Santos George Soares, Gomes Julio Bisinotto, de Sousa Maia Sergio, Bermejo Patricia Rota, Shinohara Elio Hitoshi, Sonoda Celso Koogi, de Melo Willian Morais
*Oral & Maxillofacial Surgeon, Oral & Maxillofacial Surgery Division, Antônio Dias Regional Hospital-FHEMIG/SUS, Patos de Minas, Minas Gerais; and †Oral & Maxillofacial Surgeon, Oral & Maxillofacial Surgery Department, "Dr. Mario Gatti" Municipal Hospital of Campinas; and ‡Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ Estadual Paulista Júlio de Mesquita Filho-UNESP, Araçatuba, São Paulo, Brazil.
J Craniofac Surg. 2014;25(2):e102-4. doi: 10.1097/SCS.0000000000000430.
Osteochondroma is a hamartomatous proliferation of cartilaginous tissue, which is the most common benign tumor of the long bones, but is relatively rare in the maxillofacial region. Most cases of mandibular condylar osteochondroma manifest with facial asymmetry or malocclusion with limited temporomandibular joint movements. Several approaches for management of this lesion have been proposed, as conservative condylectomy technique. This procedure has been suggested a valid approach to minimize facial asymmetry, contributing to the recovery of occlusion associated with no local tumor recurrence, and without condylar reconstruction procedure. Therefore, this article aims to describe a clinical report of a true osteochondroma of the mandibular condyle in a 35-year-old patient who was successfully treated using conservative condylectomy procedure.
骨软骨瘤是软骨组织的错构瘤性增生,是长骨最常见的良性肿瘤,但在颌面部相对少见。下颌髁突骨软骨瘤的大多数病例表现为面部不对称或错牙合伴颞下颌关节活动受限。针对该病变已提出了几种治疗方法,如保守性髁突切除术。有人认为该手术是一种有效的方法,可将面部不对称降至最低,有助于恢复咬合关系,且无局部肿瘤复发,无需进行髁突重建手术。因此,本文旨在描述一名35岁患者下颌髁突真性骨软骨瘤的临床报告,该患者采用保守性髁突切除术成功治愈。