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Trismus Due to Bilateral Coronoid Hyperplasia

Maxillofacial Plastic and Reconstructive Surgery 2014³â 36±Ç 4È£ p.168 ~ 172
ÃÖ¹®±â, ±èµ¿Çõ, ±âÀºÁ¤, Cheon Hae-Myung,
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ÃÖ¹®±â ( Choi Moon-Gi ) - Wonkwang University School of Dentistry Department of Oral and Maxillofacial Surgery
±èµ¿Çõ ( Kim Dong-Hyuck ) - Wonkwang University College of Dentistry Department of Oral and Maxillofacial Surgery
±âÀºÁ¤ ( Ki Eun-Jung ) - Wonkwang University Dental Hospital Department of Oral and Maxillofacial Surgery
 ( Cheon Hae-Myung ) - Wonkwang University Dental Hospital Department of Oral and Maxillofacial Surgery

Abstract


Bilateral coronoid hyperplasia causes painless progressive trismus, resulting from coronoid process impingement on the posterior aspect of the zygomatic bone. The etiology of coronoid hyperplasia is unclear, with various theories proposed. An endocrine stimulus, increased temporalis activity, trauma, genetic inheritance and familial occurrence have all been proposed, but no substantive evidence exists to support any of these hypotheses. Multiplanar reformatting of axial scans and 3-dimensional reconstruction permit precise reproduction of the shape and size of the coronoid and malar structures, and relationships of all structures of the temporal and infratemporal fossae. This case shows remarkably increased mouth opening by coronoidectomy in a patient who complained of trismus due to hyperplasia of coronoid process.

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Mandible; Trismus; Hyperplasia

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