PMC7452382_01
Facial characteristics suggestive of CED.
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Primary physical examination revealed well pronounced craniomegaly, bulging eyes, disproportionate body-to-head ratio, generalized muscular atrophy and difficulty to maintain standing posture and perform hand motions (Fig. 1).
Pre-operative CT scan, a: coronal view, b: 3D reconstruction of right TMJ, c: 3D reconstruction of left TMJ.
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A computerized tomography examination revealed abnormal bony growths in the cranium and face bones, with the formation of large bony masses in the condyloid and coronoid processes in addition to the medial surface of the ascending mandibular ramus bilaterally (Fig. 2).
Bony fragments resulting from resection of the hypertrophic condyle and coronoid processes bilaterally.
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Then condylectomy and coronoidectomy was performed, with simultaneous resection of the bony mass formed on the medial surface of the ascending ramus bilaterally (Fig. 3).
Post-operative mouth opening range.
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Immediate post-operative mouth opening ranged between 15 and 20 mm (Fig. 4).
Post-operative physiotherapy for mouth opening.
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Post-operatively, aggressive immediate physiotherapy treatment for mouth opening was indicated (Fig. 5).
Post-operative CT scan, a: coronal view, b: frontal view of 3D reconstruction, c: lateral view of 3D reconstruction.
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Computerized tomography exam was performed at 1 month post-operatively, showing satisfactory positioning of the mandibular and fossa components of the TMJ prostheses (Fig. 6).