scholarly journals Unilateral Mandibular Condylar Hyperplasia

2017 ◽  
Vol 6 (2) ◽  
pp. 1553
Author(s):  
Neera Ohri ◽  
Indu Dhiman ◽  
Umesh Dhiman ◽  
Parul Uppal
Keyword(s):  
Correct Diagnosis ◽  
Critical Role ◽  
Facial Asymmetry ◽  
Rare Condition ◽  
Radiographic Examination ◽  
Direct Assessment ◽  
Condylar Head ◽  
Condylar Hyperplasia ◽  
Uncertain Etiology ◽  
Head Neck

Mandibular condylar hyperplasia is a relatively rare condition with uncertain etiology affecting the condylar head, neck and many a times body and ramus of mandible. The condition causes facial asymmetry, deviation of the jaw, occlusal derangements and articular dysfunction. Radiographic examination plays a critical role in establishing a correct diagnosis. Bone scintigraphy scan has been found to be effective in direct assessment of condyar activity which aids in proper treatment planning. Here, we report a case of unilateral condylar hyperplasia in a 31year old male patient which was diagnosed and corrected with the help of appropriate radiographic examination.

scholarly journals Correction of severe facial asymmetry: A case with fractured condyle

2019 ◽  
Vol 9 ◽  
pp. 59-64
Author(s):  
Ramesh Agrawal ◽  
Dolly P. Patel ◽  
Bhagyashree B. Desai
Keyword(s):  
Facial Asymmetry ◽  
Post Treatment ◽  
Radiographic Examination ◽  
Rigid Fixation ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
History Of ◽  
Condylar Head ◽  
The Stability ◽  
The Right

The current paper depicts the challenges faced during the treatment of a complicated case of mandibular condylar head fracture, facial asymmetry, and centric relation-centric occlusion (CR-CO) discrepancy along with Class III malocclusion. A 20-year-old female reported with the chief complaint of difficulty in chewing and concern with her appearance due to deviated jaw and had a history of trauma over chin region. The clinical and radiographic examination revealed significant facial asymmetry with long face, right-sided deviation of the mandible, fractured condyle, CR-CO discrepancy, cross- bite with Class III malocclusion, and a missing mandibular single incisor along with non-vital 21 and 22. She was treated with 0.022 MBT appliance along with guiding plane for CR-CO correction followed by asymmetric bilateral sagittal split osteotomy and differential set back on the right and left sides and finally rigid fixation. A good facial profile and functional occlusion were achieved and non-vital 21 and 22 were esthetically rehabilitated with PFM crowns. The stability of surgical as well as orthodontic corrections was excellent and appreciable in the records obtained 2-year post-treatment. When faced with mutilated malocclusion, with multiple problems, sequential correction of functional malocclusion with dental decompensation followed by skeletal correction with surgical approach has yielded a appreciable facial correction with good stability showing 2-year post-treatment follow-up.

scholarly journals Two-Stage Treatment of Facial Asymmetry Caused by Unilateral Condylar Hyperplasia

2014 ◽  
Vol 25 (3) ◽  
pp. 257-260 ◽  
Author(s):  
Samuel Porfírio Xavier ◽  
Thiago de Santana Santos ◽  
Erick Ricardo Silva ◽  
Ana Célia Faria ◽  
Francisco Verissimo de Mello Filho
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Two Stage ◽  
Condylar Head ◽  
Condylar Hyperplasia ◽  
And Function ◽  
Spontaneous Onset

Condylar hyperplasia (CH) is a rare, self-limiting process manifesting between the first and third decades of life. CH causes facial asymmetry and derangement of the occlusion. Management involves resection of the condylar head and orthognathic surgery. This paper describes the case of a 37-year-old woman with spontaneous onset of CH over a span of approximately 25 years. The condition was managed with resection of the condyle alone, which dramatically improved facial asymmetry and altered the occlusion within a few months of follow up. Orthodontic treatment was then carried out and the patient underwent orthognathic surgery after 3 years. The patient is currently satisfied with her appearance and function and there are no signs of recurrence.

scholarly journals Correction of Unilateral Condylar Hyperplasia and Posterior Open Bite with Proportional Condylectomy and Fixed Orthodontic Treatment

2019 ◽  
Vol 90 (1) ◽  
pp. 144-158 ◽  
Author(s):  
Sang-Woon Ha ◽  
Jin-Young Choi ◽  
Seung-Hak Baek
Keyword(s):  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Open Bite ◽  
Occlusal Plane ◽  
Class Iii ◽  
Anterior Open Bite ◽  
Maxillary Molars ◽  
Condylar Head ◽  
Condylar Hyperplasia ◽  
The Right

ABSTRACT A 29-year-old female patient with unilateral condylar hyperplasia (UCH) of the left side presented with facial asymmetry, maxillary transverse occlusal plane (MXTOP) cant, posterior open bite, and Class III relationship. Treatment consisted of proportional condylectomy of the left condyle for management of UCH, and fixed orthodontic treatment with intrusion of the left maxillary molars to correct the MXTOP cant and remaining chin point deviation (CPD). Proportional condylectomy with a 14-mm resection of the left condylar head improved the CPD from 11.5 mm to 7.8 mm and resolved the posterior open bite on the left side. However, it produced a Class II relationship on the right and left sides, posterior open bite on the right side, and anterior open bite. Fixed orthodontic treatment with 1.8-mm intrusion of the left maxillary molars using miniscrews corrected the MXTOP cant from 3.5 mm to 1.7 mm, reduced the remaining CPD from 7.8 mm to 3.7 mm, produced counterclockwise rotation of the mandible, and resolved the posterior open bite on the right side and the anterior open bite. After 16 months of total treatment, normal overbite/overjet and Class I relationship were obtained. Treatment results were well maintained after 5 years of retention. For the correction of UCH, it is important to determine the amount of condylar head resection and accurately simulate the correction of CPD and MXTOP cant through intrusion of the maxillary molars.

scholarly journals Is there New Condylar Formation after Unilateral Partial Mandibular Condylectomy?

