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Open-mouth jaw locking in the cat has traditionally been minimally evaluated with diagnostic imaging. Multiple methods have been described for surgical management of this problem. This report describes the use of computed tomography to diagnose open-mouth jaw locking in 2 cats secondary to ventrolateral displacement of the coronoid process in relation to the zygomatic arch. In these 2 cases, a previously unreported surgical approach whereby the coronoid was not reduced before partial coronoidectomy was used with successful outcomes. [ABSTRACT FROM AUTHOR]

Although there have been some reports on the relationship between craniofacial morphology and the activity of the temporal muscle attached to the coronoid process, such relationship is still unclear. The aim of the present study was therefore to investigate the relationship between the coronoid process and overall craniofacial morphology using lateral cephalograms of 60 female subjects (mean age 9.6 years) without mandibular deviation. Statistical testing was undertaken using stepwise regression analysis. [ABSTRACT FROM PUBLISHER]

Purpose: This study tests the hypothesis that 3-dimensional computed tomography (CT) reconstructions improve interobserver agreement on classification and treatment of coronoid fractures compared with 2-dimensional CT. Methods: A total of 29 orthopedic surgeons evaluated 10 coronoid fractures on 2 occasions (first with radiographs and 2-dimensional CT and then with radiographs and 3-dimensional CT), separated by a minimum of 2 weeks. Surgeons classified fractures according to the classifications of Regan and Morrey and of O''Driscoll et al., identified specific characteristics, recommended the most appropriate treatment approach, and made treatment recommendations. The kappa multirater measure (κ) was calculated to estimate agreement between observers. Results: Regardless of the imaging modality used, there was fair to moderate agreement for most of the observations. Three-dimensional CT improved interobserver agreement in Regan and Morrey''s classsication (κ3-dimensional = 0.51 vs κ2-dimensional = 0.40; p < .001) and O''Driscoll et al.''s classifications (κ3-dimensional = 0.48 vs κ2-dimensional = 0.42; p = .009). There were trends toward better reliability for 3-dimensional reconstruction in recognition of coronoid tip fractures (κ3-dimensional = 0.19, κ2-dimensional = 0.03; p = .268), comminution (κ3-dimensional = 0.41 vs κ2-dimensional = 0.29; p = .133), and impacted fragments (κ3-dimensional = 0.39 vs κ2-dimensional = 0.27; p = .094), and in surgeons'' opinions on the need for something other than screws or plate for surgical fixation (κ3-dimensional = 0.31 vs κ2-dimensional = 0.15; p = .138). Interobserver agreement on treatment approach was better with 2-dimensional CT (κ3-dimensional = 0.27, κ2-dimensional = 0.32; p = .015). Conclusions: Three-dimensional CT reconstructions improve interobserver agreement with respect to fracture classification compared with 2-dimensional CT. Type of study/level of evidence: Diagnostic III. [Copyright &y& Elsevier]

A case of unilateral coronoid hyperplasia successfully treated by coronoidotomy with prolonged postoperative physiotherapy and reveal the postoperative radiographic changes between the sectioned part of the coronoid process and the mandibular ascending ramus is described. The patient was a 28-year-old man whose maximum mouth opening was 30 mm. A coronoidotomy of the left coronoid process was performed. Nine days after surgery, the patient started physiotherapy with a HU-OSr, appliance. After coronoidotomy and physiotherapy, the maximum mouth opening had increased to 43 mm. Radiographic follow-up showed that the coronoid process apparently united with the mandibular ascending ramus, with moderate dislocation and inclination posteriorly. In the case presented, an intraoral coronoidotomy with postoperative physiotherapy for treatment of coronoid process hyperplasia allowed satisfactory and stable results in the correction of coronoid-malar interference. [ABSTRACT FROM AUTHOR]

PURPOSE: The purpose of this study was to explore the diagnosis and operative methods for traumatic temporomandibular joint ankylosis. METHODS: Fourteen patients (8 females, 6 males; aged from 7 to 23 years, median age 17.5 years) with traumatic TMJ ankylosis of 1 to 15 years' duration, with a maximal mouth opening(MMO) from 0 to 1.0cm (average:0.46cm) preoperatively were included in this study. They were further divided into two types (I and II) based on false articulation medial to the analysis as shown by coronal computed tomography (CT) coronoid scan. 7 TMJs were treated with medial arthroplasty(MA), in which the lateral fusional bone was removed and the medial false articulation was retained for type I, 6 TMJs were treated with natural positional arthroplasty(NPA) in which the bony fusion between the condyle and glenoid fossa was separated and shaved, the disc was retained and repositioned for type II. Follow-up was carried out and the surgical effect was assessed based on clinical and imaging findings. Student's t test was conducted for comparison with SPSS15.0 software package. RESULTS: There was 9 TMJs from 7 patients for type I and 5 TMJs from 5 patients for type II as shown by CT. The mean postoperative MMO was 3.12cm, and the condylar shape was smooth on CT scan. There was significant difference between preoperative and postoperative MMO, P<0.01. There was no significant difference between MA and NPA, P>0.05. CONCLUSIONS: It is concluded that type I is more common in traumatic TMJ ankylosis than type II. The surgical effect of MA and NPA is good, with less injury, and is worthy of wide application. [ABSTRACT FROM AUTHOR]

