RESUMEN
Cervical chondrocutaneous remnants are extremely rare, and fewer than 40 unilateral, and only 11 bilateral, forms have been reported. The clinical and ultrasonographic criteria have been well characterised. Several associated anomalies may accompany the remnants and patients should therefore be investigated further. The treatment of choice is complete excision to confirm the diagnosis. Histological investigations define this lesion as heterotopic, composed of normal skin and fat with a strip of cartilage running through the middle. The embryological origin is not clear. We report what is to our knowledge the first familial form in 6 members of a Libyan family all of whom had unilateral or bilateral forms. We focus specifically on a 10-year-old girl with bilateral chondrocutaneous remnants who was admitted to our department.
Asunto(s)
Cartílago/patología , Coristoma/diagnóstico , Enfermedades Musculares/congénito , Músculos del Cuello/patología , Piel/patología , Tejido Adiposo/patología , Región Branquial/patología , Niño , Coristoma/genética , Femenino , Estudios de Seguimiento , Humanos , Enfermedades Musculares/genéticaRESUMEN
INTRODUCTION: Osteochondroma is a rare benign bone tumor of the mandibular condyle (90 cases reported). The symptoms are similar to those of temporomandibular joint disorders: painful temporomandibular joint, joint sounds, and modification of dental occlusion. CASE REPORT: A 37-year-old female patient consulted for a wide left laterodeviation of the mandible. CT scan revealed a 27 mm long bony growth on the condyle. The condyle neck was osteotomized, then the tumor and condyle head were split, the condyle was then remodeled and osteosynthesized on the condyle neck. The functional and esthetic results were satisfactory at 12 months without any recurrence or relapse. DISCUSSION: The authors present a novel conservative technique, slightly different from those reported in the literature. There are several therapeutic alternatives. They can be classified in three groups: invasive, non-invasive, and conservative techniques. Nevertheless, osteochondroma is a benign tumor and its management should be as little invasive as possible.
