Tratamento da hiperplasia do processo coronoide de mandibular em adultos: análise de 42 relatos da literatura e caso ilustrativo

NOGUEIRA, Emerson Filipe de Carvalho; MARANHÃO, Carolina Melcop de Castro Tenório; AGUIAR, Priscila Lins; ALMEIDA, Renata de Albuquerque Cavalcanti; TORRES, Belmino Carlos Amaral; VASCONCELLOS, Ricardo José de Holanda

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Sumário

ORIGINAL • Rev Gaúch. Odontol. 69 • 2021 • https://doi.org/10.1590/1981-86372021003420190042 copiar

Tratamento da hiperplasia do processo coronoide de mandibular em adultos: análise de 42 relatos da literatura e caso ilustrativo

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivo:

O objetivo deste estudo foi revisar a literatura e comparar diferentes métodos de tratamento cirúrgico para hiperplasia do coronoide, além de relatar um caso clínico de hiperplasia coronoide unilateral tratada por coronoidectomia pelo acesso intraoral.

Métodos:

A revisão eletrônica crítica da literatura foi feita selecionando artigos publicados nos últimos 20 anos sobre o tratamento da hiperplasia do coronoide em adultos nas bases de dados PubMed, Medline, Scielo e Lilacs com os termos coronoid hyperplasia OR coronoid elongation AND treatment OR management. Os dados foram extraídos para análise.

Resultados:

Foram selecionados 24 artigos. Incluindo um total de 42 pacientes, dentre eles 69% eram pacientes do sexo masculino e 81% foram acometidos bilateralmente. O grupo etário com a maior prevalência compreendeu de 20 a 30 anos. Sessenta e nove por cento dos pacientes foram tratados com coronoidectomia e 26,2% com coronoidotomia, a maioria (83,3%) com acesso intra-oral. Nenhum caso teve complicações cirúrgicas relatadas e 71,4% foram submetidas à fisioterapia após a cirurgia. Em relação aos resultados, 83,3% foram considerados satisfatórios, e 11,9% insatisfatórios.

Conclusão:

A grande maioria dos casos que trouxeram resultados significativos na melhora da abertura bucal pré e pós-operatória foram tratados pela coronoidectomia, demonstrando ser um tratamento cirúrgico eficiente e seguro para a hiperplasia do coronoide.

