Application and effects of condylectomy in asymmetric patients with condylar hyperplasia.
10.4041/kjod.2008.38.6.437
- Author:
Kyoung Sub LIM
1
;
Jung Yul CHA
;
Chung Ju HWANG
Author Information
1. Department of Orthodontics, School of Dentistry, Yonsei University, Korea.
- Publication Type:Case Report
- Keywords:
Condylar hyperplasia;
Condylectomy;
Treatment stability
- MeSH:
Facial Asymmetry;
Humans;
Hyperplasia;
Mandible;
Orthognathic Surgery
- From:Korean Journal of Orthodontics
2008;38(6):437-455
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Condylar hyperplasia is a pathologic condition showing 3-dimensional skeletal hyperplasia of the mandible. The reason for condylar hyperplasia is not yet known, but the effects of hormone, trauma, infection, genetics, fetal condition, and hypervascularity are known as possible reasons. When we diagnose a patient as having condylar hyperplasia, it is important to decide if it is in progress or not. Treatment for facial asymmetry due to condylar hyperplasia are decided accordingly, including condylectomy, that is removal of growth site of the affected condyle, and conventional orthognathic surgery only or condylectomy with orthognathic surgery after the completion of growth. Therefore, it is important to determine the growth state of condylar hyperplasia in treatment stability. This is verified through bone scan and regular check-ups with 3D CT or PA cephalogram. This case report introduces an improved case of facial asymmetry with condylectomy together with orthognathic surgery.