Fernández Gustavo, Hernández-Andara Adalsa, Manresa Carlos, Ortega-Pertuz Ana I
División de Cirugía y Traumatología Bucal y Maxilofacial, Hospital General del Oeste Dr. José Gregorio Hernández. Caracas, Venezuela.
Unidad de Diagnóstico por Imagen, Clínica Félix Boada. Caracas, Venezuela, Centro Diagnostico Docente Las Mercedes, Caracas, Venezuela.
Rev Cient Odontol (Lima). 2024 Mar 30;12(1):e191. doi: 10.21142/2523-2754-1201-2024-191. eCollection 2024 Jan-Mar.
Hyperplasia of the coronoid process is a rare alteration that is characterized by the exaggerated and progressive development of said process over periods of months or years, both in height and volume, which finally causes mandibular hypomobility. It is important to highlight the importance of imaging for the correct diagnosis and treatment of said entity, taking into consideration the great variety of differential diagnoses that can occur. In this sense, conventional radiographs constitute a basic and indispensable tool for approaching the diagnosis. However, it is actually the CT scan that offers the greatest precision. The case of a 14-year-old male patient is presented, with no contributing medical history, who was referred for presenting progressive opening limitation since childhood, for which, after clinical and imaging evaluation, he was treated with total bilateral coronoidectomy, postoperative follow-up was performed. for a year in which recurrence of said entity could be observed. This case demonstrates the importance of correct diagnosis, as well as postoperative control and the rehabilitation scheme carried out by the patient.
冠状突增生是一种罕见的病变,其特征是在数月或数年的时间里,该突起在高度和体积上过度且渐进性地发育,最终导致下颌活动受限。必须强调影像学对于正确诊断和治疗该疾病的重要性,要考虑到可能出现的多种鉴别诊断。从这个意义上讲,传统X线片是进行诊断的基本且不可或缺的工具。然而,实际上CT扫描提供的精度最高。本文介绍了一名14岁男性患者的病例,该患者无相关病史,自幼出现渐进性开口受限,经临床和影像学评估后,接受了双侧冠状突全切术,并进行了为期一年的术后随访,期间观察到该病变复发。该病例证明了正确诊断、术后控制以及患者实施康复方案的重要性。