Termos de indexação
Adulto; Hiperplasia; Mandíbula

Authors	Age	History	Type	Sex	Preoperative	During	Postoperative	Approach	Type	Follow-up	Complications	Physiotherapy	Results
Authors	(yrs)	(yrs)	Type	Sex	MMO (mm)	MMO (mm)	MMO (mm)	Approach	surgical	(months)	Complications	Physiotherapy	Results
Yamaguchi et al. [¹⁷17 Yamaguchi T, Komatsu K, Yura S, Totsuka Y, Nagao Y, Inoue N. Electromyographic activity of the jawclosing muscles before and after unilateral coronoidectomy performed on a patient with coronoid hyperplasia: a case study. J Craniomandibular Pract. 1998;16(4):275-282.]	25	8	Uni	M	24	NS	43	IO	ectomy	8	NS	Yes	Satisfactory
Gibbons, et al. [²2 Gibbons AJ, Byrne AJ, Key SJ. Trismus due to bilateral mandibular coronoid hyperplasia. J Army Med Corp. 2001;147:311-313. http://dx.doi.org/10.1136/jramc-147-03-11 https://doi.org/10.1136/jramc-147-03-11... ]	28	12	Bi	M	15	30	40	IO + EO (preauricular)	ectomy	NS	NS	Yes	Satisfactory
Colquhoun et al. [¹³13 Colquhoun A, Cathro I, Kumara R, Ferguson MM, Doyle TC. Bilateral coronoid hyperplasia in two brothers. Dentomaxillofac Radiol. 2002;31:142-146. http://dx.doi.org.10.1038/sj.dmfr.4600672 https://doi.org/10.1038/sj.dmfr.4600672... ]	32	3	Uni	M	21	NS	NS	IO	ectomy	18	NS	Yes	Satisfactory
	26	3	Bi	M	22	35	22	IO	ectomy	30	NS	Yes	Unsatisfactory
Agurto et al. [⁶6 Agurto JP, Mardones MM, Núñez CB. Hiperplasia coronoídea. Rev Otorrinolaringol Cir Cabeza Cuello. 2004, 64:32-38. http://dx.doi.org.1590/1982-0216201820311417 http://dx.doi.org.1590/1982-021620182031... ]	36	NS	Bi	M	24	NS	41	IO	ectomy	NS	NS	Yes	Satisfactory
Bertacci et al. [³¹31 Bertacci A, Landi N, Manfredini D, Ferronato G, Bosco M. Coronoid hyperplasia: a case report. Minerva Stomatol. 2005; 54(7-8):461-70.]	25	10	Bi	M	27	NS	42	IO	ectomy	6	NS	Yes	Satisfactory
Gibbons et al. [¹⁴14 Gibbons AJ, Abulhoul S. Use of a therabite appliance in the management of bilateral mandibular coronoid hyperplasia. Br J Oral Maxillofac Surg. 2006;45:505-506. http://dx.doi.org.10.1016/j.bjoms.2006.05.005 https://doi.org/10.1016/j.bjoms.2006.05.... ]	34	18	Bi	M	20	30	20	IO	ectomy	1	NS	Yes	Unsatisfactory
Kursoglu et al. [¹⁰10 Kursoglu P, Nuray C. Elongated mandibular coronoid process as a cause of mandibular hypomobility. J Craniomandibular Pract. 2006; 24:213-216.]	24	NS	NS	M	27	NS	NS	NS	NS	NS	NS	NS	NS
Leovic et al. [²⁹29 Leovic D, Djanic D, Zubcic V. Mandibular locking due to bilateral coronoid process hyperplasia. The Middle European Journal of Medicine 2006; 594:118-120. http://dx.doi.org.10.1590/1982-0216201820311417 https://doi.org/10.1590/1982-02162018203... ]	35	18	Bi	M	15	NS	35	NS	tomy	NS	NS	Yes	Satisfactory
Ferro et al. [⁸8 Ferro FM, Sanromán JF, Gutierrez JS, López AC, Sánchez AL, Pérez AE. Treatment of bilateral hyperplasia of the coronoid process of the mandible. Presentation of a case and review of the literature. Med Oral Patol Oral Cir Bucal. 2008; 13:595-598.]	28	NS	Bi	M	13	NS	40	IO	ectomy	12	NS	Yes	Satisfactory
Yoshida et al. [²⁸28 Yoshida H, Sako J, Tsuji K, Nakagawa A, Inoue A, Yamada K, Morita S. Securing the coronoid process during a coronoidotomy. Int J Oral Maxillofac Surg. 2008;37:181-182.]	34	NS	Bi	F	18	25	38	IO	tomy	6	None	NS	Satisfactory
Yura et al. [⁵5 Yura S, Ohga N, Kasuhiro O, Izumiyama Y. Mandibular coronoid hyperplasia: a case report. Cranio. 2014;27:275-279. http://dx.doi.org/10.1179/crn.2009.039 https://doi.org/10.1179/crn.2009.039... ]	28	13	Uni	M	30	50	43	IO	tomy	3	NS	Yes	Satisfactory
Ferreira et al. [²³23 Ferreira GR, Faverani LP, Fabris ALS, Naumovski S, Grcev A, Bozovic S, et al. Mandibular movement restoration through bilateral coronoidectomy by intraoral approach. J Craniofac Surg. 2011; 22:988-991. http://dx.doi.org.10.1016/0006-2944(75)90147-7 https://doi.org/10.1016/0006-2944(75)901... ]	26	3	Bi	M	18.51	29	31.12	IO	ectomy	1	None	Yes	Unsatisfactory
Bayar et al. [²⁴24 Bayar GR, Akcam T, Gulses A, Sencimen M, Gunhan O. An Excessive coronoid hyperplasia with suspected traumatic etiology resulting in mandibular hypomobility. J Craniomandibular Pract. 2012;30:144-149. http://dx.doi.org.10.1179/crn.2012.021 https://doi.org/10.1179/crn.2012.021... ]	21	2	Uni	M	23	NS	38	IO + EO (preauricular)	ectomy	NS	None	Yes	Satisfactory
Costa et al. [²⁷27 Costa YM, Porporatti AL, Stuginski-Barbosa J, Cassano Ds, Bonjardim LR, Conti PCR. Coronoid process hyperplasia: an unusual cause of mandibular hypomobility. Braz Dent J. 2012;23(3):252-255.]	18	NS	Bi	M	20	NS	40	IO	ectomy	5	None	Yes	Satisfactory
Min Kim et al. [¹⁸18 Min-Kim S, Hyeok-Lee J, Jin-Kim H, Huh JK. Mouth opening limitation caused by coronoid hyperplasia: a report of four cases. J Korean Assoc Oral Maxillofac Surg. 2014;40:301-307. http://dx.doi.org.10.5125/jkaoms.2014.40.6.301 https://doi.org/10.5125/jkaoms.2014.40.6... ]	21	NS	Uni	M	28	43	63	IO	ectomy	15	NS	Yes	Satisfactory
	19	4	Bi	M	32	35	65	IO	ectomy	18	NS	Yes	Satisfactory
	18	6	Uni	M	12	NS	54	IO	ectomy	15	NS	Yes	Satisfactory
Behrends et al. [¹¹11 Behrends CA, Fragoso GL. Hiperplasia de procesos coronoideos mandibulares: un nuevo tratamiento posquirúrgico. Rev Esp Cir Oral Maxilo Fac. 2015; 37:93-98.]	38	10	Bi	M	16	40	30	IO	ectomy	6	NS	Yes	Unsatisfactory
Jenkins et al. [⁴4 Jenkins S, Smart K, Mustafa S, Evans R. Bilateral mandibular coronoid hyperplasia causing trismus - a case report. Oral Surg. 2015;9:227-233. https://doi.org/10.1111/ors.12196 https://doi.org/10.1111/ors.12196... ]	28	NS	Bi	M	9.5	30	33	IO	ectomy	10	NS	Yes	Satisfactory
Surianti et al. [¹²12 Surianti H, Chen MY. Coronoid process hyperplasia – report of 3 cases. Taiwan J Oral Maxillofac Surg. 2015;26:310-320.]	25	10	Bi	M	28	48	40	IO	ectomy	NS	None	Yes	Satisfactory
	29	NS	Bi	F	22	45	30	IO	tomy+ectomy	2	None	Yes	Unsatisfactory

