Bilateral hyperplasia of the coronoid process: A surgical approach
DOI:
https://doi.org/10.33448/rsd-v14i9.49422Keywords:
Hyperplasia, Mandible, Trismus.Abstract
Coronoid process hyperplasia (CPH) is a rare condition that affects the mandibular bone, characterized by excessive growth of the coronoid process, resulting in progressive limitation of mouth opening. The etiology of CPH remains uncertain, but factors such as genetic predisposition, hormonal stimuli, mandibular trauma, and hyperactivity of the masticatory muscles are commonly associated with its development. CPH occurs predominantly in men and usually presents bilaterally, negatively impacting patients’ quality of life by compromising functions such as eating and communication. Diagnosis is primarily made through computed tomography, which allows for a detailed evaluation of coronoid process morphology and helps distinguish CPH from other temporomandibular disorders. Treatment is predominantly surgical and includes two main techniques: coronoidectomy, which completely removes the coronoid process, and coronoidotomy, which sections the process without removing it. Both techniques have specific advantages, and the choice of approach—generally intraoral to reduce complications—is influenced by the surgeon’s experience and the needs of the case. The aim of the present study is to report the case of a patient who presented with a rare case of bilateral coronoid process hyperplasia, treated through surgical resection using the intraoral coronoidotomy technique with interposition of the buccal fat pad.
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