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

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.

2021 ◽  
pp. 115-120
Author(s):  
Melanie Ribau ◽  
Mário Baptista ◽  
Nuno Oliveira ◽  
Bruno Direito Santos ◽  
Pedro Varanda ◽  
...  

Partial physeal bars may develop after injury to the growth plate in children, eventually leading to disturbance of normal growth. Clinical presentation, age of the patient, and the anticipated growth will dictate the best treatment strategy. The ideal treatment for a partial physeal bar is complete excision to allow growth resumption by the remaining healthy physis. There are countless surgical options, some technically challenging, that must be weighted according to each case’s particularities. We reviewed the current literature on physeal bars while reporting the challenging case of a short stature child submitted to a femoral physeal bar endoscopic-assisted resection with successful growth resumption. This case dares surgeons to consider all options when treating limb length discrepancy, such as the endoscopic-assisted resection which might offer successful results.


2017 ◽  
Vol 34 (1) ◽  
pp. 18-29
Author(s):  
Kristin I. Scott ◽  
Colin E. Harvey ◽  
James G. Anthony ◽  
Roy Pool

An inflammatory gingival mass surrounding resorbing teeth was diagnosed via biopsy in a 9-year-old domestic shorthair cat. A dorsal rim excision was performed to remove the entire mass with associated teeth and bone. Histopathological diagnosis of the en bloc tissue revealed an odontogenic fibromyxoma. Extensive literature review revealed few case reports of companion animals with this neoplasm, and none in a feline patient. This report documents the clinical presentation, diagnostic differentials, surgical therapy, and long-term follow-up of an odontogenic fibromyxoma in a cat.


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

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.


Author(s):  
Rajendra K. Ghritlaharey

Trans-vaginal extrusion of the distal ventriculoperitoneal shunt (VPS) catheter is a rare complication of VPS insertion done for the treatment of hydrocephalus. The primary purpose was to review the demographics. The secondary objectives were to review the clinical presentation, operative intervention executed, and outcome of the cases published on trans-vaginal extrusion of the distal VPS catheter. The literature and case reports were retrieved from 1973 to September 30, 2021. This literature review included (n=19) cases of the above-mentioned VPS complication. The mean age of 15 children at the time of diagnosis of the complication was 18.13 months and ranged from 2 to 72 months. For the entire case, the interval from the initial VPS insertion/VPS revision to the clinical diagnosis of complication ranged from 1 to 36 months, with a mean of 8.16 months. In three-fourth of the cases, it was detected within 6-months of the VPS implantation. Extrusion of the distal VPS catheter through the vagina was the chief complaint. Surgical procedures were performed in the following order of frequency (A) removal of the entire VPS catheter (n=14), and (B) removal of the distal/peritoneal VPS catheter (n=3). During the postoperative period, one of the children died. Extrusion of the distal VPS catheter through the vaginal orifice is a rare complication of VPS insertion. It occurred across all the age groups but was more common during early childhood. Three-fourth of them were treated by removal of the entire VPS catheter. For VPS revision, delayed re-VPS insertion was the preferred option.


2017 ◽  
Vol 6 (2) ◽  
pp. 1553
Author(s):  
Neera Ohri ◽  
Indu Dhiman ◽  
Umesh Dhiman ◽  
Parul Uppal

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.


2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Silvia Caruso ◽  
Ennio Storti ◽  
Alessandro Nota ◽  
Shideh Ehsani ◽  
Roberto Gatto

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.


2012 ◽  
Vol 13 (6) ◽  
pp. 914-917 ◽  
Author(s):  
Subhash Chandra ◽  
G Anitha ◽  
Uma Shankar ◽  
BHV Rama Krishnam Raju ◽  
K Venkata Srikanth ◽  
...  

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.


2015 ◽  
Vol 2 (3-4) ◽  
pp. 63-66
Author(s):  
Marcello Augello ◽  
Britt-Isabelle Berg ◽  
Andreas Albert Müller ◽  
Katja Schwenzer-Zimmerer

2019 ◽  
Vol 90 (1) ◽  
pp. 144-158 ◽  
Author(s):  
Sang-Woon Ha ◽  
Jin-Young Choi ◽  
Seung-Hak Baek

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.


2018 ◽  
Vol 2 (1) ◽  
pp. 401-407
Author(s):  
Sergio Olate ◽  
Humberto Velásquez ◽  
Bárbara Cartes ◽  
Leonardo Brito ◽  
Pamela Lopetegui ◽  
...  

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.


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