PMC4957607_01
Pre operative Clinical view showing reduced mouth opening.
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As time went by, the boy's father began noticing a progressive reduction in his son's ability to open his mouth (Fig. 1).
Pre op OPT showing radio opaque projection in the sigmoid notch (Red arrow) and TM Joint space (Yellow arrow).
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A unique, radiopaque bone-like projection (Red arrow) situated in the right sigmoid notch between the condyle and coronoid process was also observed (Fig. 2).
Pre op 3D CT scan - Lateral/oblique view showing relationship of right condyle and deformed condyle to TMJ and Zygomatic arch.
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Bilaterally, the condyles appeared to be deformed and shortened, reminiscent of an old fracture (Fig. 3, Fig. 4) Axial views survey revealed an osseous mass located just medial to the zygomatic arch (Fig. 5). 3D reconstruction view of the mandible (Fig. 4) shows a shortened, deformed and remodeled condyles on both the sides.
Pre op 3D CT scan of mandible.
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Bilaterally, the condyles appeared to be deformed and shortened, reminiscent of an old fracture (Fig. 3, Fig. 4) Axial views survey revealed an osseous mass located just medial to the zygomatic arch (Fig. 5). 3D reconstruction view of the mandible (Fig. 4) shows a shortened, deformed and remodeled condyles on both the sides.
Pre op CT scan -Axial View showing a bony mass medial to zygomatic arch (Black arrow).
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Bilaterally, the condyles appeared to be deformed and shortened, reminiscent of an old fracture (Fig. 3, Fig. 4) Axial views survey revealed an osseous mass located just medial to the zygomatic arch (Fig. 5). 3D reconstruction view of the mandible (Fig. 4) shows a shortened, deformed and remodeled condyles on both the sides.