general anesthesia. Right condyle was dislocated into temporal fossa.

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