Surgical Treatment of Fibroosseous Lesion in Young Patient with Reduced Mouth Opening
Autor: | Otacílio Luiz Chagas Júnior, Pedro Henrique de Azambuja Carvalho, Letícia Kirst Post, Marcos Antonio Torriani |
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Rok vydání: | 2018 |
Předmět: |
Bone growth
Reduced mouth opening Osteoplasty medicine.medical_specialty Functional impairment business.industry Fibrous dysplasia Dentistry 030206 dentistry medicine.disease Surgery Lesion 03 medical and health sciences 0302 clinical medicine stomatognathic system Otorhinolaryngology 030220 oncology & carcinogenesis Deformity Medicine Oral Surgery medicine.symptom business Surgical treatment |
Zdroj: | Craniomaxillofacial Trauma & Reconstruction. 11:314-319 |
ISSN: | 1943-3883 1943-3875 |
Popis: | Fibrous dysplasia is a benign fibroosseous disorder that can affect the maxillary bones, causing aesthetic deformity and functional impairment. This article reports the case of a 13-year-old male patient at the time of diagnosis. The patient showed increased facial volume with relevant asymmetry, having reported the onset of the condition 12 months before. Upon examination, the patient presented an 8-mm mouth opening and an acute inflammatory process associated with tooth 37 pericoronal hood. Upon imaging exam, exuberant bone growth in the left mandibular ramus area of ground glass aspect was observed. After incisional biopsy, fibrous dysplasia was diagnosed and sequentially treated with osteoplasty and coronoid process removal. The patient evolved to a 43-mm mouth opening and favorable aesthetics without recurrence in a 3-year follow-up period. In this case, coronoidectomy and bone plasty proved to be effective, returning aesthetics and function. The patient is supposed to be followed up in the long term. |
Databáze: | OpenAIRE |
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