Endoscopically-assisted intraoral resection of osteochondroma of the mandibular condyle with a piezoelectric surgical device.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-05-01 Epub Date: 2021-07-18 DOI:10.1080/08869634.2021.1953824

Toshinori Iwai, Satomi Sugiyama, Nobuhide Ohashi, Makoto Hirota, Ko Ito, Kenji Mitsudo

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Abstract

Background: Osteochondromas of the mandibular condyle show facial asymmetry and malocclusion. Because condylar osteochondromas are generally resected in a preauricular approach with risks of facial nerve injury and visible scar, the authors report endoscopically assisted intraoral resection of osteochondroma of the mandibular condyle with a piezoelectric surgical device.Case presentation: A 38-year-old woman presented with malocclusion and facial asymmetry caused by deviation of the chin to the left. Computed tomography showed a hyperdense, well-circumscribed mass arising from the medial aspect of the right mandibular condyle with resorption of the skull base. The patient underwent an endoscopically-assisted intraoral condylectomy with a piezoelectric surgical device. The postoperative course was uneventful without trismus, malocclusion, or facial asymmetry, and there was no recurrence 4 years after surgery.Conclusion:Endoscopically assisted intraoral resection of osteochondroma of the mandibular condyle with a piezoelectric surgical device is a minimally invasive and safe surgery.

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使用压电手术装置对下颌骨髁突骨软骨瘤进行内窥镜辅助口内切除术。

背景：下颌骨髁状突骨软骨瘤会导致面部不对称和咬合不正。由于髁状突骨软骨瘤一般采用耳前入路切除，存在面神经损伤和明显疤痕的风险，作者报告了使用压电手术装置在内窥镜辅助下进行下颌骨髁状突骨软骨瘤口内切除术的病例：一名 38 岁的女性因下巴向左偏斜而导致咬合不正和面部不对称。计算机断层扫描显示，右下颌骨髁状突内侧有一个高密度、圆形肿块，颅底有吸收。患者在内窥镜辅助下使用压电手术装置进行了口内髁突切除术。结论：使用压电手术装置在内镜辅助下进行口内下颌骨髁状突骨软骨瘤切除术是一种微创、安全的手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.