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Published in: Journal of Maxillofacial and Oral Surgery 1/2024

25-02-2023 | Intestinal Polyps | CASE REPORT

Multiple Gardner Syndrome Osteomas Mimicking Temporomandibular Ankylosis: Case Report

Authors: Agnelo Josué Lucamba, Ricardo Grillo, Cláudio Roberto Pacheco Jodas, Rubens Gonçalves Teixeira

Published in: Journal of Maxillofacial and Oral Surgery | Issue 1/2024

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Abstract

Objectives

This study aims to report a delayed Gardner syndrome diagnosis mimicking temporomandibular ankylosis.

Methods

An 11-year-old patient was treated at the Hospital Josina Machel, Luanda, Angola for severe chronic trismus without TMJ involvement. Some difficulties in diagnosis and final results were discussed

Case report

A delayed diagnosis of Gardner syndrome was treated by the authors. The delay was due to a lack of timely CT scans and some COVID-19 pandemic restrictions. This delay worsened the patient´s clinical condition for several months. Classic surgical gap arthroplasty has been used and considered successful, particularly when material is scarce.

Conclusions

Classical surgical techniques are still very useful in some parts of the world that do not rely on modern technology. International collaboration through teledentistry, case review over the Internet, and humanitarian or educational missions are very helpful in low-income countries.
Literature
1.
go back to reference Koh K-J, Park H-N, Kim K-A (2016) Gardner syndrome associated with multiple osteomas, intestinal polyposis, and epidermoid cysts. Imaging Sci Dent 46(4):267–272CrossRefPubMedPubMedCentral Koh K-J, Park H-N, Kim K-A (2016) Gardner syndrome associated with multiple osteomas, intestinal polyposis, and epidermoid cysts. Imaging Sci Dent 46(4):267–272CrossRefPubMedPubMedCentral
2.
go back to reference Gu X, Li X, Xu J, Yang J, Li H, Wu Q et al (2021) Accumulated genetic mutations leading to accelerated initiation and progression of colorectal cancer in a patient with Gardner syndrome: a case report. Medicine (Baltimore) 100(13):e25247CrossRefPubMed Gu X, Li X, Xu J, Yang J, Li H, Wu Q et al (2021) Accumulated genetic mutations leading to accelerated initiation and progression of colorectal cancer in a patient with Gardner syndrome: a case report. Medicine (Baltimore) 100(13):e25247CrossRefPubMed
3.
go back to reference Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D et al (2013) The CARE guidelines: consensus-based clinical case reporting guideline development. Headache 53(10):1541–1547CrossRefPubMed Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D et al (2013) The CARE guidelines: consensus-based clinical case reporting guideline development. Headache 53(10):1541–1547CrossRefPubMed
4.
go back to reference Lv Z, Wang C, Wu L, Guo B, Zhang D, Zhang Y et al (2018) Identification of a mutL-homolog 1 mutation via whole-exome sequencing in a Chinese family with Gardner syndrome. Mol Med Rep 18(1):987–992PubMed Lv Z, Wang C, Wu L, Guo B, Zhang D, Zhang Y et al (2018) Identification of a mutL-homolog 1 mutation via whole-exome sequencing in a Chinese family with Gardner syndrome. Mol Med Rep 18(1):987–992PubMed
5.
go back to reference Smeets M, Van Dessel J, Croonenborghs T-M, Politis C, Jacobs R, Bila M (2021) A retrospective study on the predictive factors in chronic trismus. Br J Oral Maxillofac Surg S0266–4356(21):30–39 Smeets M, Van Dessel J, Croonenborghs T-M, Politis C, Jacobs R, Bila M (2021) A retrospective study on the predictive factors in chronic trismus. Br J Oral Maxillofac Surg S0266–4356(21):30–39
6.
go back to reference Eckstein FM, Wurm MC, Eckstein M, Wiesmüller M, Müller M, Jehn P et al (2021) Imaging, histopathological degree of degeneration and clinical findings - do these correlate in patients with temporomandibular joint disorders. J Stomatol oral Maxillofac Surg S2468–7855(21):108–117 Eckstein FM, Wurm MC, Eckstein M, Wiesmüller M, Müller M, Jehn P et al (2021) Imaging, histopathological degree of degeneration and clinical findings - do these correlate in patients with temporomandibular joint disorders. J Stomatol oral Maxillofac Surg S2468–7855(21):108–117
7.
