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Article: Volume 42 Number 4 Page 369 - May 2015

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  Dent Update 2015; 42: 369-372

Oral surgery:  Osteochondroma of the Mandibular Condyle: an Unusual Case of Dentofacial Asymmetry

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Abstract: An osteochondroma of the mandibular condyle is a rare tumour of the maxillofacial region that could first present to the general dental practitioner. This case report describes an osteochondroma of the posterio-medial mandibular condyle presenting with marked facial asymmetry and trismus over a six- month period. Appropriate referral and investigation enabled successful removal of the tumour, recontouring of the condyle and an uncomplicated, positive outcome for our patient.

Clinical relevance: Temporomandibular joint disorders can be a cause of dento-facial asymmetry. Pathology of the temporomandibular joint should be considered in the differential diagnosis when such a patient presents.

Author notes: Andrew Power, BChD(Hons), MBChB, MFDS RCS(Eng), Foundation Year 1 Doctor, Leeds General Infirmary and Lachlan Carter, FRCS(OMFS), MRCSEd, FDS RCSEd, MBChB, BDS, DipHlthRes, Consultant Oral and Maxillofacial Surgeon, Leeds Teaching Hospitals, Honorary Senior Lecturer, Leeds Dental Institute, Clarendon Way, Leeds LS2 9LU, UK.

Objective: To recognize signs, symptoms and radiographic changes associated with tumours of the TMJ causing dento-facial asymmetry.