Osteochondroma of the sigmoide notch: a case report of an unusual location

Authors

  • Ana Reis Durão Universidade do Porto
  • Israel Chilvarquer Universidade de São Paulo
  • Márcia Provenzano Universidade de São Paulo
  • José T Koch Universidade do Porto
  • Marcelo Miranda Universidade do Porto
  • Aline Cantarelli Morosolli Pontifícia Universidade Católica do Rio Grande do Sul

DOI:

https://doi.org/10.15448/1980-6523.2016.3.20097

Keywords:

Osteochondroma, Sigmoid notch, Facial asymmetry, Restricted mouth opening

Abstract

Objective: This article presents an interesting case of osteochondroma of the the sigmoid notch.
Case Report: A 15-year-old female with severe facial asymmetry, malocclusion, open bite and extreme limitation of mouth opening. Panoramic radiography showed an exophytic radiopaque mass arising from the sigmoid notch on the right side. CT images revealed bony proliferation with benign signs causing damage to the articular eminence, condilar morphology and periarticular soft tissue calcifications. Magnetic Resonance confirmed the findings of the CT and revealed modifications on disc morphology. A surgical resection was performed.
Conclusion: The OC located at the sigmoid notch presented is probably the rarest site seen in the existing literature.

References

Ortakoglu K, Akcam T, Sencimen M, Karakoc O, Ozyigit A, Bengi O. Osteochondroma of the mandible causing severe facial asymmetry: A case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 103:21-8. https://doi.org/10.1016/j.tripleo.2006.11.035

White SC, Pharoah MJ. Oral radiology: principles and interpretation. 6th ed. Mosby; 2009:500-1.

Kumar V. Large osteochondroma of the mandibular condyle treated by condylectomy using a transzygomatic approach. Int. J. Oral Maxillofac Surg. 2009; 39:188-91. https://doi.org/10.1016/j.ijom.2009.12.004

Ramos-Murguialday M, Morey-Mas MA, Janeiro-Barrera S, García- Sánchez A, Molina-Barraguer I, Iriarte-Ortabe JI. Osteochondroma of the temporomandibular joint: report of 2 cases emphasizing the importance of personalizing the surgical treatment. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 113:e41-e47. https://doi.org/10.1016/j.tripleo.2011.07.007

Etöz O, Alkan A, Yıkılmaz A. Osteochondroma of the mandibular coronoid process: a rare cause of limited mouth opening. Br J Oral Maxillofac Surg. 2009; 47:409-11. https://doi.org/10.1016/j.bjoms.2008.10.021

D'Ambrosio N, Kellman R, Karimi S. Osteochondroma of the coronoid process (Jacob's disease): an unusual cause of restricted jaw motion. Am J Otolaryngol–Head Neck Med Surg. 2011; 32:52-4. https://doi. org/10.1016/j.amjoto.2009.09.008

Ongole R, Pillai RS, Ahsan AK, Pai KM. Osteochondroma of the mandibular condyle. Saudi Med J. 2003; 24 (2): 213-6.

Zhang J, Wang H, Li X, Li W, Wu H, Miao J, X Yuan. Osteochondromas of the mandibular condyle: variance in radiographic appearance on panoramic radiographs. Dentomaxillofac Radiol. 2008; 37:154-60. https://doi.org/10.1259/dmfr/19168643

González-Otero S, Navarro-Cuéllar C, Escrig-de Teigeiro M, Fernández- Alba-Luengo J, Navarro-Vila C. Osteochondroma of the mandibular condyle: Resection and reconstruction using vertical sliding osteotomy of the mandibular ramus. Med Oral Patol Oral Cir Bucal 2009; 14; 4:194-7.

Li H, Hu J, Luo E, Zhu S, Li J. Treatment of Osteochondroma in the mandibular condyle and secondary dentofacial deformities using surgery combined with orthodontics in adults. J Oral Maxillofac Surg 2014; 72:2295-317. https://doi.org/10.1016/j.joms.2014.03.021

Peroz, H. J. Scholman, B. Hell: Osteochondroma of the mandibular condyle: a case report. Int J Oral Maxillofac Surg 2002; 31:455–6. https://doi.org/10.1054/ijom.2002.0234

Ribas Mde O1, Martins WD, de Sousa MH, Zanferrari FL, Lanzoni T. Osteochondroma of the mandibular condyle: literature review and report of a case. J Contemp Dent Pract 2007:8(4):52-9.

Loftus MJ, Bennett JA, Fantasia JE. Osteochondroma of the mandibular condyle. Report of three cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1986; 61:221-6. https://doi. org/10.1016/0030-4220(86)90364-6

Wolford LM, Movahed R, Dhameja A, Allen WR. Low condylectomy and orthognathic surgery to treat mandibular condylar osteochondroma: A retrospective review of 37 cases. J Oral Maxillofac Surg. 2014; 72:1704-

https://doi.org/10.1016/j.joms.2014.03.009

Meng Q, Chen S, Long X, et al: The clinical and radiographic characteristics of condylar osteochondroma. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114:e66. https://doi.org/10.1016/j.oooo.2012.01.016

Singhal A, Venkatpathy R, Singhal P. Condylar osteochondroma: Report of a case with literature review. SRM J Res Dent Sci. 2013; 4:82-5. https://doi.org/10.4103/0976-433X.120185

Roychoudhury A, Bhatt K, Yadav R, Bhutia O, Roychoudhury S. Review of osteochondroma of mandibular condyle and a report of case series. J Oral Maxillofac Surg. 2011; 69:2815-23. https://doi.org/10.1016/j. joms.2010.10.016

Utumi ER, Pedron IG, Perrella A, et al: Osteochondroma of the temporomandibular joint: A case report. Braz Dent J. 2010; 21:253-8. https://doi.org/10.1590/S0103-64402010000300014

Holmund AB, Gynther GW, Reinholt FP. Surgical treatment of osteochondroma of the mandibular condyle in the adult. A 5-year followup. Int J Oral Maxillofac Surg. 2004; 33:549-53. https://doi.org/10.1016/j.ijom.2004.01.006

Downloads

Published

2016-12-31

Issue

Vol. 31 No. 3 (2016)

Section

Case Report

License

COPYRIGHT
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.

CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.

You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.

However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.

For more details on the Creative Commons license, please follow the link in the footer of this website.