Spontaneous Condyle-Like Development after Total Resection of Mandible Giant Osteochondroma: Case Report and a Follow-Up for Five Years

Author:

de Oliveira Filho Marco Antonio1,Almeida Luis Eduardo2,Doetzer Andrea Duarte3,Giovanini Allan Fernando1ORCID,Malafaia Osvaldo1

Affiliation:

1. Evangelic University Hospital, Alameda Augusto Stellfeld, 1908 Curitiba, Brazil

2. Marquette University, 1801 W. Wisconsin Avenue, Milwaukee, USA

3. Pontifícia Universidade Católica do Paraná, Rua Imaculada Conceição, 1155 Curitiba, Brazil

Abstract

Osteochondroma manifests as a benign tumor that occurs as an abnormal bony development. This tumor is commonly asymptomatic and presents an exophytic outgrowth on bone surfaces, near synovial joints, a condition that invariably induces evident facial deformities. Treatment for this type of tumor usually involves a surgical approach promoting a total or partial resection of the affected anatomical area associated to prosthetic reconstruction of the bone area extracted. We present a case report about a giant mandibular condyle osteochondroma in a 37-year-old female patient. Her treatment involved a total condylectomy without immediate condylar reconstruction, which would be performed in a posterior surgical approach. During the patient’s follow-up (every 6 months of post operation), a spontaneous and rudimentary condyle-like formation was observed. Because the stomatognathic function and facial harmony were satisfactory, we observed the condyle-like development for 5 years of follow-up. Also, because both the aesthetic aspect and functional evolution of the maxillary bone were considered satisfactory, no complementary reconstruction surgical treatment was required for the giant osteochondroma of the mandibular condyle.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,Water Science and Technology,Geography, Planning and Development

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