2014, Number 2
<< Back Next >>
Rev Mex Cir Bucal Maxilofac 2014; 10 (2)
Condylar hyperplasia: report of a case treated by orthognathic surgery and condylectomy
Picco DMI, Huerta ASE, Domínguez LV, Lagunes LMA
Language: Spanish
References: 10
Page: 45-52
PDF size: 558.55 Kb.
ABSTRACT
Condylar hyperplasia is a rare condition that affects the morphology and size of the mandibular condyle; it may or may not have a neoplastic origin. Such alteration produces facial deformity which becomes more evident during puberty, this being the result of an uncontrolled growth of the condyle. The cause of this alteration remains unknown; there have been many causes proposed, such as trauma, hormonal imbalance, circulation problems and infections. Clinical assessment should be used first in its diagnosis, along with image studies such as orthopantomogram, posteroanterior skull and facial skeleton projection and simple photon emission computed tomography and technetium-99. High condylectomy is found in the literature as the main treatment, along with maxillary and mandibular osteotomies, thus offering an adequate recovery to the patient. In this paper we present a case of condylar hyperplasia treated by low condylectomy and bimaxillary osteotomies.
REFERENCES
Muñoz M et al. Active condylar hyperplasia treated by high condylectomy: Report of case. Journal of Oral and Maxillofacial Surgery. 1999; 57: 1455-1459.
Pirttiniemi P et al. Abnormal mandibular growth and the condilar cartilage. European Journal of Orthodontics. 2009; 31: 1-11.
Fariña R et al. Correlation between single photon emission computed tomography, AgNOR count, and histomorphologic features in patients with active mandibular condylar hyperplasia. J Oral Maxillofac Surg. 2011; 69: 356-361.
Jonck L. Codylar hiperplasia, a case for early treatment. International Journal of Oral Surgery. 1981; 10: 154-160.
Saridin C et al. Evaluation of temporomandibular function after high partial condylectomy because of unilateral condylar hyperactivity. J Oral Maxillofac Surg. 2010; 68: 1094-1099.
Villanueva-Alcojol L, Monje F, González R. Hyperplasia of the mandibular condyle: clinical, histopathologic, and treatment considerations in a series of 36 patients. J Oral Maxillofac Surg. 2011; 69: 447-455.
Obwegeser H, Makek M. Hemimandibular hyperplasia-hemimandibular elongation. J Maxillofac Surg. 1986; 14: 183.
Norman JE, Painter DM. Hyperplasia of the mandibular condyle. A historical review of important early cases with a presentation and analysis of twelve patients. J Maxillofac Surg. 1980; 8: 161.
Wolford LM et al. Surgical management of mandibular condylar hyperplasia type 1. Proc (Bayl Univ Med Cent). 2009; 22 (4): 321-329.
Slootweg P, Müller H. Condylar hyperplasia. A clinico-pathological analysis of 22 cases. Journal of Maxillofacial Surgery. 1986; 14: 209-214.