Maxillofac Plast Reconstr Surg.  2017 May;39(5):11. 10.1186/s40902-017-0111-7.

Coronoid impingement syndrome: literature review and clinical management

Affiliations
  • 1Eastman Dental Hospital, London, UK.
  • 2Kingston and St George's Hospitals, London, UK. Farhad.Naini@yahoo.co.uk

Abstract

BACKGROUND
This case report discusses the unusual presentation of limited mouth opening as a result of bilateral coronoid process hyperplasia.
CASE PRESENTATION
A 14.5-year-old male patient of white Caucasian ethnicity presented with limited mouth opening, mandibular asymmetry, and dental crowding. Investigations confirmed bilateral coronoid process hyperplasia and management involved bilateral intraoral coronoidectomy surgery under general anaesthesia, followed by muscular rehabilitation. Mouth opening was restored to average maximum opening within 4 months of surgery.
CONCLUSION
Limited mouth opening is a common presentation to medical and dental professionals. The rare but feasible diagnosis of coronoid impingement syndrome should not be overlooked.

Keyword

Coronoid impingement syndrome; Coronoid process hyperplasia; Coronoidectomy

MeSH Terms

Diagnosis
Humans
Hyperplasia
Male
Malocclusion
Mouth
Rehabilitation
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