Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Treatment of Osteochondroma of the Mandibular Condyle with Inferior Adhesion of Meniscus: A Case Report

관절원판의 유착을 동반한 하악과두의 골연골종의 치료: 증례보고

  • Seol, Dong-Ju (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Choi, Byung-Joon (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Kim, Yeo-Gab (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Lee, Baek-Soo (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Ohe, Joo-Young (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry) ;
  • Lim, Ji-Min (Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry)
  • 설동주 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 최병준 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김여갑 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이백수 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 오주영 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 임지민 (경희대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2013.02.18
  • Accepted : 2013.05.20
  • Published : 2013.05.31
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Abstract

Osteochondroma is a benign neoplasm, osseous projection surrounded with cartilage, 35.8% of benign osseous tumor, 8.5% of whole osseous tumor and usually arises from the skeletal bone. Osteochondroma is a cartilaginous derivation and relatively uncommon in the craniofacial bone. Osteochondroma of the mandible has slow growth rates which mainly affect women around forty years of age and it can appear through the coronoid process and mandibular condyle, especially in the medial half. Clinical finding associated with osteochondroma of condyle are primarily a palpable, painless temporomandibular area mass with facial asymmetry, malocclusion and midline deviations. Sometimes pain and dysfunction like trismus often accompany the anatomic derangement. Other features include malocclusion with open-bite on the affected side and cross-bite on the contralateral side. In this study, a 45-years old female patient exhibits pain on the left temporo-mandibular joint area and malocclusion due to loss of the molar region with osteochondroma on the top left of her mandibular condyle head. The patient is able to recover gradually from the symptom through treatments on manipulation, stabilization splint, arthroscopic lavage and surgical excision, thus, this is reported as a clinical case.

Keywords

References

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