Benign tumor finding in Temporomandibular Joint: Cone Beam CT application and radiographical features of suspected condylar osteochondroma

  • Indri Kusuma Dewi Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
  • Aga Satria Nurrachman Department of Dentomaxillofacial Radiology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia, 60132 http://orcid.org/0000-0003-3788-8499
  • Lusi Epsilawati Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132 http://orcid.org/0000-0002-3221-747X

Abstract

Objectives: This case report is aimed to present a finding of a benign tumor at the Temporomandibular Joint (TMJ) area involving the condylar head of the mandible that radiographically showed the typical features of osteochondroma using and emphasizing on the application of Cone Beam CT (CBCT) imaging.
Case Report: A 24-year-old female patient came to the Radiology Department of Unpad Dental Hospital as referred from her previous dental surgeon to get CBCT examination of her entire right side of mandible with a provisional diagnosis of mandibular hyperplasia.
Conclusion: Osteochondroma and condylar hyperplasia are often clinically difficult to differentiate, CBCT imaging can easily distinguish the enlargement of condylar head in condylar hyperplasia with irregular condylar mass and altered trabecular pattern in osteochondroma. CBCT may be helpful in establishing the diagnosis of condylar tumors originating from bone.

Author Biographies

Indri Kusuma Dewi, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Dentomaxillofacial Radiology Residency Program
Aga Satria Nurrachman, Department of Dentomaxillofacial Radiology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia, 60132
Staff
Lusi Epsilawati, Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Padjadjaran, Bandung, Indonesia, 40132
Staff

References

Mallya SM, Lam EWN. White and Pharoah’s Oral Radiology: Principle and Interpretation. 8th Ed. Toronto, Canada: Elsevier; 2018.
Yurttutan ME, Öncül AT, Karasu HA. Benign Tumors of Temporomandibular Joint. Temporomandibular Jt Pathol - Curr Approaches Underst. 2018;
Bachani L, Lingappa A, Shankaramurthy S, Parameshwarappa S. Osteochondroma involving mandibular condyle. J Indian Acad Oral Med Radiol. 2017;29(1):56.
Kamdar R, Subbarao C, Ganapathy D. Role of cone beam computed tomography in dentistry. Drug Invent Today. 2019;11(Special Issue 2):145–8.
Kwon YE, Choi KS, An CH, Choi SY, Lee JS, An SY. Recurrent osteochondroma of the mandibular condyle: A case report. Imaging Sci Dent. 2017;47(1):57–62.
Marano R, Dias do Nascimento Neto C, Mayrink G, Tajra R, Gaigher E. A rare case of chondroblastoma of the temporomandibular joint: A case report. Oral Maxillofac Surg Cases [Internet]. 2019;5(3):100102.
Mahammad D, Chingiz R, Elchin A, Farinaz I, Vugar Q. Chondroblastoma of the TMJ: Case Report. Balk J Dent Med [Internet]. 2017 Nov 27;21(3):176–8.
Garrison RC, Unni KK, McLeod RA, Pritchard DJ, Dahlin DC. Chondrosarcoma arising in osteochondroma. Cancer [Internet]. 1982 May 1;49(9):1890–7.
Afonso PD, Isaac A, Villagrán JM. Chondroid Tumors as Incidental Findings and Differential Diagnosis between Enchondromas and Low-grade Chondrosarcomas. Semin Musculoskelet Radiol. 2019;23(1):3–18.
Liu Y, Xiao Y, Wang H, Hu D, Han X. Clinical and radiological analysis of osteochondromas of the mandible using cone-beam computed tomography. Oral Radiol. 2017;33(1):8–15.
Kamble V, Rawat J, Kulkarni A, Pajnigara N, Dhok A. Osteochondroma of bilateral mandibular condyle with review of literature. J Clin Diagnostic Res. 2016;10(8):TDO1–2.
Harish M, Manjunatha BS, Kumar AN, Alavi YA. Osteochondroma (OC) of the condyle of left mandible: A rare case. J Clin Diagnostic Res. 2015;9(2):ZD15–6.
Tantanapornkul W, Dhanuthai K, Sinpitaksakul P, Itthichaisri C, Kamolratanakul P, Changsirivatanathamrong V. Dentofacial Deformity Caused by Bulky Osteochondroma: Report of an Unusual Case and the Importance of Cone Beam Computed Tomography. Open Dent J. 2017;11(1):237–41.
Larheim TA, Abrahamsson A-K, Kristensen M, Arvidsson LZ. Temporomandibular joint diagnostics using cone beam computed tomography. Dentomaxillofac Radiol [Internet]. 2014;20140235.
Meshram V, Natarajan C, Landge J, Jadhav S. Expansile radiolucent lesion of the Temporomandibular Joint—A diagnostic enigma. J Oral Biol Craniofacial Res [Internet]. 2018;8(3):203–5.
Published
2021-04-30
How to Cite
DEWI, Indri Kusuma; NURRACHMAN, Aga Satria; EPSILAWATI, Lusi. Benign tumor finding in Temporomandibular Joint: Cone Beam CT application and radiographical features of suspected condylar osteochondroma. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 5, n. 1, p. 23-26, apr. 2021. ISSN 2686-1321. Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/677>. Date accessed: 25 apr. 2024. doi: https://doi.org/10.32793/jrdi.v5i1.677.

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.