Hyperplasia of the coronoid process: Diagnosis and treatment

被引：7

作者：

Wenghoefer M. ^{[1
]}

Martini M. ^{[1
]}

Anwander T. ^{[1
]}

Götz W. ^{[1
]}

Reich R. ^{[1
]}

Bergé S.J. ^{[2
]}

机构：

[1] Klinik und Poliklinik für Mund-, Kiefer- und plastische Gesichtschirurgie, Klinikum der Rheinischen Friedrich-Wilhelms-Universität, 53105 Bonn

[2] Department of Oral and Craniomaxillofacial Surgery, Radboud Universiteit Nijmegen, Nijmegen

来源：

Mund-, Kiefer- und Gesichtschirurgie | 2006年 / 10卷 / 6期

关键词：

Coronoid process; Coronoidectomy; Coronoidotomy; Hyperplasia; Physiotherapy;

D O I：

10.1007/s10006-006-0028-2

中图分类号：

学科分类号：

摘要：

Study goal: As it is an unusual and infrequent clinical entity, hyperplasia of the coronoid process is often overlooked or diagnosed too late. The aim of this study was to characterize the morphology, etiology, and clinical picture of coronoid hyperplasia as well as to discuss its diagnosis and treatment. Materials and methods: All cases of histologically confirmed hyperplasia of the coronoid process treated in our center between 1995 and 2004 were analyzed. Patient data were evaluated with respect to age, gender, clinical symptoms, diagnostic work-up, and treatment. The extracted data were compared to those found in the literature. Results: The study included 14 new cases and 101 cases already published: 96 with bilateral and 19 with unilateral hyperplasia. At the time of diagnosis, the subjects' mean age was 23.7 years. The patients in Bonn were all treated by coronoidectomy and appropriate physiotherapy. An improvement in mouth opening could be achieved in 86% of our patients. Conclusions: In comparison to the somewhat disappointing results of previously published studies with regard to mouth opening and mandibular mobility, our treatment concept seems to offer the possibility for improvement. Our study emphasizes the significance of three-dimensional CT techniques for diagnosis and surgical planning, the superiority of coronoidectomy over coronoidotomy, and the importance of dynamic physiotherapy to prevent postoperative scar formation. © Springer-Verlag 2006.

引用

页码：409 / 414

页数：5

共 53 条

[41]

Shultz R.E., Theisen F.C., Bilateral coronoid hyperplasia. Report of a case, Oral Surg Oral Med Oral Pathol, 68, pp. 23-26, (1989)

[42]

Shurman J., Bilateral hypertrophy of the coronoid processes, Anesthesiology, 42, pp. 491-492, (1975)

[43]

Smyth A.G., Wake M.J., Recurrent bilateral coronoid hyperplasia: An unusual case, Br J Oral Maxillofac Surg, 32, pp. 100-104, (1994)

[44]

Sperling A.L., Limitation of mandibular movement secondary to coronoid impingement, J Oral Surg, 31, pp. 780-782, (1973)

[45]

Takahashi A., Hao-Yong W., Murakami S., Et al., Diagnosis of coronoid process hyperplasia by three-dimensional computed tomographic imaging, Dentomaxillofac Radiol, 22, pp. 149-154, (1993)

[46]

Ter Har B.G., van Hoof R.F., The trismus-pseudocampylodactyly syndrome, J Med Genet, 11, pp. 41-49, (1974)

[47]

Tieghi R., Galie M., Piersanti L., Clauser L., Bilateral hyperplasia of the coronoid processes: Clinical report, J Craniofac Surg, 16, pp. 723-726, (2005)

[48]

Totsuka Y., Fukuda H., Bilateral coronoid hyperplasia. Report of two cases and review of the literature, J Craniomaxillofac Surg, 19, pp. 172-177, (1991)

[49]

Tucker M.R., Guilford W.B., Howard C.W., Coronoid process hyperplasia causing restricted opening and facial asymmetry Oral, Surg Oral Med Oral Pathol, 58, pp. 130-132, (1984)

[50]

Visser H., Hermann K.P., Bredemeier S., Kohler B., Dose measurements comparing conventional and digital panoramic radiography, Mund Kiefer GesichtsChir, 4, pp. 213-216, (2000)

← 1 2 3 4 5 6 →