Introduction: Bilateral coronoid hyperplasia is an abnormal elongation of the mandibular coronoid process which is rare in occurrence and causes progressive but slow reduction in mouth opening. In case of reduction in zygomatic arch fracture by Gillies temporal approach, the presence of bilateral coronoid hyperplasia can be a possible factor for hindrance and improper reduction.
Material And Methods: We propose a technical note to overcome this hindrance caused by the coronoid hyperplasia and propose tips and tricks to successful reduction in zygomatic arch.
Results: Adequate reduction in the zygomatic arch and pretrauma mouth opening was achieved.
Conclusion: Manual repositioning of the mandible during Gillies temporal approach along with ultrasound guidance leads to a satisfactory outcome.
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http://dx.doi.org/10.1007/s12663-020-01470-4 | DOI Listing |
J Craniofac Surg
September 2024
Department of Physical Functions, Division of Oral and Maxillofacial Surgery, Kyushu Dental University.
Masticatory muscle tendon-aponeurosis hyperplasia (MMTAH) is a disease that presents as a hard trismus due to hyperplasia of the masseter and temporalis aponeurosis. Standard surgical methods for MMTAH include masseter resection, temporalis aponeurosis, and coronoidectomy. The operation of resecting the tendon aponeurosis attached to the posterior surface of the coronoid process carries the risk of bleeding and nerve damage because it cannot be observed directly.
View Article and Find Full Text PDFRev Cient Odontol (Lima)
March 2024
Instituto de Investigaciones, Facultad de Odontología, Universidad del Zulia. Maracaibo, Venezuela. Universidad del Zulia Instituto de Investigaciones Facultad de Odontología Universidad del Zulia Maracaibo Venezuela
J Craniofac Surg
October 2024
School of Dentistry, Universidad del Valle, Cali-Valle del Cauca, Colombia.
Langen Beck disease, a rare idiopathic disorder, causes enlarged coronoid processes of the mandible, leading to restricted oral opening and deteriorating health. This paper presents a 10-year-old boy's case with bilateral hyperplasia of the coronoid processes (HCP), diagnosed using cranial computed tomography, severely limiting oral opening to 18 mm. Treatment involved early intraoral coronoidectomy followed by physiotherapy, yielding immediate oral opening improvement without recurrence after 1 year.
View Article and Find Full Text PDFInt J Surg Case Rep
February 2024
Oral and Maxillofacial Surgery Staff, Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
Introduction: Temporomandibular Joint (TMJ) reankylosis is one of TMJ arthroplasty complications that can interfere masticatory function and aesthetics. This case report aimed to describe a TMJ reankylosis in growing age patient that occurred 5 years after interpositional arthroplasty using gold foil. Interpositional arthroplasty using temporalis fascia and costochondral graft followed by unilateral coronoidectomy could be a treatment option.
View Article and Find Full Text PDFSci Rep
November 2023
OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven & Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.
The aim of this study was to assess the morphological characteristics of the coronoid process (CP) and define coronoid hyperplasia (CH) using cadaveric mandibles of a Caucasian population. A sample of 151 adult dry cadaveric mandibles (302 CPs) was acquired. Three distances were measured, which included the width, height, and length of CP.
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