Murakami et al. [³⁰30 Murakami K, Yokoe Y, Yasuda S, Tsuboi Y, Lizuka T. Prolonged mandibular hypomobility patient with a “square mandible” configuration with coronoid process and angle hyperplasia. J Craniomandibular Pract. 2000;18(2):113-119.]	43 (max)	20 (max)	Bi (9)	F	25.6	41	36.6	IO (10)	tomy (8) ectomy (2)	1	None	NS
	22 (min)	21 (max)	Uni (1)										Satisfactory
	29,2 (avg)	3 (avg)
Vaidhyanath et al. [³²32 Vaidhyanath R, Raj V. Mandibular coronoid process hyperplasia causing restricted mouth opening. Ir J Hosp Med (Lond) 2010; 71(4):229.]	53	NS	Bi	F	10	28	NS	IO	ectomy	NS	NS	Yes	NS
Ghazizadeh et al. [¹1 Ghazizadeh M, Sheikhi M, Salehi MM, Khaleghi A. Bilateral coronoid hyperplasia causing painless limitation of mandibular movement. Radiol Case Rep. 2017;13(1):112-117. http://dx.doi.org/10.1016/j.radcr.2017.11.001 https://doi.org/10.1016/j.radcr.2017.11.... ]	30	NS	Bi	M	21	NS	NS	IO	ectomy	NS	NS	Yes	Satisfactory
Jensen et al. [⁷7 Jensen TA, Kjellerup AD. Bilateral elongated mandibular coronoid process and restricted mouth opening: a case report. Open Dent J. 2017; 11:670-678.]	18	NS	Bi	M	22	42	32	IO	ectomy	3	NS	Yes	Satisfactory
Silva et al. [²²22 Silva JR, Pereira RS, Águeda C, Nunes PM, Marin C, Hochuli-Vieira E. Bilateral coronoid hyperplasia in a 43-year-old patient treated with intraoral coronoidectomy. J Craniofac Surg. 2017;28(4):402-403.]	43	28	Bi	M	11	NS	46	IO	ectomy	12	NS	Yes	Satisfactory
Romano et al. [²⁵25 Romano M, Gianni AB, Bolzoni A, Giannì AB, Silvestre FJ, Baj A, et al. Bilateral coronoid hyperplasia: a report of six cases. Agentes J Biol Regul Homeost. 2017;31(1):139-145.]	30 (avg)	NS	Bi (6)	M	16,3	NS	41	EO (3)	ectomy (6)	6	NS	Yes	Satisfactory
								(preauricular)
								IO (3)
The authors patient	28	8	Uni	F	10	26	22	IO	ectomy	NS	None	Yes	Satisfactory

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