Wedge subcoronoid ostectomy: an alternative to coronoidotomy

Area of Science:

• Maxillofacial Surgery
• Oral and Maxillofacial Surgery
• Surgical Techniques

Background:

• Coronoidotomy and coronoidectomy are standard procedures for treating coronoid process abnormalities.
• Exceptionally enlarged coronoids present surgical challenges, potentially hindering intraoral retrieval.
• Standard coronoidotomy risks reattachment and persistent trismus in these cases.

Observation:

• Intraoral retrieval of exceptionally enlarged coronoids can be difficult or impossible.
• Classical coronoidotomy alone may not suffice for significantly enlarged coronoids.
• Risk of reattachment and trismus recurrence is a concern with conventional methods.

Findings:

• A novel technique facilitates creating a sufficient gap at the coronoid base.
• This technique allows for interpositioning, preventing direct reattachment.
• Satisfactory mouth opening is achieved while minimizing relapse risk.

Implications:

• This technique offers a solution for managing exceptionally enlarged coronoids.
• It reduces the likelihood of trismus recurrence after surgical intervention.
• Improved patient outcomes in maxillofacial surgery are anticipated for challenging cases.