The knowledge of the buccal nerve anatomy is of fundamental importance not only for the anesthesia but also for a safe intervention in the retromolar area. The aim of this work was to study its trajectory, in the area where it is related to the anterior margin of the ramus of the mandible, therefore providing important data for a safe intervention in the region. In this study we used 10 hemi-heads from male and female adults, from different ethnic groups. They were fixed in formol, and belong to the Anatomy Laboratory at the Faculty of Dentistry in Araraquara UNESP. These hemi-heads were dissected by lateral access, preserving the buccal nerve in its trajectory related to the anterior margin of the ramus of the mandible until its penetration in the buccinator muscle. Next, we desinserted the masseter muscle so that all the ramus of the mandible were exposed. Then, the following measurements were carried out: from the base of the mandible until the buccal nerve and from the base of the mandible until the apices of the mandibular coronoid process. These measurements were accomplished with a Mitutoyo CD-6'' CS digital paquimeter. The following average values were obtained: 32.26 mm (to the left side) and 32.04 mm (to the right side), from the base of the mandible until the buccal nerve and 59.09 mm (to the left side) and 58.95 mm ( to the right side) from the base of the mandible until the apices of the coronoid process. We have concluded that normally, the buccal nerve crosses the anterior margin of the ramus of the mandible in an area which is above the superior half of the ramus of the mandible and also that the interventions in the retromolar region do not offer great risks of injury in the buccal nerve. [ABSTRACT FROM AUTHOR]

Objective—To determine the accuracy of ultrasonography in detecting fragmentation of the medial coronoid process (FMCP) in dogs. Design-Cross-sectional study. Animals—102 dogs (112 elbow joints) suspected to have FMCP Procedures—Elbows were examined ultrasonographically prior to surgery for evidence of fragmentation, fissuring, or deformation of the medial coronoid process; thickening of the joint capsule; joint effusion; and secondary new bone formation. Results were compared with intraoperative findings. Results—At surgery, 51 (46%) joints had free fragments, 55 (49%) had nondisplaced fragments, and 6 (5%) did not have any fragments or fissures. Fragments were not seen ultrasonographically in 23 of the 51(45%) joints in which a free fragment was found during surgery or in 50 of the 55 (91 %) joints in which a nondisplaced fragment was found during surgery. Accuracy of using ultrasonographic evidence of any medial coronoid process abnormality (ie, any medial coronoid process fragment, deformation of the medial coronoid process, or both) for diagnosis of medial coronoid process fragmentation was 77%. The kappa coefficient for the level of agreement between ultrasonographic (ie, any medial coronoid process abnormality) and surgical findings was -0.014, indicating that there was no agreement. Conclusions and Clinical Relevance—Results suggested that ultrasonography was of limited diagnostic value in detecting FMCP in dogs. [ABSTRACT FROM AUTHOR]

The canal of Nuck is the portion of the processus vaginalis within the inguinal canal in women. A hydrocele of the canal of Nuck is equivalent to an encysted hydrocele of the cord in men. The literature reveals very little about this rare condition in the adult female patient. In this paper, we report a case of hydrocele of the canal of Nuck in a young female. The diagnosis was made with ultrasound and magnetic resonance imaging and then confirmed preoperatively and by histopathology. Although rare, a hydrocele of the canal of Nuck has to be included in the differential diagnosis of a groin lump in female patients. Copyright © 2009 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Abstract Objective  The purpose of this study was to provide a detailed description of the anatomy of the coronoid process of the ulna and to use magnetic resonance (MR) images and anatomic correlation with cadavers to show the macroscopic configuration of this structure. Materials and methods  Photography and high-resolution radiography were performed in 26 ulna specimens from the collection of a local museum. MR imaging of the coronoid process of 11 cadaveric elbows was performed. The images were compared with those seen on anatomic sectioning. Results  The anteromedial rim of the coronoid process of the ulna had a regular surface, without osseous irregularities or facets in 69.2% of the specimens. In 30.8% of the specimens, the anteromedial rim was not regular and a small ridge could be identified. The insertion site of the joint capsule was onto the anterior aspect of the coronoid process, at an average distance of 5.9 mm distal to the tip. The attachment of the anterior band of the ulnar collateral ligament at the sublime tubercle was flush with the articular margin in 63.6% of the specimens. In 36.4% of the specimens, a more distal attachment, with a separation between the undersurface of the ligament and the adjacent tubercle, was seen. The brachialis tendon was attached to the coronoid process at a mean distance of 12.1 mm distal to the tip. Conclusion  The coronoid process of the ulna is a small osseous structure with a complex anatomy and presents some anatomical variations. [ABSTRACT FROM AUTHOR]

