A Giant Osteochondroma of Mandibular Coronoid that Mimicking Coronoid Hyperplasia: A Rare Clinical Case Report.

Abstract

Osteochondroma, the most common benign tumor in the axial and appendicular skeleton, presents a unique challenge when encountered in the craniofacial region. We report a rare case of a 35-year-old female with a massive osteochondroma located on the mandibular coronoid process, resulting in a 20-year history of progressive mouth opening limitation, facial asymmetry, and zygomatic deformity. Comprehensive diagnostic procedures, including panoramic radiography and computed tomography (CT) imaging, were employed to accurately assess the extent of the lesion. This case highlights the importance of CT scans and three-dimensional reconstructions in confirming the diagnosis, particularly when panoramic radiographs exhibit limitations. The patient underwent a successful extraoral approach for coronoidectomy and excision of the osteochondroma, addressing both the functional and cosmetic aspects of the condition. Postoperative evaluations revealed significant improvement in mouth opening capacity, with no signs of recurrence during a 12-month follow-up period.