Nam Hyun, Ko Da Eun, Shin Kyung Su
Department of Orofacial Pain and Oral Medicine, Armed Forces Capital Hospital, Seongnam, South Korea.
Dental Implant Clinic, Armed Forces Capital Hospital, Seongnam, South Korea.
Medicine (Baltimore). 2025 Sep 12;104(37):e44359. doi: 10.1097/MD.0000000000044359.
Osteochondromas are rare benign tumors that can occur in the temporomandibular joint (TMJ). These lesions can cause functional and aesthetic impairments of the jaw. Most studies have discussed surgical management and reconstruction within a single department. Establishing a patient-specific treatment plan through a multidisciplinary approach, involving various dental specialists can lead to better clinical outcomes. This case report illustrates the successful multidisciplinary management of a TMJ osteochondroma, emphasizing the importance of comprehensive diagnostic imaging, surgical intervention, and coordinated postoperative care.
A 50-year-old male visited the hospital to consult about implant treatment for the missing 1st and 2nd molar region in his right mandible. Imaging studies revealed a pedunculated mass on the right condyle.
Based on clinical and radiographic examinations, a provisional diagnosis of osteochondroma was established. After the surgery, the final diagnosis was confirmed by an oral and maxillofacial pathologist as osteochondroma and secondary synovial chondromatosis of the right TMJ.
A multidisciplinary team discussed the patient's treatment plan. The patient underwent a low condylectomy and dental implant surgery followed by rehabilitation comprising physical therapy, jaw exercises, and the use of an occlusal stabilization splint.
Postoperative evaluations showed gradual improvement in jaw function and stable occlusion. Six months after surgery, the patient had adapted well to the new occlusion and expressed satisfaction with the rehabilitation outcome, with follow-up imaging confirming the absence of recurrence.
Multidisciplinary management is crucial for achieving favorable outcomes in the treatment of TMJ osteochondromas. This case underscores the importance of comprehensive and coordinated treatment strategies.
骨软骨瘤是一种罕见的良性肿瘤，可发生于颞下颌关节（TMJ）。这些病变可导致颌骨的功能和美观受损。大多数研究都在单一科室讨论了手术治疗和重建。通过多学科方法，包括各种牙科专家，制定针对患者的治疗计划可带来更好的临床结果。本病例报告说明了颞下颌关节骨软骨瘤成功的多学科管理，强调了综合诊断成像、手术干预和术后协调护理的重要性。
一名50岁男性到医院咨询右下颌第一和第二磨牙缺失区域的种植治疗。影像学检查显示右侧髁突有一个带蒂肿块。
根据临床和影像学检查，初步诊断为骨软骨瘤。手术后，口腔颌面病理学家最终确诊为骨软骨瘤及右侧颞下颌关节继发性滑膜软骨瘤病。
一个多学科团队讨论了患者的治疗计划。患者接受了低位髁突切除术和牙种植手术，随后进行了包括物理治疗、颌骨锻炼和使用咬合稳定夹板的康复治疗。
术后评估显示颌骨功能逐渐改善，咬合稳定。手术后六个月，患者已很好地适应了新的咬合，并对康复结果表示满意，随访影像学检查证实无复发。
多学科管理对于颞下颌关节骨软骨瘤治疗取得良好结果至关重要。本病例强调了全面和协调治疗策略的重要性。
