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hyperplasia by t加ee-d加ensional
A. Takahashi, W. Hao-Zong', S・Murakami, H. Kondoh*, M. Ptyishita and H. Fuchihata
Medical Unive『鼎ily, Xi'an, China
enlarged coronoid process on an exostosis on the lower border of the malar bone・In addition
a small concavity was found on the inner surface of the malar bone that was not displayed患7
other imaging modalities・The 3D images were useful in planning surgical treatment・In cases
Water's view should suggest the presence of coronoid process hyperpla篤職even if the
Keywords:〃"ullhle: hypどゅ伽如tomography,泥沌Ⅲy a>"¥""
Dcntomaxillofac. Radiol., 1993. Vol.22, 149-154, August
Coronoid p】･ocess hyperplasia is more common than it
opening and no muscle tenderness･A
provisional
Radiograpﾉ"ｃノド"dihgs Panoramic radiography was
be
treated
initially
for
TMJ
disorders'"4.10.20
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lomography""-"".8.10-12.20.,22.24.２７ g^j computed tomoノ 魂
pIainradiographs4,12,15 １９． andcventomography16
日
、
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陀狐ures of the condition.
Caseノ
Ｌ Ｌ
可．to resolve with occlusal therapy・When first seen,
Figure 1 Case 1. Waters，radiograph showing asymmetry of the
∼、
３D imag航g of coronoidﾉlyperplasia: A. Takａﾉmshi et al
442-⑪ＳＲＫＲＵＮＬＶ。命じ陰門
４
８
Ｆ１冨可「Ⅱ。
目垂手
Ｃ
Ｏ
Figure 2 Case I. Axial CT images at the level of the left coronoid process・a. In centric occlusion, the hyperplastic left coronoid process
S唖１，s.
limitation of opening･Three years previously he had
months afterwards，Splint therapy had been under-
maxillary alveolus・The triangular hyperplastic left
this one scan・The CT data were therefore transferred
Radiogﾉ ﾉ"cﾉｾ"d加顔Bilateral coronoid hyperplasia
150
Dcntomaxillofac・Radio1., 1993. Vol. 22, August
■
一
３D imaging of coronoid hyperplasia: A. Takαﾉiashi et al
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Figure 3 Case 1. 3D display processed from 2-mm thick axial CI" scans obtained in the opened mouth position・The mandible is displayed as 8rey.
Dcntomaxillofac. Radiol., 1993, Vol．2２, August
I51
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slices・Mentally, transforming such a series into the
Ｉhe complex anatomy of the craniofacial region.
II．Shaken RA, Girard KR. Bilateral mandibular coronoid hyper
plasia.ノOraﾉSurg 1979; 37: 744-6.
12. Hecker R, Corwin JO. Bilateral coronoid hyperplasia: i℃view 01
thehにraturc and report of ca錘.J Oraﾉ釦 1980; 38:恥-8.
13．Javid B. Unilateral hyperplasia of the coronoid process of lh<
mandible.肋『ノOraﾉ蜘確1981; 10: 145-7.
14．Marra LM，Bil曲にral coronoid hyperplasia, a developmenia
defect. Oraﾉ鋤re Oraﾉ〃ed Oral佑伽oﾉ1983; SS: 10-13.
process of the mandible,Arch Oloわゅ"goﾉ〃'eadⅣどckSurg¥9M,
皿0４
: ８０２．
16．Tucker MR, Guilford WB, Howard CW. Coronoid process
Oral Surg Oral Med O ﾉPathol 1984; 58: 130-2.
17．Balcunas BA, Gallimorc R. Bil日にral coronoid hyperplasia.
18. Kreutz RW, Sanders B・Bilateral coronoid hyperplasia resulting
in severe limitation of mandibular movement・Oral Surg Orai
Med Oraﾉ知I加ノ1985; 60: 482-4.
19. Shira RB･Lister RL. Limited mandibular movements due to
enlargement of the coronoid processes・ノ０種ノ馳曜1958; 16:
183-91.
20．Bronsにin SL, Osborne JJ. Mandibular limitation due to bilateral
Iherapy,ノCra"ｍｍａ"伽６円pd1984; 3: 58-62.
