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Abstract
Osteomas are benign osteogenic neoplasms that grow slowly and are usually asymptomatic. However, in more advanced cases, they can cause discomfort due to compression of vessels and nerves, in addition to affecting function and aesthetics. Although they are most commonly found in the craniofacial region, they are considered rare when it comes to the mandibular coronoid process. This study aims to report a rare case of osteoma in the left coronoid process, with a surgical approach associated with coronoidectomy during excision of the lesion. Case report: A 33-year-old female patient, of mixed race, sought the Oral and Maxillofacial Surgery and Traumatology service of Hospital COT – Salvador/BA, with limited mouth opening and complaints of pain in the left hemiface. Cone-beam computed tomography (CBCT) revealed a well-defined hyperdense image with a "mushroom" shape, which is suggestive of osteoma. Excisional biopsy associated with coronoidectomy under general anesthesia was chosen as the therapeutic plan. After 3 years postoperatively, the patient completed the follow-up without clinical and imaging signs of recurrence of the lesion. Considering the substantial improvement in mandibular excursive movements and satisfactory mouth opening, the good prognosis related to the surgical approach associated with coronoidectomy during excision of the lesion is evident.
Keywords: Osteoma; Trismus; Mandible.
References
- Nah KS. Osteomas of the craniofacial region. Imaging Sci Dent. 2011 Sep;41(3):107-13.
- Kucukkurt S, Özle M, Baris E. Peripheral osteoma in an unusual location on the mandible. Case Reports. 2016 Dez 21.
- De França TRT, Gueiros LAM, de Castro JFL, Catunda I, Leão JC, da Cruz Perez DE. Solitary peripheral osteomas of the jaws. Imaging Science in Dentistry. 2012;42(2), 99.
- Vashishth S, Garg K, Patil P, Sreenivasan V. An unusual cause for trismus caused by mandibular coronoid osteoma: a case report. Imaging Science in Dentistry. 2013;43(1):45.
- Tarsitano A, Ricotta F, Spinnato P, Chiesa AM, Di Carlo M, Parmeggiani A, Miceli M, Facchini G. Craniofacial Osteomas: from diagnosis to therapy. J Clin Med. 27 nov 2021;10(23):5584.
- Saikrishna D, Das A, Jha C. Management of a case of osteoma of coronoid: A rare case report. Natl J Maxillofac Surg. 2021;12:276-9.
- Tarsitano A, Ricotta F, Spinnato P, Chiesa AM, Di Carlo M, Parmeggiani A, Miceli M, Facchini G. Craniofacial Osteomas: from diagnosis to therapy. J Clin Med. 2021;10: 1-16.
- Ghita I, Brooks JK, Bordener SL, Emmerling MR, Price JB, Younis RH. Central compact osteoma of the mandible: case report featuring unusual radiographic and computed tomographic presentations and brief literature review. Journal of Stomatology, Oral and Maxillofacial Surgery. 2020.
- De Souza PD, Leonhardt FD, Ahumada NG, Abrahão M, Cervante O. Giant osteoma of the mandible. Brazilian Journal of Otorhinolaryngology. 2015;81(1):107–108.
- Das A, Saikrishna D, Jha C. Management of a case of osteoma of coronoid: a rare case report. National J Maxillofac Surg. 2021;12(2):276.
- Horikawa FK, de Freitas RR, Maciel FA, Gonçalves AJ. Peripheral osteoma of the maxillofacial region: a study of 10 cases. Braz J Otorhinolaryngol. Set 2012;78(5):38-43.
- Alves N, Oliveira RJ, Deana NF, Freitas NM. Peripheral osteoma in the ramus of mandible: Report of case. Int J Odontostomat. 2011;5(3):215-219.
- Lewars PH. Osteoma of the mandible. Br J Plast Surg 1959;12:277-83.
- Gawande P, Deshmukh V, Garde JB. A Giant Osteoma of the Mandible. Journal of Maxillofacial and Oral Surgery. 2011;14(2):460–465.
- Dandriyal R, Giri KY, Pant S, Alam S, Joshi A. Giant Osteochondroma of the Coronoid Process. J Maxillofac Oral Surg. 2014;14(1):412-6.
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Copyright (c) 2024 Yveline Mattos Vasconselos Mattos Vasconselos, Javan Araujo Cunha, Jean Nunes dos Santos, Weber Ceo Cavalcante, Lucio Costa Safira Andrade
