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Bilateral coronoid hyperplasia--a report with a view on its management
1Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore, Singapore.
Journal of Oral Rehabilitation
|December 31, 1997
Summary
Bilateral coronoid hyperplasia necessitates surgical coronoidectomy for improved mouth opening. Combining intra-oral surgery with physiotherapy enhances patient outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Anatomical Pathology
Background:
- Bilateral coronoid hyperplasia presents a significant challenge to mandibular function.
- Surgical intervention is often required to restore adequate mouth opening.
Observation:
- An intra-oral surgical approach is favored for coronoidectomy.
- Direct fiber-optic intubation is the preferred anesthetic technique.
- Masseter myotomy may be indicated for fibrotic or calcified tissues.
Findings:
- Coronoidectomy effectively addresses limited mouth opening caused by bilateral hyperplasia.
- The intra-oral approach minimizes external scarring and facilitates direct access.
- Masseter myotomy is a valuable adjunct in complex cases with tissue changes.
Implications:
- This surgical strategy offers a viable solution for improving mandibular mobility.
- Pre-operative physiotherapy and post-operative exercises are crucial for optimal functional recovery.
- Effective management requires a multidisciplinary approach involving surgical and rehabilitative care.