Clinical characteristics and differential diagnosis of coronoid process hyperplasia

Coronoid process hyperplasia leads to limitation of mouth-opening due to contact of the enlarged coronoid process of the mandible with posterior surface of the body of the zygomatic bone and inner surface of the zygomatic arch. Patients suffering from coronoid process hyperplasia are often misdiagno...

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Published inJournal of the Japanese Society for the Temporomandibular Joint Vol. 35; no. 1; pp. 3 - 11
Main Authors YOSHITAKE, Hiroyuki, WAKE, So, YODA, Tetsuya
Format Journal Article
LanguageJapanese
Published The Japanese Society for Temporomandibular Joint 20.04.2023
一般社団法人 日本顎関節学会
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Online AccessGet full text
ISSN0915-3004
1884-4308
DOI10.11246/gakukansetsu.35.3

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Abstract Coronoid process hyperplasia leads to limitation of mouth-opening due to contact of the enlarged coronoid process of the mandible with posterior surface of the body of the zygomatic bone and inner surface of the zygomatic arch. Patients suffering from coronoid process hyperplasia are often misdiagnosed and treated as cases of temporomandibular joint disorder because trismus secondary to coronoid process hyperplasia is relatively rare. To diagnose coronoid process hyperplasia, it is important to gather complete clinical information such as current medical history and clinical presentation, and to perform appropriate imaging tests. Coronoid process hyperplasia is characterized by comorbidity of other diseases related to the temporomandibular joint and masticatory muscles.This paper summarizes the clinical characteristics of coronoid process hyperplasia and the differences of coronoid process hyperplasia from other diseases with similar symptoms such as temporomandibular joint disorder.
AbstractList Coronoid process hyperplasia leads to limitation of mouth-opening due to contact of the enlarged coronoid process of the mandible with posterior surface of the body of the zygomatic bone and inner surface of the zygomatic arch. Patients suffering from coronoid process hyperplasia are often misdiagnosed and treated as cases of temporomandibular joint disorder because trismus secondary to coronoid process hyperplasia is relatively rare. To diagnose coronoid process hyperplasia, it is important to gather complete clinical information such as current medical history and clinical presentation, and to perform appropriate imaging tests. Coronoid process hyperplasia is characterized by comorbidity of other diseases related to the temporomandibular joint and masticatory muscles.This paper summarizes the clinical characteristics of coronoid process hyperplasia and the differences of coronoid process hyperplasia from other diseases with similar symptoms such as temporomandibular joint disorder. 筋突起過形成症は,過度に形成された筋突起が頰骨後面あるいは頰骨弓内面と干渉することによって開口障害などの顎運動障害を引き起こす疾患である。開口障害を呈する疾患のなかでも遭遇する頻度が比較的低いため,顎関節症と診断された結果,適切な治療がなされないことも少なくない。本疾患の診断には,現病歴や現症などの臨床情報を丁寧に聴取,収集したうえで,適切な画像検査を行うことが重要であり,また,顎関節や咀嚼筋に関連したほかの疾患が併存している場合があることも特徴である。本論文は,筋突起過形成症に遭遇した際に,正しく診断できるよう,その臨床的特徴や,顎関節症をはじめとする類似した症候を呈する疾患との鑑別点を整理した。
