Skip to main content
SpringerLink
Log in

Mandibular hypomobility secondary to bilateral coronoid hyperplasia

Case report

  • case study
  • Published:
international journal of stomatology & occlusion medicine

Abstract

Coronoid process hyperplasia is one of a large number of disorders affecting the stomatognathic system and causing mandibular hypomobility. It is characterized by an excessive coronoid process growing to such an extent that it impinges on the posterior portion of the zygomatic bones. Despite the low prevalence of this condition, it should be considered as a possible diagnosis in patients with painless, progressive, and chronic restriction of mouth opening. The diagnosis is based on clinical signs in association with radiographic examinations. Coronoidectomy is the only treatment option for this condition along with early postoperative physical therapy. This article presents the case of a patient with bilateral coronoid process hyperplasia, who was initially diagnosed as having bilateral temporomandibular joint disorders. The patient underwent months of physiotherapy and bite-appliance therapy without any improvement in mouth opening. FinalIy, he was referred to La Timone Hospital for a proper diagnosis and, consequently, effective treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Von Langenbeck B. Angeborene kleinheit der unterkiefer. Langenbeck’s Archiv. 1861;1:451–5.

    Google Scholar 

  2. Marra LM. Bilateral coronoid hyperplasia, a developmental defect. Oral Surg Oral Med Pathol. 1983;55:10–3.

    Article  CAS  Google Scholar 

  3. Sperling AL. Limitation of mandibular movement secondary to coronoid impingement. J Oral Surg. 1973;31:780–2.

    CAS  PubMed  Google Scholar 

  4. De Leeuw R. Orofacial pain: guidelines for classification, assessment, and management. 4th edn. Chicago: Quintessence Publ. Co.; 2008.

    Google Scholar 

  5. De Boever JA1, Nilner M, Orthlieb JD. Steenks MH. Educational Committee of the European Academy of craniomandibular disorders. Recommendations by the EACD for examination, diagnosis, and management of patients with temporomandibular disorders and orofacial pain by the general dental practitioner. J Orofac Pain. 2008;22:268–78.

    PubMed  Google Scholar 

  6. Rowe NL. Bilateral developmental hyperplasia of the mandibular coronoid process. a report of two cases. Br J Oral Surg. 1963;1:90–104.

    Article  CAS  PubMed  Google Scholar 

  7. Lyon LZ, Sarnat BG. Limited opening of the mouth caused by enlarged coronoid processes: report case. J Am Dent Assoc. 1963;67:644–50.

    Article  CAS  PubMed  Google Scholar 

  8. Marra LM. Bilateral coronoid hyperplasia, a developmental defect. Oral Surg Oral Med Pathol. 1983;55:10–3.

    Article  CAS  Google Scholar 

  9. Tucker MR, et al. Coronoid process hyperplasia causing restricted opening and facial asymmetry. Oral Surg Oral Med Oral Pathol. 1984;58:130–132.

    Article  CAS  PubMed  Google Scholar 

  10. Gross M, Gavish A, Calderon S, Gazit E. The coronoid process as a cause of mandibular hypomobility—case reports. J Oral Rehabil. 1997;24:776–81.

    Article  CAS  PubMed  Google Scholar 

  11. Orthlieb Jd, Chossegros C, Cheynet F, Giraudeau A, Mantout B. Cadre diagnostique des Dysfonctionnements de l’Appareil Manducateur (DAM). Information Dentaire. 2004;19:1196–203.

    Google Scholar 

  12. Kubota Y, Takenoshita Y, Takamori K, Kanamoto M, Shirasuna K. Levandoski panographic analysis in the diagnosis of hyperplasia of the coronoid process. Br J Oral Maxillofac Surg. 1999;37:409–11.

    Article  CAS  PubMed  Google Scholar 

  13. Yuri MC, André LP, Juliana SB, Daniel SC, Leonardo RB, Paulo CR. Coronoid process hyperplasia: an unusual cause of mandibular hypomobility. Braz Dent J. 2012;23:252–5.

    Article  Google Scholar 

  14. Hayter JP, Robertson JM. Surgical access to bilateral coronoid hyperplasia using the bicoronal flap. Br J Oral Surg. 1989;27:487–93.

    Article  CAS  Google Scholar 

  15. Ostrofsky MK, Lownie JF. Zygomatico-coronoid ankylosis. J Oral Surg. 1977;35:752–4.

    CAS  PubMed  Google Scholar 

  16. Gerbino G, Bianchi SD, Bernardi M, Berrone S. Hyperplasia of the mandibular coronoid process: long-term follow-up after coronoidectomy. J Craniomaxillofac Surg. 1997;25:169–73.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Prosthetic Department, Dental Clinic of Monastir, University of Monastir, Avicenna Avenue, 5019, Monastir, Tunisia

    Imed Ouni & S. Ammar

  2. Faculty of Odontology, Aix-Marseille University, Marseille, France

    J. D. Orthlieb & M. Jeany

  3. Department of Oral and Maxillofacial Surgery, Timone Hospital, Marseille, France

    F. Cheynet

Authors
  1. Imed Ouni
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. D. Orthlieb
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Jeany
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Ammar
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. F. Cheynet
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Imed Ouni.

Ethics declarations

Conflict of interest

I. Ouni, J.D. Orthlieb, M. Jeany, S. Ammar, and F. Cheynet state that there are no conflicts of interest.

Consent was obtained from all patients identifiable from images or other information within the manuscript. In the case of underage patients, consent was obtained from a parent or legal guardian.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ouni, I., Orthlieb, J.D., Jeany, M. et al. Mandibular hypomobility secondary to bilateral coronoid hyperplasia. J. Stomat. Occ. Med. 8 (Suppl 1), 49–53 (2016). https://doi.org/10.1007/s12548-015-0138-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12548-015-0138-2

Keywords

Search

Navigation