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Year : 2020  |  Volume : 17  |  Issue : 3  |  Page : 119-124

Retrospective study for performing high condylar shaving as preservative treatment of mandibular condyle osteochondroma

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tanta University, Tanta, Egypt

Correspondence Address:
Ahmed S Naguib
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tanta University, Tanta
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tdj.tdj_4_20

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Purpose The aim of this study was to evaluate the efficiency of conservative condylectomy with articular disc repositioning for the treatment of temporomandibular joint (TMJ) condylar osteochondroma. Patients and methods Seven adult patients with unilateral TMJ condylar osteochondroma were involved in this study, four patients were male and three patients were female. Their ages ranged from 27 to 45 years with a mean of 35 years. All patients were evaluated preoperatively both clinically and radiographically. All the clinical and radiographic parameters were performed immediate, 1, 3, and 6 months postoperatively. Results The visual analog pain scale revealed no pain after 6 months follow-up periods in all patients. Regarding to occlusal disturbances, during the period of follow up only two cases (case no. 2 and no. 7) suffered from slight occlusal disturbances after 1 month. All cases had no occlusal disturbances at the end of 6 months follow-up period. There was improvement in mouth opening (the interincisal distance was found to be 38 mm 6 months postoperatively). No extraoral or intraoral swelling was detected in the region of condyle in all cases at the end of 6 months postoperatively. No obvious deviation of the mandible was detected during mouth opening in all cases through the follow-up period. All the treated patients had satisfactory facial symmetry during the postoperative follow-up period. Radiographic evaluation revealed that the treated condyle had normal configuration in all cases and fits properly within the extent of glenoid fossa and there was no evidence of recurrence of the lesion nor any evidence of condylar resorption in any of the operated cases. Conclusion A conservative condylectomy with articular disc repositioning is considered as an option for treatment of the TMJ condylar osteochondroma.

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