Giant Osteochondroma of the Coronoid Process

Abstract

Osteochondroma or solitary osteocartilagenous exostosis is characterized by cartilage-capped osseous lesion, protruding from the surface of affected bone. It is one of the most common benign bone tumor in axial skeleton and infrequent in maxillofacial skeleton. This paper describes a giant osteochondroma of coronoid process in a 20 year old woman, presented with limited mouth opening (15 mm inter incisal distance) and pain without any facial swelling, asymmetry and TMJ problems. Based on clinical examination, panoramic radiography and computed tomography images a provisional diagnosis of osteoma or osteochondroma of the coronoid process was made. Under general anaesthesia through intra oral approach excision of the bony tumor along with the coronoid process was performed, with recovery of mouth opening up to 40 mm immediately following surgery. The histopathology of excised specimen revealed features suggestive of osteochondroma. After follow up period of 54 months patient is symptom free. Here we are presenting and discussing the complete diagnostic and treatment aspect of this unusually large osteochondroma of coronoid process of mandible.