Orthodontic and Surgical Management for Osteoma of the Mandibular Condyle causing Facial Asymmetry and Malocclusion

2008 ◽  
Vol 20 (1) ◽  
pp. 16-20
Author(s):  
Tadahide Noguchi ◽  
Yoshinori Jinbu ◽  
Kenichi Sasaguri ◽  
Yoshiyuki Tsuchiya ◽  
Keiichi Tsukinoki ◽  
...  
Keyword(s):  
Surgical Management ◽  
Mandibular Condyle ◽  
Facial Asymmetry

Are You Overlooking Fractures of the Mandibular Condyle?

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 639-641
Author(s):  
ROBERT W. T. MYALL ◽  
GEORGE K. B. SANDOR ◽  
CRYSTAL E. B. GREGORY
Keyword(s):  
Soft Tissue ◽  
Invasive Surgery ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Mandibular Condyle ◽  
Facial Asymmetry ◽  
Dental Occlusion ◽  
Condylar Fracture ◽  
Oral And Maxillofacial Surgeon ◽  
Rapid Deceleration

Fractures of mandibular condyle may be overlooked because attention is often focused on readily apparent soft tissue injury such as lacerations and abrasions. Clinical and radiographic signs are often subtle, but the injuries caused by rapid deceleration and listed in Table 2 will serve to alert the pediatrician to the possibility of such fractures. All children in these circumstances should be carefully examined for dental occlusion and the preauricular area palpated to help formulate a clinical diagnosis. Additional evidence is gained from the finding of deviation or limitation of the jaw upon opening or edema in the preauricular area. If any of these yield abnormal findings, a good quality series of mandibular radiographs will be needed to confirm the diagnosis. Overlooking a condylar fracture may commit a child to unsightly facial asymmetry, marked malocclusion, or ankylosis requiring invasive surgery for correction. Consultation with an oral and maxillofacial surgeon or other interested specialist should be sought while the patient is still in the emergency room.

scholarly journals Condylar fracture in a paediatric patient undergoing conservative and functional treatment: Case report

2021 ◽  
Vol 10 (4) ◽  
pp. e58510414429
Author(s):  
Guilherme Borsato Gomes ◽  
Leticia Sassaki Correia ◽  
Fernanda Schimidt de Freitas ◽  
Vinicius Almeida Carvalho ◽  
Cecília Luiz Pereira Stabile ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Mandibular Condyle ◽  
Facial Asymmetry ◽  
Fracture Site ◽  
Tissue Growth ◽  
Dental Occlusion ◽  
Mandibular Movement ◽  
Long Term Effects ◽  
Condylar Fracture ◽  
Total Recovery

Trauma to the jaw can lead to fracture of the mandibular condyle. Prevalence in children is low and treatment should focus on possible long-term effects on facial bone and soft tissue growth. Trauma can result in dysfunction, facial asymmetry, mandibular retraction, dysfunction and stiffness of the temporomandibular joint. Clinical examination and imaging tests are essential to obtain an accurate diagnosis and an effective treatment to avoid possible complications. Treatment can be surgical or non-surgical, but non-surgical treatment is the method of choice in most cases. The aim of this study is to report a case of mandibular condylar fracture in a pediatric patient who underwent conservative and functional care who, with adequate monitoring by the Maxillofacial Surgery and Traumatology team and family, showed complete remodeling of the fractured bone and total recovery of the dental occlusion. Treatment in pediatric patients through conservative management allows an adequate range of mandibular movement and remodeling at the fracture site, but patient and family adherence to treatment is very important to obtain good results.

scholarly journals Treatment of Atypical Bifid Mandibular Condyle Associated with Ankylosis of the Temporomandibular Joint

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Katheleen Miranda ◽  
André Sander Carneiro ◽  
Jennifer Tsi Gerber ◽  
Suyany Gabriely Weiss ◽  
Leandro Eduardo Klüppel ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Treatment Plan ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Lateral Deviation ◽  
Tmj Ankylosis ◽  
History Of ◽  
The Right

Introduction. The bifid mandibular condyle (BMC) is an unusual temporomandibular joint (TMJ) disorder with controversial etiology. The association of this entity with ankylosis is rare. Objective. The objective of the present study is to report a case of BMC with associated TMJ ankylosis in a patient with no history of trauma and/or infection. Case Report. A 17-year-old male patient sought care reporting pain on the right TMJ region and mastication difficulty due to a severe limitation of mouth opening. In the clinic and imaging examinations, a 15 mm mouth opening and BMC associated with ankylotic mass of the right TMJ were observed, besides a facial asymmetry with chin deviation to the right. The proposed treatment plan was condylectomy on the right side, bilateral coronectomy, and genioplasty, so the chin lateral deviation could be corrected, under general anesthesia. The patient remains under clinical and imaging follow-up of two years with functional stability and no signs of relapse of the ankylosis. Conclusion. The association of BMC with ankylosis is an atypical entity which must be diagnosed and treated early to prevent aesthetic and functional damages to the patient.