21. Shackelford RT. Brown WH. Restricにd jaw motion due lo
osteochondroma of the coronoid process・ＪＢＤ"eん伽I Surg 1949;
22. Bercher J・La maladi de O．Jacob. Exostose du malaire et
anomalie dc I･apophysc coronoide. Cah Odo"ｲoﾉStomaioノ1958;
coronoid process of the mandible: report of case. J Oraｊ馳
Ｒａ伽ology 1964; 83: 1060-3.
25．Dechaume M. Grellet M，Bonneau M, Payen J, Cayron R.
I. Isberg A, Isacsson G．Nah K･S. Mandibular coronoid proces
Surg Oral Med OraﾉPalhol 1987; 63: 275-9.
process of the mandible. BrノRadiol 1952; 25: 555-6.
３．van Zile WN, Johnson WB. Bilateral coronoid process exostose
Teport of case. J OraＩ馳噸19.57; IS: 72-77.
4. Rowe NL. Bilaにrat dcvel《》pmental hyperplasia of the mandi
bular coronoid process: a report oｆｌｗ⑨ s ・ルノOral Sur
5. van Hoof RF, Bcsling WFJ・ＣＯ『onoid process enlargement・ＢＦ
6. Cooper JC, Finch LD・Coronoid osteochondroma presenting a
a corono-zygomatic ankylosis・BrDenlJ 1974; 137:99102.
７．York BV, Cockerham S・Bilateral hyperplasia of the coronoi
processes in siblings. Oral S側噸OraﾉＭed Oral PaＩ加ﾉ1983; S
５鯛５．
8. James RB. Alexander RW. Traver JG・OStcochondroma of th
mandibular coronoid process. OrｑＩＳ側 Oraﾉ肘忽Oraﾉ随肋《
1974;３７：189-95.
J Oral S脚昭1974; 32: 452-6.
10．Ramon Y, Horowitz I. Oberman M. Frcedman A. Tadmor F
Surg Oral Med Oral Palﾉiol 1977; 43: 692７．
articulaire coronoido-malairc: maladie de Jacob. Rev Stomｑｍノ
1964；６５：513-18.
26．Praal FR，Limitation of mandibular movement due to bilateral
mandibular cor⑪noid process enlargement. J O噸ﾉMaxi叱肱ｆ
醜ｨ聡1984; 42: 5弧-6.
27．Davidson JSH. Unilateral coronoid hypertrophy causing restricted opening of mouth・BrノＲａ oﾉ1%5; 38: 478-9.
28．Lewars PHD. Osteoma of the mandible. Brノ SI Surg ¥959; 12:
277-83.
29．Shackelford RT･Brown WH. Oste《xhondroma of the coronoid
process uf the mandible. S"噸CynecoﾉOb師α1943; 77: 51-4.
到:432-3.
of the mandible: a report of two cases. Br J OraＪＳＮ堰1967; 5:
zひ.4.
32．Monks FT・Bilateral hyperplasia of the mandibular coronoid
processes: a case report．ＢｒノOraＩｓｌ"g 1978; 16: 31-7.
33. Lucaya J, Herrcra M, Vera J. Unilaにral hyperplasia of the
34．Ginesiei G. Dupuis A. Mcrville L･Gurin J. Dondey PL.
Constriction des mitchoircs d､origine cOronoido-malairc. Rev
５９：１８７、
36. Robens D. PcHigrcw J･Udupa J･Ram C. Three-dimensional
Oral Med Oraﾉ此『加ノ1984; 58: 461-74.
dimensional compuにd tomographic analysis of the normal
Dcntomaxillofac・Radiol., 1993, Vol. 22, August
152
や､阜■■
3Diｍａging of coronoid hype"ﾉdsia: A・ kahashi et al.
temp《》romandibular joint. J Oral Max"ﾙﾘ'acS"噛1986; 44:257259.
38．Matteson SR, Bechtold W. Phillips C. Staab EV・A method for
metric analysis.ノOraJMaxi" c5I"g 1989; 47: 1053-61.
39．Guyuron B, Ross RJ・Computer-generated model surgery．An
154
Dcntomaxillofac. Radiol., 1993, Vol.22, August
monies. J Cranioｸ加砥j脆胸cS脚聴1989; 17: 101-4.
Address: Dr A・Takahashi, Department of Oral and Maxillofacial
daoka. Suita・Osaka 565, Japan.
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