go back to reference Wexell CL, Bergenblock S, Kovács A (2019) A case report on gardner syndrome with dental implant treatment and a long-term follow-up. J Oral Maxillofac Surg 77(8):1617–1627CrossRef Wexell CL, Bergenblock S, Kovács A (2019) A case report on gardner syndrome with dental implant treatment and a long-term follow-up. J Oral Maxillofac Surg 77(8):1617–1627CrossRef
8.
go back to reference Franco JMPL, Bezerra TP, Pita-Neto ICP, da Silveira Santos DF, Rêgo RD (2021) Treatment of the temporomandibular joint ankylosis with a customized prosthesis in a single stage: the use of 3D cutting guides and virtual surgical planning. J Maxillofac Oral Surg 20(4):702–705CrossRefPubMedPubMedCentral Franco JMPL, Bezerra TP, Pita-Neto ICP, da Silveira Santos DF, Rêgo RD (2021) Treatment of the temporomandibular joint ankylosis with a customized prosthesis in a single stage: the use of 3D cutting guides and virtual surgical planning. J Maxillofac Oral Surg 20(4):702–705CrossRefPubMedPubMedCentral
10.
go back to reference Karakawa R, Yoshimatsu H, Yano T (2021) Coronoidectomy, condylectomy, and free vascularized fibula osteomusculocutaneous flap transfer for severe trismus due to contracture of the oral mucosa and temporomandibular joint ankylosis after maxillectomy: a case report. Microsurgery. 42(2):187–191CrossRefPubMed Karakawa R, Yoshimatsu H, Yano T (2021) Coronoidectomy, condylectomy, and free vascularized fibula osteomusculocutaneous flap transfer for severe trismus due to contracture of the oral mucosa and temporomandibular joint ankylosis after maxillectomy: a case report. Microsurgery. 42(2):187–191CrossRefPubMed
11.
go back to reference Cascone P, Runci Anastasi M, Maffia F, Vellone V (2021) Slice functional condylectomy and piezosurgery: a proposal in unilateral condylar hyperplasia treatment. J Craniofac Surg 32(5):1836–1837CrossRefPubMed Cascone P, Runci Anastasi M, Maffia F, Vellone V (2021) Slice functional condylectomy and piezosurgery: a proposal in unilateral condylar hyperplasia treatment. J Craniofac Surg 32(5):1836–1837CrossRefPubMed
12.
go back to reference Hoang TA, Lee KC, Chuang SK (2021) Simultaneous condylar reconstruction by free ramus osteotomy graft after complete condylectomy for osteochondroma. J Craniofac Surg 32(5):e477–e479CrossRefPubMed Hoang TA, Lee KC, Chuang SK (2021) Simultaneous condylar reconstruction by free ramus osteotomy graft after complete condylectomy for osteochondroma. J Craniofac Surg 32(5):e477–e479CrossRefPubMed
13.
go back to reference Filipe L, Cassule YS, Grillo R, Pozzer L, Bueno BU, Teixeira RG (2022) Relationship between mysticism and severe odontogenic infections in Africa: what to do?: Mysticism and severe infections in Africa. Oral Surg Oral Med Oral Pathol Oral Radiol S2212–4403(22):00007–00014 Filipe L, Cassule YS, Grillo R, Pozzer L, Bueno BU, Teixeira RG (2022) Relationship between mysticism and severe odontogenic infections in Africa: what to do?: Mysticism and severe infections in Africa. Oral Surg Oral Med Oral Pathol Oral Radiol S2212–4403(22):00007–00014
14.
go back to reference Lucamba AJ, Grillo R, Bueno BU, Teixeira RG (2022) Foley´s cateter as a coadjuvant on middle face reconstruction. Brazilian J Oral Maxillofac Surg 22(1):26–29 Lucamba AJ, Grillo R, Bueno BU, Teixeira RG (2022) Foley´s cateter as a coadjuvant on middle face reconstruction. Brazilian J Oral Maxillofac Surg 22(1):26–29
15.
go back to reference Bouaoud J, Ndiaye MM, Benassarou M, Toure S, Schouman T, Bertolus C (2021) Humanitarian maxillofacial mission’s success requires experienced surgeons, careful planning, and meeting with the local’s care needs. J Oral Maxillofac Surg 79(10):1999.e1-1999.e9CrossRefPubMed Bouaoud J, Ndiaye MM, Benassarou M, Toure S, Schouman T, Bertolus C (2021) Humanitarian maxillofacial mission’s success requires experienced surgeons, careful planning, and meeting with the local’s care needs. J Oral Maxillofac Surg 79(10):1999.e1-1999.e9CrossRefPubMed
Metadata
Title
Multiple Gardner Syndrome Osteomas Mimicking Temporomandibular Ankylosis: Case Report
Authors
Agnelo Josué Lucamba
Ricardo Grillo
Cláudio Roberto Pacheco Jodas
Rubens Gonçalves Teixeira
Publication date
25-02-2023
Publisher
Springer India
Published in
Journal of Maxillofacial and Oral Surgery / Issue 1/2024
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-023-01871-1

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