Oral and Maxillofacial Surgery Cases (Mar 2019)

Mandibular coronoid process tumor resembling a mandibular condyle: A case report

  • Cimino Roberta,
  • Piombino Pasquale,
  • De Riu Giacomo,
  • Mascolo Massimo,
  • Vollaro Stefano,
  • Valletta Rosa,
  • Michelotti Ambrosina,
  • Califano Luigi

Journal volume & issue
Vol. 5, no. 1

Abstract

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Abnormal elongation of mandibular coronoid process, often defined as coronoid hyperplasia, is a rare condition, which is frequently associated with limited mouth opening. In some cases, the enlarged coronoid pushes the zygoma forward causing facial asymmetry. This case report describes a 16-year-old boy whose chief complaint was a progressive difficulty and deviation in mouth opening, together with a deformity appearing at maximum opening at the zygomatic area. The diagnosis was Unilateral Accessory Mandibular Condyle at coronoid process, without reduction of the mouth opening capacity. A coronoidectomy was carried out by means of piezoelectric surgery, instead of a coronoidotomy which is usually performed in these cases, due to a suspect of ramus neoplasm. Keywords: Coronoid hyperplasia, Accessory condyle, Temporomandibular disorder, Piezoelectric surgery, Adolescent