Aggressive idiopathic condylar reabsorption after orthognathic surgery: A complex Imaging diagnosis

Q4 Medicine Radiology Case Reports Pub Date : 2025-06-01 Epub Date: 2025-03-23 DOI:10.1016/j.radcr.2025.02.098
Bruno Nifossi Prado , Lucas Cavalieri Pereira , Juliana NIfossi Prado
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Abstract

Idiopathic condylar resorption (ICR) is a pathological condition of unknown origin that affects the temporomandibular joint (TMJ) and can lead to malocclusion, facial asymmetry, TMJ dysfunction and orofacial pain. Imaging examinations are essential for diagnosis and planning of future treatment. To diagnose ICR, it will always be necessary to perform imaging tests and associate them with predisposing risk factors to understand the level of bone remodeling and mechanical trauma performed to propose the best type of treatment. The objective of this study was to elucidate the clinical case of a patient who underwent orthodontics and orthognathic surgery and after 2 years, occlusion recurrence was diagnosed with a severe and active ICR. In addition, it demonstrates the importance of requesting postoperative imaging examinations and clinical radiographic monitoring.
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正颌手术后侵袭性特发性髁重吸收:一个复杂的影像学诊断
特发性髁状突吸收(ICR)是一种病因不明的病理状态,影响颞下颌关节(TMJ),可导致咬合不正、面部不对称、颞下颌关节功能障碍和口面部疼痛。影像学检查对于诊断和规划未来的治疗至关重要。要诊断 ICR,始终有必要进行影像学检查,并将其与易患风险因素联系起来,以了解骨重塑和机械创伤的程度,从而提出最佳治疗方案。本研究旨在阐明一名患者的临床病例,该患者接受了正畸和正颌手术,2 年后咬合复发,被诊断为严重的活动性 ICR。此外,该病例还说明了要求进行术后成像检查和临床放射学监测的重要性。
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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