The aim of this study was to verify the relationship between the inclination of the coronoid process of the mandible, and electromyographic activity of the anterior part of the temporal muscle in skeletal Class I and II individuals. Forty-seven volunteers (mean age 24.5 ± 3.9 years) were subdivided into two groups, according to angle ANB: Class I (n = 25) and II (n = 22). Two radiographic examinations were performed; one lateral cephalogram to measure angle ANB, and one frontal cephalogram to measure the inclination of the coronoid process. Electromyographic (EMG) examination of the anterior part of the subjects' temporal muscles was performed. Statistical analysis of the data showed that Class II individuals presented lower electromyographic activity of the anterior part of the temporal muscle. Based on the results obtained, it was concluded that the skeletal classes analyzed had no influence on the inclination of the coronoid process. The inclination of the coronoid process was not influenced by the electromyographic activity of the anterior part of the temporal muscle in Class I and II individuals; however, the lower electromyographic activity of the anterior part of the temporal muscle could be influenced by the skeletal class in Class II individuals. [ABSTRACT FROM AUTHOR]

Introduction/Aim. There are numerous factors that influence the formation of condylar processus: the growth and development of cranial base, growth and development of the jaws and alveolar extensions, teething, the way of intercuspidation, the overlap of incisors, functions of masticatory muscles, etc. Considering the fact that the above-mentioned factors significantly differ in persons with different morphological set of the face, we set a hypothesis that dimensions of condylar processus and the mandibular ramus considerably differ in persons with mandibular prognathism compared to eugnatic persons. The aim of this study was to establish the differences in dimensions of condylar processus between the above-mentioned groups. Methods. Six parameters representing the dimensions of the condylar processus were measured on profile teleradiographs of 30 eugnatic persons and 30 paersons with mandibular prognathism: the height of condylar processus, the height of head of the mandible, width of the head, width of the neck, height of the ramus without the condylar processus and the overall height of the ramus. Results. A considerable difference in the values of the parameters was found, as well as the distribution toward the values of reference. It was found that the height of the condylar processus was significantly greater in persons with mandibular prognathism, whereas the width of the head of the mandible, the width of the neck and the height of the ramus without the condylar processus was considerably decreased within the same group. The height of the head of the mandible and the overall height of the ramus was not significantly changed. Conclusion. In persons with mandibular prognathism, morphological features of the condylar processus are changed. The condylar processus lengthens on account of shortening of the lower part of the ramus, and the mentioned lengthening is the most prominent in its condylar neck area which is also the centre of its most intense growth. [ABSTRACT FROM AUTHOR]

Fracture of the anteromedial facet of the coronoid process has been recognized as an important type of coronoid fracture. We performed a quantitative analysis of 21 3-dimensional computed tomography scans to evaluate the degree to which the anteromedial facet protrudes as a distinct process separate from the proximal ulnar metaphysis. The distance between the center axis of the trochlear notch and the most medial edge of the anteromedial facet averaged 12.5 mm (range, 8.7-20.1 mm). The part of the maximum anteromedial facet width that was supported by the proximal ulnar metaphysis and diaphysis averaged 5.4 mm (range, 1.7-11.5 mm). On average, 58% of the anteromedial facet (range, 26%-82%) was unsupported by the proximal ulnar metaphysis and diaphysis. It is not surprising that this relatively vulnerable protrusion from the anteromedial facet of the coronoid is frequently a separate fracture fragment in complex traumatic elbow instability. [Copyright &y& Elsevier]

BACKGROUND: Fracture of the anteromedial facet of the coronoid was recently recognized as a distinct type of coronoid fracture resulting from a varus posteromedial rotational injury force. Very few reports are available to help guide the management of these injuries. METHODS: Eighteen patients with a fracture of the anteromedial facet of the coronoid process were treated over a six-year period. Twelve patients were treated for the acute fracture, and six were managed after initial treatment elsewhere. All but three patients (two with concomitant fracture of the olecranon and one with a second fracture at the base of the coronoid) had avulsion of the origin of the lateral collateral ligament complex from the lateral epicondyle. The initial treatment was operative in fifteen patients and nonoperative in three. The coronoid fracture was secured with a plate applied to the medial surface of the coronoid in nine patients, a screw in one patient, and sutures in one patient. It was not repaired in the remaining seven patients. RESULTS: At the final evaluation, an average of twenty-six months after the injury, six patients had malalignment of the anteromedial facet of the coronoid with varus subluxation of the elbow, which was due to the fact that the fracture had not been specifically treated in four patients and to loss of fracture fixation in two patients. All six had development of arthrosis and a fair or poor result according to the system of Broberg and Morrey. The remaining twelve patients had good or excellent elbow function. CONCLUSIONS: Anteromedial fractures of the coronoid are associated with either subluxation or complete dislocation of the elbow in most patients. Secure fixation of the coronoid fracture usually restores good elbow function. [ABSTRACT FROM AUTHOR]

The 22q11.2 deletion syndrome is characterized by wide phenotypic variability, frequently involving characteristic craniofacial features, cardiac malformations, and learning difficulties. Skeletal anomalies are also common and include an obtuse angle of the cranial base, retrognathia, and cervical spine abnormalities. Despite these anomalies, sleep-disturbed breathing is not reported frequently in patients with 22q11.2 deletion syndrome. We describe a patient with an obstructive sleep disturbance that was successfully treated with a tonsillectomy followed by mandibular distraction osteogenesis. She also had central sleep apnea, initially attributed to spinal cord impingement from cervical instability. Posterior cervical fusion was associated with a decrease in the number of central apneic events. [ABSTRACT FROM AUTHOR]

