Mandibular Movement Restoration Through Bilateral Coronoidectomy by Intraoral Approach
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Data
2011-05-01
Autores
Ramalho-Ferreira, Gabriel [UNESP]
Faverani, Leonardo Perez [UNESP]
da Silva Fabris, Andre Luis [UNESP]
Pastori, Claudio Maldonado [UNESP]
Magro Filho, Osvaldo [UNESP]
Ponzoni, Daniela [UNESP]
Aranega, Alessandra Marcondes [UNESP]
Garcia-Junior, Idelmo Rangel [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Lippincott Williams & Wilkins
Resumo
The present study aimed at reporting a clinical and surgical case of bilateral coronoidectomy, using an intraoral approach. The patient is a 26-year-old man, who sought attendance complaining of a gradual reduction of his oral opening in the past 3 years; however, he had an aggravation in the last 2 months. After clinical examination and imaging evaluation, the diagnosis of coronoid process hyperplasia was confirmed, and the surgical treatment was proposed. Under general anesthesia, with nasotracheal intubation guided by a nasofiberendoscope, using an intraoral approach, the bilateral coronoidectomy was performed. In the immediate postoperative period, an increase of the buccal opening measured 29 mm, representing an enhancement of 11 mm, and in the 30th postoperative day, it measured 31.12 mm. During the clinical follow-up period, a reestablishment of the mandibular movements was observed. Therefore, coronoidectomy by an intraoral approach and the physiotherapy performed in the postoperative period were efficient procedures.
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Palavras-chave
Hyperplasia, coronoid process, coronoidectomy
Como citar
Journal of Craniofacial Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 22, n. 3, p. 988-991, 2011.