scholarly journals Inferior Oblique Muscle Overaction: Clinical Features and Surgical Management

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Ercan Ozsoy ◽  
Abuzer Gunduz ◽  
Emrah Ozturk
Keyword(s):  
Clinical Features ◽  
Surgical Management ◽  
Medical Records ◽  
Facial Asymmetry ◽  
Oblique Muscle ◽  
Inferior Oblique Muscle ◽  
Convergence Insufficiency ◽  
Abnormal Head ◽  
Patient Groups

Purpose. To further define the clinical features of patients with inferior oblique muscle overaction (IOOA) and evaluate the surgical results in a subgroup of these patients. Methods. The medical records of 173 patients who underwent inferior oblique muscle (IO) weakening surgery due to primary or secondary IOOA were retrospectively reviewed. The patients were assigned a surgical group based on severity of IOOA and presence of dissociated vertical deviation (DVD) or hypertropia. Patients with +1 or +2 IOOA underwent recession, patients with +3 or +4 IOOA underwent myectomy, and patients with any grade of IOOA and DVD or hypertropia underwent anterior transposition (AT) surgery. Results. A total of 286 eyes of 173 patients who underwent surgery due to IOOA were included in the study. IOOA was accompanied by esotropia, exotropia, abnormal head posture (AHP), pattern strabismus, convergence insufficiency, DVD, facial asymmetry, and nystagmus. The most common comorbid disorder was esotropia. The recession was used in 173 eyes, myectomy in 64, and AT in 49. Surgical success was obtained in 96.0% of eyes that underwent recession, in 98.4% of eyes that underwent myectomy, and in 93.9% of eyes that underwent AT. In the follow-up, IOOA occurred in the fellow eye in 36.1% of patients who underwent unilateral surgery. Conclusions. This study is a comprehensive report on the concomitants of the IOOA. Also, it showed that all of the three surgical procedures including recession, myectomy, and AT are effective in the surgical management of IOOA when performed in select patient groups.

scholarly journals Temporomandibular Joint Anatomy Assessed by CBCT Images

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Silvia Caruso ◽  
Ennio Storti ◽  
Alessandro Nota ◽  
Shideh Ehsani ◽  
Roberto Gatto
Keyword(s):  
Temporomandibular Joint ◽  
Full Text ◽  
Human Subjects ◽  
Case Reports ◽  
Mandibular Condyle ◽  
Facial Asymmetry ◽  
Craniofacial Morphology ◽  
Qualitative Synthesis ◽  
Eligibility Criteria ◽  
Clinical Series

Aim. Since cone beam computed tomography (CBCT) has been used for the study of craniofacial morphology, the attention of orthodontists has also focused on the mandibular condyle. The purpose of this brief review is to summarize the recent 3D CBCT images of mandibular condyle. Material and Methods. The eligibility criteria for the studies are (a) studies aimed at evaluating the anatomy of the temporomandibular joint; (b) studies performed with CBCT images; (c) studies on human subjects; (d) studies that were not clinical case-reports and clinical series; (e) studies reporting data on children, adolescents, or young adults (data from individuals with age ≤ 30 years). Sources included PubMed from June 2008 to June 2016. Results. 43 full-text articles were initially screened for eligibility. 13 full-text articles were assessed for eligibility. 11 articles were finally included in qualitative synthesis. The main topics treated in the studies are the volume and surface of the mandibular condyle, the bone changes on cortical surface, the facial asymmetry, and the optimum position of the condyle in the glenoid fossa. Conclusion. Additional studies will be necessary in the future, constructed with longitudinal methodology, especially in growing subjects. The limits of CBCT acquisitions are also highlighted.

scholarly journals Nonsyndromic Facial Asymmetry with Unilateral Condylar Aplasia

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Ranganadh Nallamothu ◽  
Rama Mohan Kodali ◽  
N. Koteswara Rao ◽  
Leela krishna Guttikonda ◽  
U. Vijayalakshmi
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Treatment Plan ◽  
Mandibular Condyle ◽  
Facial Asymmetry ◽  
Abnormal Development ◽  
3D Ct ◽  
Radiological Findings ◽  
High Quality ◽  
Prompt Treatment

Introduction.The temporomandibular joint (TMJ) is the most complex elegantly designed joint in the human body. Abnormal development and growth of TMJ may lead to condyle aplasia present in several syndromes expressions, but it is extremely rare when not connected to any underlying pathological disorder or in conjunction with any syndrome.Objective.A rare case of aplasia of the mandibular condyle is presented, along with 3D computed tomography (3D CT) findings.Conclusion.Based on clinical and radiological findings we suggest the abnormal development of the TMJ as the origin. The 3D CT has provided high-quality images, which made diagnosis and a prompt treatment plan possible.

scholarly journals Is distal segment ostectomy essential for stabilization of the condylar position in patients with facial asymmetry?

