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KMID : 0360119940160020157
Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
1994 Volume.16 No. 2 p.157 ~ p.162
A case of coronoid process malformation mimicking condylar head.


Abstract
A 14-year-old male patient was referred to us for evaluation of Right TMJ clicking sound and mandibular deviation during mouth opening. On examinaaation, protrusion and lateral excursion was also restricted. Radiographs showed hook-like curved
elongation of Right coronoid process with limitation of right condylar translation.
His past medical and dental history was noncontributory.
This patient underwent an extraoral coronoidectomy and the specimen revealed coronoid process malformation mimicking condylar head. Microcoically, the specimen discloses mature bony trabeculae. At postoperative 5 days, physical therapy was
instituted.
At present, this patient could open his mouth well with any clicking sound and mandibular deviation.
The asymmetric face of this patient is expectated to be corrected by periodic obsevation and remained growth porential. If not to be corrected, orthognathic surgery will be doen.
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