Condylectomy and “surgery first” approach: An expedited treatment for condylar hyperplasia in a patient with facial asymmetry

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Edition V22N04 | Year 2017 | Editorial Case Report | Pages 86 to 96

Diego Fernando López , Juan Fernando Aristizábal , Rosana Martínez-smit

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.

Condylar hyperplasia, Surgery first, Orthodontics,

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: https://doi.org/10.1590/2177-6709.22.4.086-096.oar

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