Coronoid process hyperplasia leads to limitation of mouth-opening due to contact of the enlarged coronoid process of the mandible with posterior surface of the body of the zygomatic bone and inner surface of the zygomatic arch. Patients suffering from coronoid process hyperplasia are often misdiagnosed and treated as cases of temporomandibular joint disorder because trismus secondary to coronoid process hyperplasia is relatively rare. To diagnose coronoid process hyperplasia, it is important to gather complete clinical information such as current medical history and clinical presentation, and to perform appropriate imaging tests. Coronoid process hyperplasia is characterized by comorbidity of other diseases related to the temporomandibular joint and masticatory muscles.This paper summarizes the clinical characteristics of coronoid process hyperplasia and the differences of coronoid process hyperplasia from other diseases with similar symptoms such as temporomandibular joint disorder.
Author YODA, Tetsuya
YOSHITAKE, Hiroyuki
WAKE, So
Author_FL 和気 創
儀武 啓幸
依田 哲也
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– reference: 20) Starch-Jensen T, Kjellerup AD. Bilateral elongated mandibular coronoid process and restricted mouth opening: a case report. Open Dent J 2017; 11: 670-8. doi: 10.2174/1874210601711010670.
– reference: 10) 石井純一, 佐藤建夫, 遠藤秀樹, 伊藤昭彦, 中沢説子, 塩川重利, 他. 両側性下顎骨筋突起過形成症のため開口障害をきたした1症例. 日口外誌 1983; 29: 1991-7. doi: 10.5794/jjoms.29.1991.
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– reference: 7) McLoughlin PM, Hopper C, Bowley NB. Hyperplasia of the mandibular coronoid process: an analysis of 31 cases and a review of the literature. J Oral Maxillofac Surg 1995; 53: 250-5. doi: 10.1016/0278-2391 (95) 90219-8.
– reference: 24) 佐藤修一, 川村 仁, 長坂 浩, 佐藤英明, 後藤 哲, 鎌倉慎治, 他. 復位を伴わない顎関節円板前方転位例の自然経過-初診後12か月の臨床症状について-. 日顎誌 1995; 7: 1-9. doi: 10.11246/gakukansetsu1989.7.1.
– reference: 3) Ghazizadeh M, Sheikhi M, Salehi MM, Khaleghi A. Bilateral coronoid hyperplasia causing painless limitation of mandibular movement. Radiol Case Rep 2017; 13: 112-7. doi: 10.1016/j. radcr.2017.11.001.
– reference: 26) 栗田賢一, Westesson PL, 湯浅秀道, 外山正彦, 小木信美, 成田幸憲, 他. クローズドロックの臨床所見の検討-第2報 自然経過観察群の初診後6, 12か月時の臨床症状-. 日顎誌 1993; 5: 415-26. doi: 10.11246/gakukansetsu1989.5.415.
– reference: 2) Mulder CH, Kalaykova SI, Gortzak RA. Coronoid process hyperplasia: a systematic review of the literature from 1995. Int J Oral Maxillofac Surg 2012; 41: 1483-9. doi: 10.1016/j. ijom.2012.03.029.
– reference: 11) Coll-Anglada M, Acero-Sanz J, Vila-Masana I, Navarro-Cuéllar C, Ochandiano-Caycoia S, López de-Atalaya J, et al. Jacob's disease secondary to coronoid process osteochondroma. A case report. Med Oral Patol Oral Cur Bucal 2011; 16: e708-10. doi: 10.4317/medoral.16820.
– reference: 8) Puche M, Guijarro-Martínez R, Pérez-Herrezuelo G, Miragall L, Iglesias ME, Martínez-Costa C. The hypothetical role of congenital hypotonia in the development of early coronoid hyperplasia. J Craniomaxillofac Surg 2012; 40: e155-8. doi: 10.1016/j. jcms.2011.08.005.
– reference: 18) Tavassol F, Spalthoff S, Essig H, Bredt M, Gellrich NC, Kokemüller H. Elongated coronoid process: CT-based quantitative analysis of the coronoid process and review of literature. Int J Oral Maxillofac Surg 2012; 41: 331-8. doi: 10.1016/j. ijom.2011.10.033.
– reference: 30) 有家 巧, 覚道健治. 咀嚼筋腱・腱膜過形成症の臨床所見. 日顎誌 2009; 21: 31-4. doi: 10.11246/gakukansetsu.21.31.
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Snippet Coronoid process hyperplasia leads to limitation of mouth-opening due to contact of the enlarged coronoid process of the mandible with posterior surface of the...
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SubjectTerms coronoid process hyperplasia
differential diagnosis
open-mouth CT scans
trismus
筋突起過形成症
鑑別診断
開口位CT
開口障害
Title Clinical characteristics and differential diagnosis of coronoid process hyperplasia
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https://cir.nii.ac.jp/crid/1390016372308091904
Volume 35
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