One mechanism of bone adaptation is alteration in tissue level material properties. We hypothesized that alteration in the indentation modulus of the alveolar process is an adaptive response to the localized mechanical environment. Forty-eight specimens representing anterior and posterior regions of the maxilla and mandible were obtained from 6 mature male beagle dogs. The indentation properties of the alveolar bone proper and more distant osteonal cortical bone were estimated. The bone types were further divided into 3 regions (coronal, middle, and apical), with 27 indents being made in each region of tooth-supporting bone. There was a significant difference (p < 0.001) in the indentation moduli of the jaws (maxilla/mandible), location (anterior/posterior), and bone type (alveolar bone proper vs. cortical bone). However, statistical interactions exist which preclude the simple interpretation of results. The distribution of relative stiffness provides a better understanding of bone adaptations in the alveolar process. [ABSTRACT FROM AUTHOR]

The Xenarthra, particularly the Tardigrada, are with the Notoungulata and Marsupialia among the most diversified South American mammals. Lujanian South American Land Mammal Age localities from the coastal Piedra Escrita site and Andean Casa del Diablo Cave, Peru, have yielded three specimens of the Megalonychidae Diabolotherium nordenskioldi gen. nov. This singular fossil sloth exhibits a peculiar mosaic of cranial and postcranial characters. Some are considered convergent with those of other sloths (e.g. 5/4 quadrangular teeth, characteristic of Megatheriidae), whereas others clearly indicate climbing capabilities distinct from the suspensory mode of extant sloths. The arboreal mode of life of D. nordenskioldi is suggested by considerable mobility of the elbow, hip, and ankle joints, a posteriorly convex ulna with an olecranon shorter than in fossorial taxa, a radial notch that faces more anteriorly than in other fossil sloths and forms an obtuse angle with the coronoid process (which increases the range of pronation–supination), a proximodistally compressed scaphoid, and a wide range of digital flexion. D. nordenskioldi underscores the great adaptability of Tardigrada: an arboreally adapted form is now added to the already known terrestrial, subarboreal, and aquatic (marine and freshwater) fossil sloths. A preliminary phylogenetic analysis of the Tardigrada confirmed the monophyly of Megatherioidea, Nothrotheriidae, Megatheriidae, and Megalonychidae, in which Diabolotherium is strongly nested. © 2007 The Linnean Society of London, Zoological Journal of the Linnean Society, 2007, 149, 179–235. [ABSTRACT FROM AUTHOR]

Objective--To evaluate the involvement of various collagen genes in the development of fragmented medial coronoid process (FCP) in Labrador Retrievers, Sample Population--93 dogs originating from 13 litters were used in the study; FCP was diagnosed in 35 dogs, and each affected dog had at least 1 sibling that was also affected. Twelve dams and sires were included in the analysis. All dogs were purebred Labrador Retrievers except for 2 litters (offspring of a female Golden Retriever-Labrador Retriever mixed-breed dog). Procedures--For each dog, DNA was isolated from blood samples. Polymorphic microsatellite markers adjacent to 14 candidate genes (ie, COL1A1, COL1A2, COL2A1, COL3A1, COL5A1, COL5A2, COL6A3, COL9A1, COL9A2, COL9A3, COL10A1, COLI1A1, COL11A2, and COL24A1) were analyzed by use of PCR assays; genotypes were determined via automated detection of DNA products. The level of allele sharing between pairs of affected siblings was assessed. Results--Among the 93 dogs, allele sharing of the 14 collagen genes was determined as follows: COL1A1, 46%; COL1A2, 47%; COL2A1, 37%; COL3A1, 32%; COL5A1, 43%; COL5A2, 32%; COL6A3, 36%; COL9A1, 45%; COL9A2, 49%; COL9A3, 38%; COL10A1, 46%; COL11A1, 52%; COL11A2, 47%; and COL24A1, 47%. Conclusions and Clinical Relevance--Because siblings share 60% of their genome at random, the fact that the percentages of allele sharing among the analyzed collagen genes were not significantly > 50% indicates that these genes are not determinant candidates for FCP in Labrador Retrievers. The gene for the vitamin D receptor could also be excluded because of its proximity to COL2A1. [ABSTRACT FROM AUTHOR]

