Bimaxillary orthognathic surgery and condylectomy for mandibular condyle osteochondroma: a case report

被引：3
作者：
Park Y.-W. [1 ]
Lee W.-Y. [1 ]
Kwon K.-J. [1 ]
Kim S.-G. [1 ]
Lee S.-K. [2 ]
机构：
[1] Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, 7 jukheon-gil, Gangwondo, Gangneung
[2] Department of Oral Pathology, College of Dentistry, Gangneung-Wonju National University, Gangneung
来源：
Maxillofacial Plastic and Reconstructive Surgery | / 37卷 / 1期
关键词：
Bimaxillary orthognathic surgery; BMP-4; expression; Condylectomy; Osteochondroma;
D O I：
10.1186/s40902-015-0005-5
中图分类号：
学科分类号：
摘要：
Osteochondroma is rarely reported in the maxillofacial region; however, it is prevalent in the mandibular condyle. This slowly growing tumor may lead to malocclusion and facial asymmetry. A 39-year-old woman complained of gradual development of anterior and posterior unilateral crossbite, which resulted in facial asymmetry. A radiological study disclosed a large tumor mass on the top of the left mandibular condyle. This bony tumor was surgically removed through condylectomy and the remaining condyle head was secured. Subsequently, bimaxillary orthognathic surgery was performed to correct facial asymmetry and malocclusion. Pathological diagnosis was osteochondroma; immunohistochemistry showed that the tumor exhibited a conspicuous expression of BMP-4 and BMP-2 but rarely expression of PCNA. There was no recurrence at least for 1 year after the operation. Patient’s functional and esthetic rehabilitation was uneventful. © 2015, Park et al.; licensee Springer.
引用
收藏
相关论文
共 15 条
  • [1] Morey-Mas M.A., Caubet-Biayna J., Iriarte-Ortabe J.I., Osteochondroma of the temporomandibular joint treated by means of condylectomy and immediate reconstruction with a total stock prosthesis, J Oral Maxillofac Res, 1, (2011)
  • [2] Roychoudhury A., Bhatt K., Yadav R., Bhutia O., Roychoudhury S., Review of osteochondroma of mandibular condyle and report of a case series, J Oral Maxillofac Surg, 69, pp. 2815-2823, (2011)
  • [3] Gonzalez-Otero S., Navarro-Cuellar C., Escrig-de Teigeiro M., Fernandez-Alba-Luengo J., Navarro-Vila C., Osteochondroma of the mandibular condyle: resection and reconstruction using vertical sliding osteotomy of the mandibular ramus, Med Oral Patol Oral Cir Bucal, 14, pp. E194-E197, (2009)
  • [4] Stringer D.E., Chatelain K.B., Tandon R., Surgical treatment of jacob’s disease: a case report involving an osteochondroma of the coronoid process, Case Rep Surg, 2013, (2013)
  • [5] Ramos-Murguialday M., Morey-Mas M.A., Janeiro-Barrera S., Garcia-Sanchez A., Molina-Barraguer I., Iriarte-Ortabe J.I., Osteochondroma of the temporomandibular joint: report of 2 cases emphasizing the importance of personalizing the surgical treatment, Oral Surg Oral Med Oral Pathol Oral Radiol, 113, pp. e41-e47, (2012)
  • [6] Utumi E.R., Pedron I.G., Perrella A., Zambon C.E., Ceccheti M.M., Cavalcanti M.G.P., Osteochondroma of the temporomandibular joint: a case report, Braz Dent J, 21, pp. 253-258, (2010)
  • [7] Seki H., Fukuda M., Takahashi T., Iino M., Condylar osteochondroma with complete hearing loss: report of a case, J Oral Maxillofac Surg, 61, pp. 131-133, (2003)
  • [8] Nanda Kishore D., Shiva Kumar H., Umashankara K., Rai K.K., Osteochondroma of the mandible: a rare case report, Case Rep Pathol, 2013, (2013)
  • [9] Porter D., Simpson A., The neoplastic pathogenesis of solitary and multiple osteochondromas, J Pathol, 188, pp. 119-125, (1999)
  • [10] Ortakoglu K., Akcam T., Sencimen M., Karakoc O., Ozyigit H.A., Bengi O., Osteochondroma of the mandible causing severe facial asymmetry: a case report, Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 103, pp. e21-e28, (2007)
12