- Author:
Young Eun KWON
1
;
Karp Shik CHOI
;
Chang Hyeon AN
;
So Young CHOI
;
Jae Seo LEE
;
Seo Young AN
Author Information
- Publication Type:Case Report
- Keywords: Osteochondroma; Mandibular Condyle; Recurrence; Facial Asymmetry
- MeSH: Diagnosis; Facial Asymmetry; Female; Follow-Up Studies; Humans; Malocclusion; Mandibular Condyle*; Osteochondroma*; Recurrence; Temporomandibular Joint; Young Adult
- From:Imaging Science in Dentistry 2017;47(1):57-62
- CountryRepublic of Korea
- Language:English
- Abstract: A 21-year-old woman presented with facial asymmetry. Crepitus and clicking of the temporomandibular joint were noted. The midline deviated 5.5 mm to the left, and secondary malocclusion was observed. Panoramic and cone-beam computed tomographic images showed an irregular and exophytic bony mass on the anteromedial surface of the right mandibular condyle. A 3-phase bone scan revealed increased tracer uptake on the affected side. The lesion was treated with excision and reshaping under the diagnosis of osteochondroma confirmed by a histopathological examination. The lesion recurred after 3 years, and the patient underwent condylectomy. Mandibular condylar osteochondroma is often resected because it causes functional and aesthetic problems, but it rarely recurs. To the best of our knowledge, only 2 cases of recurrent osteochondromas of the mandibular condyle have been reported previously. Surgical treatment of the osteochondroma should be performed considering the possibility of recurrence, and long-term follow-up is recommended.