Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case report
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista odonto ciência (Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/6616 |
Resumo: | Purpose: To report an uncommon case of osteochondroma affecting the mandibular condyle of a young patient and to illustrate the important contributions of different imaging resources to the diagnosis and treatment planning of this lesion. Case description: A 24-year-old female patient with the chief complaint of an increasing facial asymmetry and pain in the left pre-auricular region, revealing a reduced mouth opening, mandibular deviation and posterior cross-bite over a period of 18 months. Panoramic radiography revealed an enlargement of the left condyle, whereas computed tomography (CT) sections and three-dimensional CT showed a well-defined bone growth arising from condylar neck. The scintigraphy exam showed an abnormal osteogenic activity in the left temporomandibular joint. The condyle was surgically removed and after 18 months follow-up the panoramic radiography and CT scans showed no signs of recurrence. Conclusion: Although osteochondroma is a benign bone tumor that rarely arises in cranial and maxillofacial region, it should be considered in the differential diagnosis of slow-growing masses of the temporomandibular area and the use of different imaging exams significantly contribute to the correct diagnosis and treatment planning of this pathological condition. |
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Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case reportExames de tomografia computadorizada e cintilografia para diagnóstico e plano de tratamento de osteocondroma condilar: Relato de casoOsteochondromadiagnosiscomputed tomographybone tumorsOral PathologyOsteocondromadiagnósticotomografia computadorizadatumores ósseosDiagnósticoEstomatologiaPurpose: To report an uncommon case of osteochondroma affecting the mandibular condyle of a young patient and to illustrate the important contributions of different imaging resources to the diagnosis and treatment planning of this lesion. Case description: A 24-year-old female patient with the chief complaint of an increasing facial asymmetry and pain in the left pre-auricular region, revealing a reduced mouth opening, mandibular deviation and posterior cross-bite over a period of 18 months. Panoramic radiography revealed an enlargement of the left condyle, whereas computed tomography (CT) sections and three-dimensional CT showed a well-defined bone growth arising from condylar neck. The scintigraphy exam showed an abnormal osteogenic activity in the left temporomandibular joint. The condyle was surgically removed and after 18 months follow-up the panoramic radiography and CT scans showed no signs of recurrence. Conclusion: Although osteochondroma is a benign bone tumor that rarely arises in cranial and maxillofacial region, it should be considered in the differential diagnosis of slow-growing masses of the temporomandibular area and the use of different imaging exams significantly contribute to the correct diagnosis and treatment planning of this pathological condition.Objetivo: Relatar um caso incomum de osteocondroma afetando o côndilo mandibular de uma paciente jovem e ilustrar as importantes contribuições dos diferentes exames por imagem para o diagnóstico e plano de tratamento desta lesão. Descrição do caso: Paciente do sexo feminino, 24 anos, com queixa principal de uma crescente assimetria facial e dor na região pré-auricular esquerda, além de apresentar redução da abertura bucal, desvio de mandíbula e mordida cruzada posterior, por um período de 18 meses. A radiografia panorâmica revelou um aumento do côndilo esquerdo, enquanto secções de tomografia computadorizada e reconstrução 3D exibiram um crescimento ósseo bem definido originando-se do côndilo. O exame de cintilografia revelou uma atividade osteogênica anormal na região de articulação tempormandibular esquerda. O côndilo foi cirurgicamente removido e após 18 meses de acompanhamento a radiografia panorâmica e a tomografia computadorizada não revelaram nenhum sinal de recorrência. Conclusão: Apesar de o osteocondroma ser um tumor ósseo benigno que raramente surge na região crânio maxilofacial, ele deve ser considerado como diagnóstico diferencial para massas de crescimento lento na área temporomandibular e o uso de diferentes exames por imagem contribuem significativamente para o correto diagnóstico e plano de tratamento desta condição patológica.EDIPUCRS - Editora Universitária da PUCRS2010-09-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Articlerelato de casoinfo:eu-repo/semantics/otherapplication/pdfhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/6616Revista Odonto Ciência; Vol. 25 No. 4 (2010); 422 - 426Revista Odonto Ciência; v. 25 n. 4 (2010); 422 - 4261980-65230102-9460reponame:Revista