Objective To determine if fatigue microdamage is associated with fragmented medial coronoid process (FMCP). Study Design Prospective study. Animals Thirty-eight dogs were admitted for subtotal coronoid ostectomy as treatment for FMCP. Surgical specimens of medial coronoid process (MCP) were retrieved from treated dogs. Normal MCP were collected from 5 age- and breed-matched dogs and 2 age-matched research beagles that were euthanatized for reasons other than elbow disease. Methods MCP specimens from affected elbows were classified into 4 groups based on disease severity. Specimens were bulk-stained for microdamage using 1% basic fuchsin, embedded in polymethylmethacrylate and sectioned at 130 μm. Specimens were evaluated using epifluorescent microscopy (425–440 excitation, 475 nm barrier filter) for diffuse damage (D.DX), osteocyte loss, and porosity. Cartilage thickness was evaluated using bright field microscopy. Qualitative observations were also made. Results MCP specimens from affected elbows had increased D.Dx, increased osteocyte loss, and greater porosity than normal groups. Specimens classified as severe FMCP (Classes 3, 4) had the most fatigue microdamage. Some Class 1 specimens, defined as having no visible fissuring of the articular cartilage (AC), had large microcracks in trabecular bone. Conclusions Accumulation of subchondral fatigue microdamage, is associated with MCP fragmentation. Fissuring occurs in the subchondral bone before gross fibrillation of articular cartilage develops. Clinical Relevance Accumulation of fatigue microdamage in the MCP is important in the pathogenesis of FMCP. The underlying cause of this microdamage accumulation must be identified before treatment plans that will prevent further osteoarthritis of the elbow joint can be designed. [ABSTRACT FROM AUTHOR]

The shape of and proportions between the surface areas of the medial coronoid process (MCP) and the fovea of the radial head were determined in 88 juvenile dogs and 146 adult dogs grouped as giant, large, mid-sized, chondrodystrophic, or small dogs. Thereby, the longitudinal (length) and transverse (width) extension of the MCP and fovea of the radial head have been measured. Original values were used to describe changes of the parameters attributed to growth. Normalized values (i.e. values expected in case of a width of the fovea of the radial head of 20 mm) were used to determine potential differences between constitutional types. All original values increased during growth ( P < 0.05) except for the width and length of the MCP in chondrodystrophic and small breeds. Normalized values revealed a proportional decrease in width and length of the MCP during growth ( P < 0.05) compared with the radial head. In adults, the normalized MCP was widest in giant dogs followed by large, mid-sized, small, and chondrodystrophic breeds. The MCP was also longest in giant dogs but shortest in large and chondrodystrophic dogs with those of large dogs being significantly ( P < 0.05) shorter than those in giant, mid-sized and small dogs. Present results suggest that a deficiency in length-growth of the MCP – which has been present especially in large dogs – results in smaller humeral contact areas and decreased weight-bearing capacity of the MCP. Because loading forces acting on the MCP increase with body weight, the condition noted in large dogs might increase the risk of fragmentation of the MCP in these. [ABSTRACT FROM AUTHOR]

Background: Aneurysmal bone cysts are relatively uncommon in the facial skeleton. These usually affect the mandible but origin from the coronoid process is even rarer. To the best of our knowledge, this is the first reported case of a coronoid process aneurysmal bone cyst presenting as temporal fossa swelling. Case presentation: A 17 year old boy presented with a progressively increasing swelling in the left temporal region developed over the previous 8 months. An expansile lytic cystic lesion originating from the coronoid process of the left mandible and extending into the infratemporal and temporal fossa regions was found on CT scan. It was removed by a superior approach to the infratemporal fossa. Conclusion: Aneurysmal bone cyst of the coronoid process can attain enormous dimensions until the temporal region is also involved. A superior approach to the infratemporal fossa is a reasonable approach for such cases, providing wide exposure and access to all parts of the lesion and ensuring better control and complete excision. [ABSTRACT FROM AUTHOR]

A 20-week-old male golden retriever, which was not lame and showed no clinical signs of a fragmented medial coronoid process (FCP), was euthanased for another study and perfused intravenously with formaldehyde. Gross dissection revealed no abnormalities within the right elbow joint. The medial coronoid process was excised, embedded in methylmethacrylate, scanned in a microcomputed tomography (microCT) scanner and sectioned for histology. The microCT scans revealed a dense trabecular bone structure, much denser than in other dogs of similar age, which was considered to be responsible for the sclerosis visible at the base of the coronoid process in radiographs. Three-dimensional reconstructions indicated that there was a small step within the subchondral bone, extending from the apex towards the radial notch. Histology revealed a necrotic lesion between locally thickened articular cartilage and the subchondral bone, characteristic of osteochondrosis. [ABSTRACT FROM AUTHOR]

The cephalic and pectoral girdle structures of Schilbe mystus are described and compared with those of other schilbids, as well as several other non-schilbid catfishes, as the foundation for a discussion on the monophyly and the phylogenetic relationships of the Schilbidae. Our observations and comparisons suggest that the family Schilbidae is a monophyletic group, defined, at least, by three autapomorphies, namely: 1) the adductor mandibulae A2 is lateral to the A1-Ost; 2) the posterior margin of the horizontal portion of Meckel's cartilage is situated further beyond the coronoid process; 3) the adductor mandibulae Aω is visible in a lateral view of the cephalic region. With respect to the phylogenetic relationships of the Schilbidae, our observations and comparisons support a close relationship between this family and the Pangasiidae. [ABSTRACT FROM AUTHOR]

