Evaluation of Joint Formation in Coronoid Process Hyperplasia (Jacob’s Disease) on CT and MR Imaging

Background Jacob’s disease is a rare pathology characterized by elongation/ enlargement of coronoid process of mandible with formation of pseudoarticulation with zygomatic arch. It presents clinically as restricted mouth opening and is often misdiagnosed as temporomandibular joint pathology. Case Pr...

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Veröffentlicht in:Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2023-06, Vol.75 (2), p.1035-1039
Hauptverfasser: Arora, Suryansh, Jilowa, Sarita, Swarnkar, Mayank, Kaur, Gurvineet, Sharma, Mukesh Kumar, Taneja, Anil
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container_issue 2
container_start_page 1035
container_title Indian journal of otolaryngology, and head, and neck surgery
container_volume 75
creator Arora, Suryansh
Jilowa, Sarita
Swarnkar, Mayank
Kaur, Gurvineet
Sharma, Mukesh Kumar
Taneja, Anil
description Background Jacob’s disease is a rare pathology characterized by elongation/ enlargement of coronoid process of mandible with formation of pseudoarticulation with zygomatic arch. It presents clinically as restricted mouth opening and is often misdiagnosed as temporomandibular joint pathology. Case Presentation We performed cross sectional imaging and evaluation of Jacob’s disease in a 14-year-old girl with restricted mouth opening, CT images including Multiplanar Reconstruction and Volume Rendered Technique revealed enlarged left coronoid process of mandible while open mouth CT images and MR images concluded the presence of joint between enlarged coronoid process and zygomatic arch. Conclusions Coronoid process hypertrophy and Jacob’s disease are important differentials which should be considered in evaluation of restricted mouth opening. We propose that apart from CT, MR imaging should be considered in such cases for better pre-operative evaluation of joint formation.
doi_str_mv 10.1007/s12070-022-03323-7
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It presents clinically as restricted mouth opening and is often misdiagnosed as temporomandibular joint pathology. Case Presentation We performed cross sectional imaging and evaluation of Jacob’s disease in a 14-year-old girl with restricted mouth opening, CT images including Multiplanar Reconstruction and Volume Rendered Technique revealed enlarged left coronoid process of mandible while open mouth CT images and MR images concluded the presence of joint between enlarged coronoid process and zygomatic arch. Conclusions Coronoid process hypertrophy and Jacob’s disease are important differentials which should be considered in evaluation of restricted mouth opening. 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It presents clinically as restricted mouth opening and is often misdiagnosed as temporomandibular joint pathology. Case Presentation We performed cross sectional imaging and evaluation of Jacob’s disease in a 14-year-old girl with restricted mouth opening, CT images including Multiplanar Reconstruction and Volume Rendered Technique revealed enlarged left coronoid process of mandible while open mouth CT images and MR images concluded the presence of joint between enlarged coronoid process and zygomatic arch. Conclusions Coronoid process hypertrophy and Jacob’s disease are important differentials which should be considered in evaluation of restricted mouth opening. 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subjects Clinical Report
Head and Neck Surgery
Hyperplasia
Jaw
Magnetic resonance imaging
Medicine
Medicine & Public Health
Otorhinolaryngology
Tomography
title Evaluation of Joint Formation in Coronoid Process Hyperplasia (Jacob’s Disease) on CT and MR Imaging
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