Wedge subcoronoid ostectomy: an alternative to coronoidotomy.

While coronoidotomy and coronoidectomy remain established procedures in maxillofacial surgery, exceptionally enlarged coronoids pose a special challenge, as their intraoral retrieval may be difficult or impossible. Classical coronoidotomy alone in such situations may risk reattachment and recurrence of trismus. The technique described allows creation of sufficient gap and interpositioning at the coronoid base, allowing achievement of satisfactory mouth opening while minimising the risk for reattachment and relapse.