Thirty 3-week-old male Wistar rats were grouped into a hard diet control group, a kneaded-diet group, and a powdered-diet group. After 6 weeks of growth, all rats were killed under deep anesthesia. The effects of dietary physical consistency on the mandible were investigated with respect to morphology and bone mineral content using lateral cephalometric analysis and computed X-ray densitometry. Significant differences between the experimental and control groups were determined by measuring the means and standard deviation of the coordinates and differences between 15 points selected on the mandibles. Gonion (Go), which is a measurement of depth to the X-axis, was significantly less in the powdered-diet group, while the kneaded-diet group showed no significant differences. The most posterior point of the coronoid process (Cr) and the most posterior point of condylar process (Cd), which are measures of height to the Y-axis, were less in the kneaded-diet group than in the control group. In the powdered-diet group, Cr, Cd, Go and Infradentale were significantly less than in the control group. On the other hand, the bone mineral content was significantly lower in the coronoid process and angle of mandible in only the powdered-diet group. [ABSTRACT FROM AUTHOR]

The outlines of mandibular rami, condyles, coronoid process, and corpus in panoramic radiographs of normal children from deciduous to early permanent dentition were traced and digitized. Nine linear and four angular measurements were measured. During the observation period, the lengths for all the linear measurements increased, however, the angles for all the angular measurements decreased. The shape of condyle and gonion significantly correlated with the growth of ramus and corpus. [ABSTRACT FROM AUTHOR]

Coronoid hyperplasia is a rare condition of unknown aetiology that can occur in both unilateral and bilateral forms. Without radiographic investigation the diagnosis is often missed. Researchers have postulated a familial form of inheritance. This study reports the occurrence of coronoid hyperplasia in two brothers. The parents were unaffected and there are no other siblings. The diagnosis was confirmed with the aid of panoramic radiographs and axial computed tomographic scans with para-sagittal reconstructions which demonstrated enlargement of the coronoid processes and in one case impingement against the zygomatic bone. One brother was successfully treated with a unilateral intra-oral coronoidectomy whilst the other was unsuccessfully treated with a bilateral intra-oral coronoidectomy.Dentomaxillofacial Radiology (2002) 31, 142–146 DOI: 10.1038/sj/dmfr/4600672 [ABSTRACT FROM AUTHOR]

Objectives: To compare (1) the accuracy of 3DCT wilt rapid prototyping (RP) models and (2) their application in the management of coronoid hyperplasia. Methods: An adult dry skull was used to compare 3DCT and a RP model for accuracy of reproduction; Polymerisation contraction and 17 distances between 27 anatomical points were measured. Two patients with coronoid process hyperplasia were assessed by means of 3DCT and plastic models. Results: Differences in measurements with the RP model and the dried skull were smaller than those with 3DCT (P=0.04). Polymerisation contraction was greater than the errors in reproduction with the RP model and approximately equal to those with the 3DCT. The coronoid process was thick and prominent in the patients with coronoid process hyperplasia and the small space and early contact between zygomatic arch and the coronoid process demonstrated. The plastic model duplicated the exostosis of the inner surface of the malar bone facing the concavity of the elongated process. The coronoid process had an anterior tilt in one case. Conclusion: The plastic model duplicated the relationship between the maxillofacial deformity and the coronoid process with tolerable accuracy. Trismus may be due to the direction as well as the length of the enlarged coronoid process. [ABSTRACT FROM AUTHOR]

Muscles and bones may dynamically affect the functions of each other, resulting in changes in the activity of the muscle and/or morphological change in the bones. However, alterations of the morphology of the coronoid process have not been documented in relation to the temporal muscle between the mandible and the cranium. Angles of the coronoid process to the line through the right and the left frontotemporale were measured on posteroanterior (PA) cephalograms in patients with normal occlusions and Class II, division 1 malocclusions, and those with true skeletal Class III malocclusions. Standard deviation of the angle of the coronoid process in patients with Class III malocclusions was greater than those subjects with normal occlusion or Class II, division 1 malocclusions. Differences of angles between the right and the left coronoid process in each patient of either sex were significantly large in true skeletal Class III malocclusions (both P < 0·001). Large variation of angle of the coronoid process was related to prognathism, and this effect may represent adaptation of temporal muscle function to a variety of alterations in mandibular morphology. [ABSTRACT FROM AUTHOR]

An asymptomatic case in which severe hypodontia and mandibular ectopic impacted teeth in the coronoid processes are visualized through panoramic radiographs, is presented. (Quintessence Int 2004,35: 582-583)http://bkstrm.epnet.com:8080/ai/images/collapse.gif Collapse [ABSTRACT FROM AUTHOR]

A triple fluorochrome labeling sequence was used to measure the osseous activity in the coronoid process after the removal of the temporal muscle. Statistically significant differences between the control and the experimental animals were found for hematoporphyrin, DCAF, DCTC, and total labeled bone. [ABSTRACT FROM AUTHOR]

Objective: To describe the imaging features of primary bilateral coronoid hyperplasia, with particular reference to the use of CT and MRI. Materials: A series of five cases is reviewed. Results: The correct diagnosis was achieved with panoramic radiography alone or with the addition of CT. MRI did not provide additional pre-operative information; it was useful in the postoperative assessment of poor functional recovery in order to determine the presence of haematoma and/or fibrosis. Conclusions: Although panoramic radiography alone can demonstrate this condition, CT has an important role in diagnosis and is useful for an adequate surgical planning by allowing assessment of the size of impingement of the coronoid processes. MRI is useful for evaluating postoperative complications involving soft tissue. [ABSTRACT FROM AUTHOR]