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Ki Eun Hong ◽  
Eun Sup Shin ◽  
Jun Park ◽  
Ji Eon Yun ◽  
Chul Hoon Kim ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Clinical Symptoms ◽  
Mandibular Condyle ◽  
Facial Asymmetry ◽  
Position Change ◽  
Sagittal Split Ramus Osteotomy ◽  
Group I ◽  
Significant Difference ◽  
Before And After ◽  
Condylar Position

Abstract Background The purpose of this retrospective study was to evaluate the postoperative change in the position and stability of the mandibular condyle after bilateral sagittal split ramus osteotomy (BSSRO) and BSSRO with distal segmental ostectomy (DSO) in patients with facial asymmetry using 3D computed tomography. Methods The condyles of the patient diagnosed with facial asymmetry were divided into the deviated side (DS) and the non-deviated side (NDS). Group I, which was treated with BSSRO only, and Group II, which additionally received DSO along with BSSRO, were superimposed on the condyle using the pre-and postoperative 3D CT. The amount of condylar change in anteroposterior displacement, mediolateral displacement, and rotation was measured. The clinical symptoms of temporomandibular joint were also evaluated before and after surgery for each patient. Results Between Groups I and II, there was no statistically significant difference in the anteroposterior condylar position on both DS and NDS. And also, there was no statistical difference between the two groups in the mediolateral change on DS but, statistically significant difference on NDS. The change in the rotation of the condyle was observed to rotate inward from both condylar heads of Groups I and II, and a statistically significant difference was observed between the two groups on both DS and NDS. Moreover, no difference in clinical temporomandibular joint symptoms was observed after surgery in each DS and NDS condyle of the two groups. Conclusions As a result of analyzing the condylar position change of the group treated with BSSRO alone and the group treated with BSSRO and DSO in patients with facial asymmetry, there were statistically significant differences in the mediolateral displacement of NDS and the condyle rotation of NDS and DS. However, the anteroposterior condylar position did not show any difference in the bilateral condyles. In addition, since worsening clinical symptoms of bilateral temporomandibular joint were not observed before and after surgery in both groups, it is concluded that it is not necessary to accompany DSO in patients with facial asymmetry (minimum 3 mm, maximum 7 mm).

scholarly journals Condylar Hyperplasia

2012 ◽  
Vol 13 (6) ◽  
pp. 914-917 ◽  
Author(s):  
Subhash Chandra ◽  
G Anitha ◽  
Uma Shankar ◽  
BHV Rama Krishnam Raju ◽  
K Venkata Srikanth ◽  
...  
Keyword(s):  
Mandibular Condyle ◽  
Facial Asymmetry ◽  
Unaffected Side ◽  
Condylar Hyperplasia

ABSTRACT Condylar hyperplasia (CH), as the name suggests, affects mandibular condyle producing overgrowth of condyle, which is characterized by a slowly progressive, usually unilateral enlargement of the mandible, facial asymmetry and deviation of chin to the unaffected side. The condition is known to be selflimiting, usually begins around puberty, but may not be recognized until later in life. This paper reports a case of severe facial asymmetry secondary to CH, which was successfully treated by high condylectomy only. How to cite this article Shankar U, Chandra S, Raju BHVRK, Anitha G, Srikanth KV, Laheji A. Condylar Hyperplasia. J Contemp Dent Pract 2012;13(6):914-917.

scholarly journals Osteochondroma of the temporomandibular joint: a case report

2010 ◽  
Vol 21 (3) ◽  
pp. 253-258 ◽  
Author(s):  
Estevam Rubens Utumi ◽  
Irineu Gregnanin Pedron ◽  
Andréia Perrella ◽  
Camila Eduarda Zambon ◽  
Marcelo Minharro Ceccheti ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Contralateral Side ◽  
Limited Mouth Opening ◽  
Oral And Maxillofacial Region ◽  
Preauricular Approach ◽  
Condylar Morphology

Osteochondroma of the mandibular condyle has been found in the oral and maxillofacial region rarely. This paper describes a case of osteochondroma of the mandibular condyle in a 20-year-old woman, who was referred to our service with facial asymmetry, prognathic deviation of chin, cross-bite to the contralateral side, changes in condylar morphology, limited mouth opening, and malocclusion. Computed tomography (CT) was performed for better evaluation to the pathological conditions on the temporomandibular joint. Based on the clinical examination, patient history, and complementary exams, the hypothesis of osteochondroma was established. Condylectomy was performed using a preauricular approach with total removal of the lesion. After 3 years of postoperative follow up and orthodontic therapy, the patient is symptom-free, and has normal mouth opening with no deviation in the opening pattern.

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