Osteochondroma in Temporomandibular Joint: a Case Report

Authors

  • Carolina Chaves Gama Aires Doutoranda em Cirurgia Bucomaxilofacial, Mestre e Especialista em Cirurgia Bucomaxilofacial Faculdade de Odontologia de Pernambuco da Universidade de Pernambuco (FOP/UPE) 54756-220 Camaragibe – PE, Brasil https://orcid.org/0000-0001-9251-2895
  • Thames Bruno Barbosa Cavalcanti Mestre em Odontologia pela Universidade Federal de Pernambuco, Especialista em Cirurgia Bucomaxilofacial pelo Hospital da Restauração Governador Paulo Guerra 52171-011 Recife – PE, Brasil https://orcid.org/0000-0001-5064-4005
  • Rosa Rayanne Lins de Souza Especialista em Cirurgia Bucomaxilofacial pelo Hospital da Restauração Governador Paulo Guerra 52171-011 Recife – PE, Brasil https://orcid.org/0000-0002-9534-605X
  • Ruan de Sousa Viana Especialista em Cirurgia Bucomaxilofacial pelo Hospital da Restauração Governador Paulo Guerra 52171-011 Recife – PE, Brasil
  • Priscilla Sarmento Pinto Especialista em Cirurgia Bucomaxilofacial pelo Hospital da Restauração Governador Paulo Guerra 52171-011 Recife – PE, Brasil https://orcid.org/0000-0002-2376-4383
  • Carlos Augusto Pereira do Lago Doutor, Mestre e Especialista em Cirurgia Bucomaxilofacial Professor do Departamento de Cirurgia Bucomaxilofacial da Faculdade de Odontologia de Pernambuco (FOP/UPE) Universidade de Pernambuco, 54756-220 Camaragibe – PE, Brasil
  • Ricardo José de Holanda Vasconcellos Doutor, Mestre e Especialista em Cirurgia Bucomaxilofacial Professor do Departamento de Cirurgia Bucomaxilofacial da Faculdade de Odontologia de Pernambuco (FOP/UPE) Universidade de Pernambuco, 54756-220 Camaragibe – PE, Brasil

DOI:

https://doi.org/10.21270/archi.v11i2.5362

Keywords:

Osteochondroma, Temporomandibular Joint Disorders, facial asymmetry

Abstract

Osteochondroma is considered a benign bone tumor that occurs mainly in axial skeleton, but rarely affecting maxillofacial complex. When located in this region, it has a preference for the mandible. It usually occurs in the age range between 10 and 30 years. In the mandibular condyle, may cause dentofacial deformities, resulting in limited mouth opening, malocclusion and facial asymmetry. The aim of the present study was to report a case of a 36-year-old female patient referred for treatment of maxillomandibular discrepancy, whose complementary exams showed the presence of osteochondroma in the left mandibular condyle. Due clinical condition, low condilectomy for remove the tumor and recontouring of the remaining mandibular condyle, followed by postoperative orthodontic treatment. The total removal of the lesion associated with joint reconstruction and subsequent orthodontic treatment was effective in restoring the patient's joint function and aesthetics, since there was a significant improvement in facial symmetry. After 3 years, the patient is followed up, without signs of recurrence.

Downloads

Download data is not yet available.

References

Aires CCG, Peixoto L dos SF, Lima IFM de, Silva CP da, Vasconcellos RJDH. Atualizações e avanços na etiopatogenia e tratamento dos tumores da articulação temporomandibular Updates. Res Soc Dev. 2020;9(10): e7139109104.

Mehra P, Arya V, Henry C. Temporomandibular joint condylar osteochondroma: complete condylectomy and joint replacement versus low condylectomy and joint preservation. J Oral Maxillofac Surg. 2016;74(5):911-25.

Bouloux GF, Roser SM, Abramowicz S. Pediatric Tumors of the Temporomandibular Joint. Oral Maxillofac Surg Clin North Am. 2018;30(1):61-70

Wolford LM, Movahed R, Dhameja A, Allen WR. Low condylectomy and orthognathic surgery to treat mandibular condylar osteochondroma : a retrospective review of 37 cases. J Oral Maxillofac Surg. 2014;72(9):1704–28.

Kim DS, Kim JY, Jeong CW, Park KH, Huh JK. Conservative condylectomy alone for the correction of mandibular asymmetry caused by osteochondroma of the mandibular condyle : a report of five cases. J Korean Assoc Oral Maxilofac Surg. 2015;41(5):259-64.

Poveda-Roda R, Bagán JV, Sanchis JM, Margaix M. Pseudotumors and tumors of the temporomandibular joint. a review. Med Oral Patol Oral Cir Bucal. 2013;18(3):e392-402.

Hamza A, Gidley PW, Learned KO, Hanna EY, Bell D. Uncommon tumors of temporomandibular joint: An institutional experience and review. Head Neck. 2020;42(8):1859-73

Luo X, Ren X, Li T, Li Y, Ye B, Zhu S. Ipsilateral sagittal split ramus osteotomy to facilitate reconstruction of the temporomandibular joint after resection of condylar osteochondroma. Br J Oral Maxillofac Surg. 2017;55(6):604-8.

Published

2021-12-15

How to Cite

Aires, C. C. G., Cavalcanti, T. B. B., Souza, R. R. L. de, Viana, R. de S., Pinto, P. S., Lago, C. A. P. do, & Vasconcellos, R. J. de H. (2021). Osteochondroma in Temporomandibular Joint: a Case Report. ARCHIVES OF HEALTH INVESTIGATION, 11(2), 318–321. https://doi.org/10.21270/archi.v11i2.5362

Issue

Section

Original Articles