Bilateral Hyperplasia of the Coronoid Process in Pediatric Patients: What is the Gold Standard for Treatment?

Abstract

OBJECTIVES\nThe aim of this systematic review of the literature is to describe treatment options for bilateral coronoid process hyperplasia in pediatric patients, to describe etiologic and diagnostic correlations with the treatment, and to evaluate long-term follow-up treatment outcomes.\n\n\nMETHODS\nA systematic revision of the literature was performed in the Medline, PubMed, Cochrane library, and Embase database up to December 5, 2017. Predetermined Medical Subject Heading keywords were used: bilateral or monolateral and coronoid or coronoid process and hyperplasia and temporomandibular joint or tmj and ankylosis or trismus and treatment. Results were recorded following PRISMA guidelines.\n\n\nRESULTS\nThe systematic research produced 1459 results excluding duplicates. Two additional studies from Grey literature were also considered. After application of inclusion and exclusion criteria, 38 articles were selected for a qualitative synthesis. Data regarding sex and age of presentation were collected and summarized in a study flow diagram.\n\n\nCONCLUSION\nIt is possible to conclude that early diagnosis is fundamental to restore stomatognathic multifunction. There is lack of longitudinal studies presenting long-term follow-up to determine treatment stability. Coronoidectomy might be considered gold standard treatment for this pathologic condition.