RESUMO
Coronoid hyperplasia is a rare entity of unknown etiology due to increased and persistent bone growth that has been associated with trauma, inflammation, hormonal influence and hypervascularization. A case of coronoid hyperplasia in a pediatric patient with restriction in mandibular movements and an absence of painful symptoms initially misdiagnosed as a functional temporomandibularjoint (TMJ) abnormality is presented. Causative factors and management strategies are emphasized to enhance the recognition and understanding of mandibular hypomobilities.
Assuntos
Mandíbula/patologia , Doenças Mandibulares/patologia , Criança , Tomografia Computadorizada de Feixe Cônico , Erros de Diagnóstico , Terapia por Exercício , Humanos , Hiperplasia/diagnóstico por imagem , Hiperplasia/patologia , Masculino , Mandíbula/diagnóstico por imagem , Doenças Mandibulares/diagnóstico por imagem , Doenças Mandibulares/terapia , Síndrome da Disfunção da Articulação Temporomandibular/diagnósticoRESUMO
Local immunosuppressive therapies without systemic effects represent a therapeutic advantage in management of immune/inflammatory oral mucosal conditions. Topical budesonide rinses were prescribed to patients with mucosal disease that was resistant to other intervention without side effects. A case of paraneoplastic pemphigus and a patient with oral graft-versus-host disease that had not responded to standard approaches to management were successfully managed with budesonide rinse application. The cases presented represent mucosal conditions that were successfully managed with topical application of budesonide with reduced risk of systemic effects.