Several disorders affecting the masticatory system can cause limited mouth opening, of which, coronoid hyperplasia is a rare yet plausible cause. It may be congenital or developmental in origin, and leads to excessive growth of the coronoid process which impinges against the posterior portion of the zygomatic bone, causing restricted mouth opening. The current paper presents a case of coronoid hyperplasia in a young male, the etiology of which was diagnosed to be hyperactivity of the temporalis muscle. Although this is an uncommon finding, yet, through proper clinical examination and radiographic imaging, this condition may be diagnosed accurately. [ABSTRACT FROM AUTHOR]

This article discusses the effects of the removal of the temporalis muscle on the physiology of the coronoid process and the mandible. The experimenters detached these muscles in guinea pigs so as to determine whether or not this procedure reduced the size of the coronoid process. The authors found that removing the tension provided by the temporalis muscle from the mandible did not cause a reduction in the size of the coronoid process.

This article reports on the vascular architecture of the mandible in humans. The article discusses blood vessels in the mandibular condyle and research on arteries, arterial planes, and capillaries. Information is provided on research conducted on human male cadavers that examined carotid and alveolar arteries, the coronoid process, and the morphology of the mandible.

The article reports on measurement on radiographs. A study was conducted using 101 unburied crania of Native Americans from which the brain case was extracted in order to eliminate the incidence of destroyed bone structures like the coronoid processes. The cranial base had a lead thread placed on it to make it more distinct in the radiograph as well as a tantalum powder.

The article presents research examining methods of investigation the vascular architecture of the mandible. A review of dental literature reveals a lack of knowledge on the subject. Experiments involving the study of the vascular architecture of the mandible in cats, dogs and humans are detailed. The majority of blood vessels arising from the interior dental vessels pass upward to the alveolar border. It was observed that the lower border of the mandible is mainly supplied by periosteal vessels.

The article provides information on the coracoid process, a hooked bony protuberance arising from the superior border of the scapula facing towards the glenoid, and on the coronoid process, which is found on both the ulna and mandible.

PURPOSE: To evaluate the clinical effect of joint reconstruction by using autogenous coronoid process graft to treat temporomandibular joint (TMJ) ankylosis. METHODS: Nine cases of TMJ ankylosis from September 2008 to September 2010 were surgically treated by joint reconstruction with autogenous coronoid process graft, using autogenous articular disc or prosthodontic membrane as interpositional material. Mouth opening, occlusion and cone beam CT(CBCT) were used for evaluation before and after surgery. RESULTS: Satisfactory mouth opening was achieved in all patients and no one got occlusal changes or reankylosis during follow-up. CBCT showed that coronoid process graft reached bone union with the ramus and turned to be round. CONCLUSIONS: It is effective to cure TMJ ankylosis through joint reconstruction with autogenous coronoid process graft. [ABSTRACT FROM AUTHOR]

Osteochondroma, also known as osteocartilaginous exostosis is a benign cartilage forming tumor that usually develops in long bones and relatively uncommon in the craniofacial region. Both the condyle and coronoid tip being the most common sites of occurrence in themandible, it rarely appears at the symphysis region. Here, we describe a case of osteochondroma arising fromthe left parasymphysis of mandible. [ABSTRACT FROM AUTHOR]

Abstract: We describe the case of a large unilocular cystic lesion in a young patient in the body–ramus region extending up to the coronoid process of the mandible that was removed via sagittal split of the mandible. The benefits of the approach as compared with other surgical approaches for the management of such lesions were also discussed. This article shows that the sagittal split osteotomy continues to have a valuable role in the removal of various cysts, benign tumors and deeply impacted lower third molars, particularly when they are in high ramal region and in close proximity to the inferior alveolar nerve. [Copyright &y& Elsevier]

The article describes the case of unilateral coronoid hyperplasia presenting in adolescence. Clinical analysis showed that the patient had a deviation to the right hand side on the mandibular opening. Orthopantomographic examination revealed an elongation of the right coronoid process. A gross enlargement of the right coronoid with impingement upon the inner aspect of the zygomatic bone was manifested in a computed tomography scan. A right coronoidectomy was conducted four years later.

Central giant cell granuloma (CGCG) is an intra-osseous lesion consisting of cellular fibrosis tissue containing multiple foci of hemorrhage, multinucleated giant cells and trabecules of woven bone.1 This lesion accounts for less than 7% of all benign jaw tumours.2 Jaffe3 considered it as a locally reparative reaction of bone, which can be possibly due to either an inflammatory response, hemorrhage or local trauma. Females are affected more frequently than males. It occurs over a wide age range.4 It has been reported that this lesion is diagnosed during the first two decades of life in approximately 48% of cases, and 60% of cases are evident before the age of 30. It is considerably more common in the mandible than in the maxilla. Most lesions occur in the molar and premolar area, some of these extending up to the ascending ramus. The presence of giant cell granuloma in the mandibular body area, the entire ramus, condyle and coronoid represents a therapeutic challenge for the oral and maxillofacial surgeons. The aim of this report is to describe an unusual presentation of central giant cell granuloma involving the mandibular body, ramus, condylar and coronoid processes, and to discuss the differentiated diagnosis, the radiographic presentation and the management of this lesion. [ABSTRACT FROM AUTHOR]

