V22N04 | 2017 | Case Report | Pages 86 to 96
Diego Fernando López, Juan Fernando Aristizábal, Rosana Martínez-smit
Condylar hyperplasia, Surgery first, Orthodontics,
Condylar Hyperplasia (CH) is a self-limiting pathology condition that produces severe facial deformity at the expense of mandibular asymmetry. In this case report a 15-year-old female patient was diagnosed with Unilateral Condylar Hiperplasia (UCH) by mean of single-photon emission computed tomography (SPECT) and histological study. A high condylectomy in the right condyle was performed to stop the active status of the hyperplasia. A month after condylectomy, orthognathic jaw impaction and asymmetric mandibular setback surgery was performed with the Surgery First Approach (SFA). After 10 days, orthodontic appointments were made every two weeks during 4 months. The active phase of treatment lasted 14 months. Excellent facial and occlusal outcomes were obtained and after 24 months in retention the results remained stable.
López DF, Aristizábal JF, Martínez-Smit R. Condylectomy and “surgery first” approach: An expedited treatment for condylar hyperplasia in a patient with facial asymmetry. Dental Press J Orthod. 2017 July-Aug;22(4):86-96. DOI: //doi.org/10.1590/2177-6709.22.4.086-096.oar