Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Recurrent osteochondroma of the mandibular condyle: A case report

  • Kwon, Young-Eun (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University) ;
  • Choi, Karp-Shik (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University) ;
  • An, Chang-Hyeon (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University) ;
  • Choi, So-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Lee, Jae-Seo (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chonnam National University) ;
  • An, Seo-Young (Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University)
  • Received : 2016.09.21
  • Accepted : 2016.10.17
  • Published : 2017.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

A 21-year-old woman presented with facial asymmetry. Crepitus and clicking of the temporomandibular joint were noted. The midline deviated 5.5 mm to the left, and secondary malocclusion was observed. Panoramic and cone-beam computed tomographic images showed an irregular and exophytic bony mass on the anteromedial surface of the right mandibular condyle. A 3-phase bone scan revealed increased tracer uptake on the affected side. The lesion was treated with excision and reshaping under the diagnosis of osteochondroma confirmed by a histopathological examination. The lesion recurred after 3 years, and the patient underwent condylectomy. Mandibular condylar osteochondroma is often resected because it causes functional and aesthetic problems, but it rarely recurs. To the best of our knowledge, only 2 cases of recurrent osteochondromas of the mandibular condyle have been reported previously. Surgical treatment of the osteochondroma should be performed considering the possibility of recurrence, and long-term follow-up is recommended.

Keywords

References

  1. Zhou Q, Yang C, Chen MJ. Osteochondroma of bilateral mandibular condyle: a case report Int J Clin Exp Med 2015; 8: 2989-92.
  2. Karras SC, Wolford LM, Cottrell DA. Concurrent osteochondroma of the mandibular condyle and ipsilateral cranial base resulting in temporomandibular joint ankylosis: report of a case and review of the literature. J Oral Maxillofac Surg 1996; 54: 640-6. https://doi.org/10.1016/S0278-2391(96)90652-7
  3. Aydin MA, Kucukcelebi A, Sayilkan S, Celebioglu S. Osteochondroma of the mandibular condyle: report of 2 cases treated with conservative surgery. J Oral Maxillofac Surg 2001; 59: 1082-9. https://doi.org/10.1053/joms.2001.25049
  4. Arora P, Deora SS, Kiran S, Bargale SD. Osteochondroma of condyle: case discussion and review of treatment modalities. BMJ Case Rep 2014; 2014. pii: bcr2013200759.
  5. Wolford LM, Mehra P, Franco P. Use of conservative condylectomy for treatment of osteochondroma of the mandibular condyle. J Oral Maxillofac Surg 2002; 60: 262-8. https://doi.org/10.1053/joms.2002.30570
  6. Vezeau PJ, Fridrich KL, Vincent SD. Osteochondroma of the mandibular condyle: literature review and report of two atypical cases. J Oral Maxillofac Surg 1995; 53: 954-63. https://doi.org/10.1016/0278-2391(95)90293-7
  7. Peroz I. Osteochondroma of the condyle: case report with 15 years of follow-up. Int J Oral Maxillofac Surg 2016; 45: 1120-2. https://doi.org/10.1016/j.ijom.2016.04.005
  8. Peroz I, Scholman H, Hell B. Osteochondroma of the mandibular condyle: a case report. Int J Oral Maxillofac Surg 2002; 31: 455-6. https://doi.org/10.1054/ijom.2002.0234
  9. Zhang J, Wang H, Li X, Li W, Wu H, Miao J, et al. Osteochondromas of the mandibular condyle: variance in radiographic appearance on panoramic radiographs. Dentomaxillofac Radiol 2008; 37: 154-60. https://doi.org/10.1259/dmfr/19168643
  10. Avinash KR, Rajagopal KV, Ramakrishnaiah RH, Carnelio S, Mahmood NS. Computed tomographic features of mandibular osteochondroma. Dentomaxillofac Radiol 2007; 36: 434-6. https://doi.org/10.1259/dmfr/54329867
  11. Kondoh T, Seto K, Kobayashi K. Osteoma of the mandibular condyle: report of a case with a review of the literature. J Oral Maxillofac Surg 1998; 56: 972-9. https://doi.org/10.1016/S0278-2391(98)90661-9
  12. Chandu A, Spencer JA, Dyson DP. Chondroma of the mandibular condyle: an example of a rare tumour. Dentomaxillofac Radiol 1997; 26: 242-5. https://doi.org/10.1038/sj.dmfr.4600243
  13. Dhirawani RB, Anand K, Lalwani G, Pathak S, Thakkar B. True chondroma of the mandibular condyle: a rare case. Ann Maxillofac Surg 2014; 4: 220-3. https://doi.org/10.4103/2231-0746.147152
  14. Ward BB, Pires CA, Feinberg SE. Osteochondromas of the mandible: case reports and rationale for treatment. J Oral Maxillofac Surg 2005; 63: 1039-44. https://doi.org/10.1016/j.joms.2005.03.022
  15. Ortakoglu K, Akcam T, Sencimen M, Karakoc O, Ozyigit HA, Bengi O. Osteochondroma of the mandible causing severe facial asymmetry: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: e21-8.

Cited by

  1. Surgical resection of osteochondroma in the mandibular condyle associated with directional orthodontic treatment: review of literature and a case report vol.13, pp.3, 2017, https://doi.org/10.1111/ors.12493
  2. Imaging features of cartilaginous tumors of the head and neck vol.11, pp.None, 2021, https://doi.org/10.25259/jcis_186_2021
  3. A case of primary synovial chondromatosis with peripheral osteoma in the temporomandibular joint vol.67, pp.10, 2017, https://doi.org/10.5794/jjoms.67.584