odonto ciência (Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSenghttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/6616/5994Yamamoto, Fernanda PaulaSilva, Brunno Santos de FreitasModes, Ricardo WagnerFonseca, Felipe PaivaPontes, Flávia Sirotheau CorrêaSouza, Suzana Catanhede Orsini Machadoinfo:eu-repo/semantics/openAccess2013-11-11T12:21:41Zoai:ojs.revistaseletronicas.pucrs.br:article/6616Revistahttps://revistaseletronicas.pucrs.br/ojs/index.php/foPRIhttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/oai||odontociencia@pucrs.br1980-65230102-9460opendoar:2013-11-11T12:21:41Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case report Exames de tomografia computadorizada e cintilografia para diagnóstico e plano de tratamento de osteocondroma condilar: Relato de caso |
title |
Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case report |
spellingShingle |
Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case report Yamamoto, Fernanda Paula Osteochondroma diagnosis computed tomography bone tumors Oral Pathology Osteocondroma diagnóstico tomografia computadorizada tumores ósseos Diagnóstico Estomatologia |
title_short |
Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case report |
title_full |
Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case report |
title_fullStr |
Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case report |
title_full_unstemmed |
Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case report |
title_sort |
Computed tomography and scintigraphy exams for diagnosis and treatment planning of the condylar osteochondroma: A case report |
author |
Yamamoto, Fernanda Paula |
author_facet |
Yamamoto, Fernanda Paula Silva, Brunno Santos de Freitas Modes, Ricardo Wagner Fonseca, Felipe Paiva Pontes, Flávia Sirotheau Corrêa Souza, Suzana Catanhede Orsini Machado |
author_role |
author |
author2 |
Silva, Brunno Santos de Freitas Modes, Ricardo Wagner Fonseca, Felipe Paiva Pontes, Flávia Sirotheau Corrêa Souza, Suzana Catanhede Orsini Machado |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Yamamoto, Fernanda Paula Silva, Brunno Santos de Freitas Modes, Ricardo Wagner Fonseca, Felipe Paiva Pontes, Flávia Sirotheau Corrêa Souza, Suzana Catanhede Orsini Machado |
dc.subject.por.fl_str_mv |
Osteochondroma diagnosis computed tomography bone tumors Oral Pathology Osteocondroma diagnóstico tomografia computadorizada tumores ósseos Diagnóstico Estomatologia |
topic |
Osteochondroma diagnosis computed tomography bone tumors Oral Pathology Osteocondroma diagnóstico tomografia computadorizada tumores ósseos Diagnóstico Estomatologia |
description |
Purpose: To report an uncommon case of osteochondroma affecting the mandibular condyle of a young patient and to illustrate the important contributions of different imaging resources to the diagnosis and treatment planning of this lesion. Case description: A 24-year-old female patient with the chief complaint of an increasing facial asymmetry and pain in the left pre-auricular region, revealing a reduced mouth opening, mandibular deviation and posterior cross-bite over a period of 18 months. Panoramic radiography revealed an enlargement of the left condyle, whereas computed tomography (CT) sections and three-dimensional CT showed a well-defined bone growth arising from condylar neck. The scintigraphy exam showed an abnormal osteogenic activity in the left temporomandibular joint. The condyle was surgically removed and after 18 months follow-up the panoramic radiography and CT scans showed no signs of recurrence. Conclusion: Although osteochondroma is a benign bone tumor that rarely arises in cranial and maxillofacial region, it should be considered in the differential diagnosis of slow-growing masses of the temporomandibular area and the use of different imaging exams significantly contribute to the correct diagnosis and treatment planning of this pathological condition. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-09-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article relato de caso info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/6616 |
url |
https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/6616 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/6616/5994 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
EDIPUCRS - Editora Universitária da PUCRS |
publisher.none.fl_str_mv |
EDIPUCRS - Editora Universitária da PUCRS |
dc.source.none.fl_str_mv |
Revista Odonto Ciência; Vol. 25 No. 4 (2010); 422 - 426 Revista Odonto Ciência; v. 25 n. 4 (2010); 422 - 426 1980-6523 0102-9460 reponame:Revista odonto ciência (Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Revista odonto ciência (Online) |
collection |
Revista odonto ciência (Online) |
repository.name.fl_str_mv |
Revista odonto ciência (Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
||odontociencia@pucrs.br |
_version_ |
1754820875366957056 |