A RARE CASE: BILATERAL BIFID MANDIBULAR CONDYLE

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Semerci Z. M., Tercanlı Alkış H.

4th INTERNATIONAL CONGRESS ON MEDICAL SCIENCES AND MULTIDISCIPLINARY APPROACHES, İstanbul, Türkiye, 26 - 27 Mart 2022, ss.860

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.860
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Introduction/Aim: Bifid mandibular condyle (BMC) is characterized by twinning of the condyle head. With this case report; We aimed to present the clinical and radiological findings of a patient with bilateral bifid mandibular condyle, which was incidentally found on cone-beam computed tomography.

Case Report: Bilateral BMC was detected in cone beam computed tomography of a 26-year-old female patient who was referred to Akdeniz University Oral and Maxillofacial Radiology Department from a different department for preoperative evaluation before impacted tooth operation. The patient was also examined by us, and it was found that there was no systemic disease, trauma, or drug use history that could cause BMC in his anamnesis. In the patient's temporomandibular joint (TMJ) examination; there was pain and a clicking sound in the left joint. On palpation, the masseter and temporal muscles were bilaterally tender and hypertrophied. In intraoral examination; the medial pterygoid muscle was painful on bilateral palpation. With the current clinical examination, the patient was thought to have bruxism and was referred to Oral and Maxillofacial Surgery Department.

Discussion/Conclusion: BMC is more common in men and patients over 20 years of age. Most of the BMC cases are asymptomatic and detected incidentally in routine radiological examinations. Pain, limitation of jaw movements, trismus, ankylosis and asymmetry, TMJ sounds are the symptoms that can be seen. BMK is usually unilateral, but bilateral is rare. In our case, bilateral BMC was detected in a female patient, and the patient had complaints about the TMJ muscles. Therefore, the patient was referred to Oral and Maxillofacial Surgery to evaluate possible treatment options. It should be kept in mind that BMC cases should be followed up even if they are asymptomatic.

Keywords: bifid mandibular condyle, cone beam computed tomography