Mandibular coronoid hyperplasia: a case report.
A case of unilateral coronoid hyperplasia successfully treated by coronoidotomy with prolonged postoperative physiotherapy and reveal the postoperative radiographic changes between the sectioned part of the coronoid process and the mandibular ascending ramus is described. The patient was a 28-year-old man whose maximum mouth opening was 30 mm. A coronoidotomy of the left coronoid process was performed. Nine days after surgery, the patient started physiotherapy with a HU-OS(r) appliance. After coronoidotomy and physiotherapy, the maximum mouth opening had increased to 43 mm. Radiographic follow-up showed that the coronoid process apparently united with the mandibular ascending ramus, with moderate dislocation and inclination posteriorly. In the case presented, an intraoral coronoidotomy with postoperative physiotherapy for treatment of coronoid process hyperplasia allowed satisfactory and stable results in the correction of coronoid-malar interference.
Yura
Shinya
S
Department of Oral and Maxillofacial Surgery, Tonami General Hospital, Tonami-city, Japan. yura@p1.coralnet.or.jp
Ohga
Noritaka
N
Ooi
Kazuhiro
K
Izumiyama
Yuri
Y
D000328:Adult; D003131:Combined Modality Therapy; D006801:Humans; D006965:Hyperplasia; D008297:Male; D008334:Mandible / Q000503:physiopathology*; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D019647:Oral Surgical Procedures / Q000379:methods*; D026741:Physical Therapy Modalities; D011859:Radiography; D016059:Range of Motion, Articular; D013704:Temporomandibular Joint / Q000503:physiopathology