2018 ◽  
Vol 2 (1) ◽  
pp. 401-407
Author(s):  
Sergio Olate ◽  
Humberto Velásquez ◽  
Bárbara Cartes ◽  
Leonardo Brito ◽  
Pamela Lopetegui ◽  
...  
Keyword(s):  
Animal Model ◽  
Citation Index ◽  
Facial Asymmetry ◽  
Pubmed Central ◽  
Similar Morphology ◽  
Functional Load ◽  
Model Research ◽  
Standard Collection ◽  
Condylar Head ◽  
Condylar Hyperplasia

Facial asymmetry related to unilateral condylar hyperplasia is one of the facial deformities diseases, usually treated with TMJ surgery. The aim of this review is to define if condylar reparation is possible after partial resection of the condylar head and establish the conditions. We realized a search in Pubmed Central, Science Citation Index, Elsevier Science Direct Complete, Highwire Press, Springer Standard Collection, to find the studies realized in condylar reparation after condylectomy in humans and animals. The results showed poor information for both, human and animal model research. The information shows that condylar reparation is possible after condyelectomy, demonstrating similar morphology with the normal non-operated condyles. Functional load, age and surgery presented relation with condylar reparation.

scholarly journals Unilateral Condylar Hyperplasia: Two Case Reports and a Literature Review

2021 ◽  
Vol 36 (4) ◽  
pp. e285-e285
Author(s):  
Amur Al Senaidi ◽  
Ahmed Al Hashmi ◽  
Mohammed Al Ismaili ◽  
Abdulaziz Bakathir
Keyword(s):  
Literature Review ◽  
Clinical Presentation ◽  
Case Reports ◽  
Mandibular Condyle ◽  
Facial Asymmetry ◽  
Growth Period ◽  
Normal Growth ◽  
Successful Outcome ◽  
Condylar Head ◽  
Condylar Hyperplasia

Condylar hyperplasia (CH) is a rare idiopathic condition affecting the mandibular condyle where the growth of the condylar head and/or neck continues beyond the normal growth period. This disorder presents clinically as facial asymmetry and occlusal discrepancy. Here, we present two cases of CH managed at our centers during the period between 2012 and 2017 with a successful outcome. We highlight the clinical presentation, investigation, and surgical management and give a brief literature review.

scholarly journals Management of Traumatic Undiagnosed Condyle Fracture in Children

1970 ◽  
Vol 1 (5) ◽  
Author(s):  
Syamsul Rizal ◽  
Prasetyanugraheni Kreshanti ◽  
Siti Handayani ◽  
Kristaninta Bangun
Keyword(s):  
Emotional Health ◽  
Correct Diagnosis ◽  
Radiological Finding ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Radiographic Examination ◽  
Tmj Ankylosis ◽  
Child Patient ◽  
Mandibular Mobility ◽  
Condyle Fracture

Background: Condyle trauma is considered to be the major cause of TMJ ankylosis but it is also the most neglected and under-managed problem in children.  TMJ ankylosis leads to be malocclusion and facial disfigurement. The aim of early treatment is to restore the mandibular mobility and to enhance further growth in order to reduce the possibility of future facial asymmetry. Patients and Methods: We report two patients with inability to open mouth few months following injury. They most probably suffered missed diagnosis condyle fracture by the previous physician. The latest physical examination and radiological finding shows the mandible was micrognathic and unilateral TMJ ankylosis was confirmed. A sequential protocol of TMJ ankylosis management based on aggressive resection of ankylotic mass was performed and followed withphysiotherapy.Result: In 2 month-follow up, both patients showed significant improvement in mouth opening and the mastication function was restored, accompanied with physical therapy to gain maximum mouth opening for at least a year.Summary: A detail history, clinical and functional examination, radiographic examination facilitating correct diagnosis followed by immediate surgical intervention, and physiotherapy can help us to restore physical, psychological, and emotional health of the child patient.

scholarly journals Unilateral bifid condyle: a case report

2020 ◽  
Vol 61 (4) ◽  
Author(s):  
Caroline Tomagnini ◽  
◽  
Júllia Pinto ◽  
Tatielly Alves ◽  
Idalísio Neto ◽  
...  
Keyword(s):  
Case Report ◽  
Anatomical Variation ◽  
Correct Diagnosis ◽  
Mandibular Condyle ◽  
Present Case Report ◽  
Functional Changes ◽  
Pathological Alteration ◽  
Condylar Head ◽  
Condylar Hyperplasia ◽  
Bifid Condyle

In the present case report, a patient attended the Surgical Clinic of PUC-MG for extraction of third molars. When performing the panoramic radiography, an atypical shaping of the mandibular condyle was detected. For the correct diagnosis, a cone-beam computed tomography was requested. The axial, sagittal, and coronal tomographic sections clearly showed the structure and its position in relation to the skull. The exam showed unilateral hyperdense masses on the left, in the form of mediolaterally oriented secondary condylar heads. Although they were adjacent to the condylar head, a constriction between them was observed in the superior condylar pole region. This image analysis, associated with the absence of functional changes and symptomatology, was decisive for the diagnosis of a bifid condyle, as it allowed to exclude any pathological alteration. As its etiology is diverse, this type of anatomical variation is usually found in routine imaging exams, as in the present study. The bifid condyle can be considered a differential diagnosis of condylar hyperplasia, osteochondromas, or alterations related to temporomandibular dysfunction in two-dimensional radiographic exams.

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