Bilateral coronoid hyperplasia: A case report of an intraoral endoscopically assisted coronoidectomy with CAD/CAM cutting guides

Giovanni Dell’Aversana Orabona; Vincenzo Abbate; Francesco Maffia; Lorenzo Sani; Antonio Romano; Fabio Maglitto; Giorgio Iaconetta; Luigi Califano

Oral and Maxillofacial Surgery Cases (Sep 2022)

Bilateral coronoid hyperplasia: A case report of an intraoral endoscopically assisted coronoidectomy with CAD/CAM cutting guides

Giovanni Dell’Aversana Orabona,
Vincenzo Abbate,
Francesco Maffia,
Lorenzo Sani,
Antonio Romano,
Fabio Maglitto,
Giorgio Iaconetta,
Luigi Califano

Affiliations

Giovanni Dell’Aversana Orabona: Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Via Pansini 5, 80100, Naples, Italy
Vincenzo Abbate: Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Via Pansini 5, 80100, Naples, Italy
Francesco Maffia: Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Via Pansini 5, 80100, Naples, Italy; Corresponding author. Via Sergio Pansini 5, Naples, 80131, Italy.
Lorenzo Sani: Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Via Pansini 5, 80100, Naples, Italy
Antonio Romano: Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Via Pansini 5, 80100, Naples, Italy
Fabio Maglitto: Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Via Pansini 5, 80100, Naples, Italy
Giorgio Iaconetta: Neurosurgery Unit Department of Medicine, Surgery and Odontoiatrics, University of Salerno, Via Giovanni Paolo II 132, 84084, Fisciano, Naples, Salerno, Italy
Luigi Califano: Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, Via Pansini 5, 80100, Naples, Italy

Journal volume & issue: Vol. 8, no. 3
p. 100267

Abstract

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Coronoid process hyperplasia (CPH) is a rare disease characterized by the abnormal enlargement of the mandibular coronoid process. The most referred symptom is the progressive reduction of mouth opening due to the coronoid impingement on the zygomatic bone. This paper aims to describe a case of bilateral CPH treated with a bilateral intraoral endoscopically assisted coronoidectomy adopting in-house CAD/CAM technology. In May 2021, an 18-year-old man patient came to the authors' observation referring to a worsening limitation of the maximum mouth opening (MMO) and a CT scan revealing bilateral coronoid hyperplasia. The coronoidectomy procedure was performed bilaterally. The MMO improved immediately after surgery. The CAD/CAM cutting guides simplified the surgical procedure maintaining the minimal invasiveness of the endoscopically assisted approach. The encouraging results obtained suggest how the application of in-house CAD/CAM technology to minimally invasive surgery could improve surgical outcomes granting precision and safety at the same time.

Published in Oral and Maxillofacial Surgery Cases

ISSN: 2214-5419 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: https://www.journals.elsevier.com/oral-and-maxillofacial-surgery-cases/

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