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Condylar Osteochondroma: A Rare Case Report

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Osteochondroma (OC) is an uncommon reason for the mandibular condyle to grow excessively. Usually unilateral, it can impact the entire mandible, the condyle and ramus, or just the condyle. It is a bony projection covered in cartilage that protrudes from the damaged bone’s exterior. Condylar OC are more prevalent as a result of endochondral ossification-related development. The most notable characteristic is the gradual asymmetry of the face over time. Clinical symptoms of the patient include pain, asymmetry, malocclusion, partial or total hearing loss, trismus, and hypomobility of the TMJ. We report a case of 40-year-old male patient complaining of reduced mouth opening since last 10 years. Clinical examination revealed gross facial asymmetry, hard swelling over right TMJ, jaw deviation towards left side, restricted mouth opening of 3 mm and deranged occlusion. An irregular radiopaque mass was seen over the right condylar region in OPG. A large, hyperdense mass that obliterated the sigmoid notch and extended medially to the right condyle was visible on CT scans. Using a pre-auricular Alkayat-Bramley technique, the mass was surgically removed. Occlusal corrections and jaw physiotherapy were then administered. On follow up, deviation was corrected and adequate mouth opening was achieved.

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Authors and Affiliations

  1. Department of Oral & Maxillofacial Surgery, Narsinhbhai Patel Dental College & Hospital, Sankalchand Patel University, 36, Krishnakunj society, Athwalines, Surat, India

    Bhranti Shah

  2. Department of Oral & Maxillofacial Surgery, Narsinhbhai Patel Dental College & Hospital, Sankalchand Patel University, Visnagar, Gujarat, India

    Anil Managutti

  3. Department of Oral & Maxillofacial Surgery, Narsinhbhai Patel Dental College & Hospital, Sankalchand Patel University, 73, Adarsh Bungalows, Medical college road, Himmatnagar, India

    Shailesh Menat

  4. Department of Oral & Maxillofacial Surgery, Narsinhbhai Patel Dental College & Hospital, Sankalchand Patel University, 26-B, Kailashnagar part-2, Near becharpura R/C, Palanpur, India

    Parth Suthar

  5. Department of Oral & Maxillofacial Surgery, Narsinhbhai Patel Dental College & Hospital, Sankalchand Patel University, Vankar vas, Station road, Vartej, Bhavnagar, India

    Pratik Rathod

  6. Department of Oral & Maxillofacial Surgery, Narsinhbhai Patel Dental College & Hospital, Sankalchand Patel University, Village Hajipur, Taluka and District, Patan, India

    Dharmik Parmar

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  1. Bhranti Shah
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  2. Anil Managutti
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  3. Shailesh Menat
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  4. Parth Suthar
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  5. Pratik Rathod
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  6. Dharmik Parmar
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Correspondence to Bhranti Shah.

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Shah, B., Managutti, A., Menat, S. et al. Condylar Osteochondroma: A Rare Case Report. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-023-04469-8

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