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Ectopic eruption of teeth occurs in a variety of locations. Commonly seen in palate and maxillary sinus, they have also been reported in nasal cavity, orbit, mandibular condyle, coronoid process, and facial skin. Here, we report a rare case of recurrent sinusitis caused by ectopic tooth in right ethmoid sinus and successful endoscopic removal of it. The symptoms of the patient disappeared after surgery. Such case has not been yet reported in the English literature. Ectopic tooth is an uncommon cause of sinusitis. It should be considered in patients presenting with recurrent sinusitis unresponsive to medical treatment. Computed tomography of the sinuses is the modality of choice for diagnosis. Endoscopic sinus surgery is the best method for management of such cases. [ABSTRACT FROM AUTHOR]

An unusual accidental displacement of a mandibular third molar crown into the parapharayngeal space in an adult female patient is reported. In combination with clinical examination, conventional and advanced radiographic techniques were utilised in order to locate the crown for retrieval surgery. Under general anaesthesia, an incision starting from buccal sulcus towards distobuccal angle of the second molar at gingival margin was extended to the coronoid process. The dislodged crown was found by means of blunt dissection and grasped with a pair of artery forceps and removed. [ABSTRACT FROM AUTHOR]

A rare case of aneurysmal bone cyst (ABC) located in the coronoid process of the mandible in a 12-year-old girl is presented. Treatment consisted of excision of the lesion through preauricular, submandibular and intraoral approach. An access osteotomy distal to second molar region was required to gain access to medial side of the coronoid process. To our knowledge, this is the third case of an aneurysmal bone cyst of the coronoid process of mandible. While examining a patient with a large expansile intrabony jaw cavity with thin peripheral bone, which is filled with blood without presence of bruit, thrills and pulse pressure, the diagnosis of aneurysmal bone cyst should be on top of the differential diagnosis list. Seventy-four to eighty-five percent of aneurysmal bone cysts of jaws occur in 10-20 years age group. Therefore, a pediatric dentist may be the first person to see such a lesion. [ABSTRACT FROM AUTHOR]

A rare case of an aneurysmal bone cyst (ABC) involving the right coronoid process of the mandible in a 12-year-old girl is presented. The characteristic features with fluid-fluid levels within the lesion observed on Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) was helpful in the preoperative diagnosis. [ABSTRACT FROM AUTHOR]

The mandible or the submaxilla is a "U"-shaped pivotal structure, considering the attachment of the muscles of mastication with relation to mastication itself. The coronoid process is a variably shaped beak-like projection at the anterosuperior aspect of the ramus. The anterior border of which is convex and continuous with that of the ramus. Posteriorly, the border is slightly concave and contributes to the mandibular notch. The entire border of the coronoid along with the medial surface provides attachment for the temporalis muscle. Previous studies have shown that the size and shape of the coronoid are correlated to the bite force required by an individual and is dependent upon the mechanical force acting upon it during development. However, little is known about the developmental program leading to the specification of the process. The relative size & shape of the coronoid process varies considerably across individuals. [ABSTRACT FROM AUTHOR]

Background: The coracoid process plays an important role in maintaining the stability of the elbow joint. A fracture of the coronoid process is often treated via surgical approaches, including open reduction and internal fixation, which aim to regain a stable, flexible, and loadable joint. In this study, we compared the anterior, medial, and posterior approaches of internal fixation in the repair of fractures of the coronoid process of the ulna. Methods: In this retrospective study, 147 patients with fractures in the coronoid process of the ulna were recruited and classified into the anterior group (n = 73), the medial group (n = 32), and the posterior group (n = 42) according to the surgical approach used for internal fixation. These patients were assessed with respect to incision, operative time, estimated blood loss, fracture healing, and postoperative complications. The Mayo Elbow Performance Score was used to evaluate any form of disability associated with elbow injuries. Multivariate logistic regression analysis was performed to investigate the factors influencing the efficacy of fractures of the coronoid process of the ulna. Results: In the medial approach group, the operative time was longer, and perioperative blood loss and postoperative drainage volume were obviously increased compared with the anterior and posterior groups. The anterior group exhibited a better postoperative recovery compared with the medial, and posterior groups. Compared with the anterior group, fracture-healing time in the posterior group was further reduced, whereas elbow joint flexion extension and forearm rotation degree improved. Complications were significantly reduced in the posterior approach group compared with the anterior and medial groups. The factors influencing the efficacy of fractures of the coronoid process of the ulna included the Regan–Morrey classification, perioperative blood loss, and the internal fixation approach. Conclusion: In summary, the approach used influences fracture healing or the outcome after osteosynthesis. The posterior internal fixation method produced satisfactory functional outcomes in patients with fractures of the coronoid process of the ulna. [ABSTRACT FROM AUTHOR]