Osteochondroma of the temporomandibular joint: a case report

Braz Dent J. 2010;21(3):253-8. doi: 10.1590/s0103-64402010000300014.

Abstract

Osteochondroma of the mandibular condyle has been found in the oral and maxillofacial region rarely. This paper describes a case of osteochondroma of the mandibular condyle in a 20-year-old woman, who was referred to our service with facial asymmetry, prognathic deviation of chin, cross-bite to the contralateral side, changes in condylar morphology, limited mouth opening, and malocclusion. Computed tomography (CT) was performed for better evaluation to the pathological conditions on the temporomandibular joint. Based on the clinical examination, patient history, and complementary exams, the hypothesis of osteochondroma was established. Condylectomy was performed using a preauricular approach with total removal of the lesion. After 3 years of postoperative follow up and orthodontic therapy, the patient is symptom-free, and has normal mouth opening with no deviation in the opening pattern.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Facial Asymmetry / etiology*
  • Facial Asymmetry / pathology
  • Facial Asymmetry / surgery
  • Female
  • Humans
  • Mandibular Condyle / pathology*
  • Mandibular Condyle / surgery
  • Mandibular Neoplasms / complications
  • Mandibular Neoplasms / pathology*
  • Mandibular Neoplasms / surgery
  • Osteochondroma / complications
  • Osteochondroma / pathology*
  • Osteochondroma / surgery
  • Temporomandibular Joint Disorders / etiology*
  • Temporomandibular Joint Disorders / pathology
  • Temporomandibular Joint Disorders / surgery
  • Treatment Outcome
  • Young Adult