Free Online Library: Hiperplasia condilar, diagnostico y manejo clinico a proposito de un caso clinico.(CASO CLINICO, Ensayo) by “Revista Facultad de. Case report. Facial asymmetry secondary to mandibular condylar hyperplasia. A case report. Alberto Wintergerst Fisch,* Carlos Iturralde Espinosa,§ Santiago. Title: Tratamento da assimetria facial causada por hiperplasia condilar: série de casos. (Portuguese); Alternate Title: Treatment of facial asymmetry caused by.

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The aim to strive for is that after surgery, the dental midline will conform to the facial midline. ABSTRACT Mandibular condylar hyperplasia is a rare disease first described in as an cohdilar of the mandibular condyle leading to facial asymmetry and occlusal alterations.

The left TMJ and articular disc remained unchanged. Condylar Hyperplasia causes have not been established. Se continuar a navegar, consideramos que aceita o seu uso. This is due mainly to there being a mandibular rotation posterior and superior to the surgically treated side after the condylar osteotomy, with the fulcrum of movement being the non-hyperplastic condyle.

The CBCT at 1 month showed a clear and distinct slice of the condyle without defects or irregularities; the distance from the condylar remnant to the articular fossa reached 8. In patients with osteochondroma, the affected mandibular condyle will enlarge, and the neck will become thicker anteroposteriorly and mediolaterally.

C- Panoramic radiograph showing the arrangement and steady maintenance of anchoring devices in place. The morphological characteristics of the UCH have been reported clinically with the classic facial asymmetry, chin deviation and unilateral cross-bite Olate et al.

Due to the collapsed maxilla, the posterior crossbite and age of the patient at the initial time of treatment, the treatment options were: The occlusal plane is maintained free of deviations.

Using computed microtomography condklar was recently observed that the hyperplastic condyle has an increase in cancellous bone, disorganized, with perforations in the condylar head Karssemakers et al. This article can be read in its full version in the following page: It has been established that fibrocartilage growth is part of the development of hpierplasia disease Saridin et al.


Bone scintigraphy is an option for visualizing hyperactivity in the condyle. The condyle is of normal shape and size, but the neck can be elongated or remain normal with elongation of the ascending ramus. Thus, the low condylectomy was performed carefully using an instrument to protect the posterior region of the condyle.

However, the Risdon submandibular approach was also mentioned as being used for excision of the lesion in the mandibular condyle. The patient underwent balanced inhalation general anesthesia, having previously observed a protocol of asepsis and antisepsis. The surgeries and evaluations with 3D imaging occurred without complications.


The hiperpladia of recurrence of benign tumors is low after surgical removal. The postoperative period was uneventful. Bone scintigraphy works as an indicator of the rapidity of the disease progress, being essential to determine therapeutic approach.

If the contralateral articular disc has also been displaced and is salvageable, that disc should also be repositioned and stabilized using a fixation technique with anchors.

Asimetría facial secundaria a hiperplasia condilar mandibular: Reporte de un caso

Part of the retrodiscal tissue was removed and the disc hiperplaxia stabilized with three 1. Under a Creative Commons license. For these reasons, it was decided to perform a high condylectomy. CH type 3 includes other hipetplasia, benign tumors and CH type 4 includes malignant tumors arising from the mandibular condyle that can cause enlargement. The case of a 20 year old man with severe class III maloclussion due to mandibular prognathism and maxillary retrusion who also presents severe laterognathia with condylar hyperplasia and deficient zygomatic projection with dental crowding caused by a collapsed maxilla is hereby presented.


When viewing the condylar head, an intact articular disk could be appreciated, therefore it was preserved. The orthognathic surgical procedure started with mandibular setback and repositioning to the right. Therefore, it was decided to perform, in a second surgery, an anterolateral descent Lefort I osteotomy, an occlusal guide was placed to stabilize the mandible. Bone scintigraphy as a diagnostic method in unilateral hyperactivity of the mandibular condyles: Analysis and follow-up with 3D imaging.

Osteochondroma of the condyle: Initial panoramic and lateral radiographs. Histopathologic comparison of normal and hyperplastic condyles. There should be no attempt to bring the teeth to the facial midline.

Hiperplasia condilar, diagnostico y manejo clinico a proposito de un caso clinico.

Clinically, facial asymmetry was observed at the expense of the lower third. Quantitative analysis of planar bone scintigraphy in patients with unilateral condylar hyperplasia. Relationship between condylar size and transverse facial asymmetry in subject with condylar hyperplasia. In it, the objectives are to achieve a good relationship of both jaws, and to accomplish, after surgical reposition, an Angle Class I canine occlusion.

In the literature review by Ord et al. The patient was treated with high condylectomy hiiperplasia removal of mm of the condyledisc repositioning, and double-jaw orthognathic surgery. Miniplate and screw systems of 2. hiperplasi

Tratamento da assimetria facial causada por hiperplasia condilar: série de casos.

A 5 mm maxillary advancement with a posterior intrusion of 3 mm was performed as well as vertical osteotomies of the mandibular ramus with extraoral access.

A and 3- At 6-month follow-up, stable results, satisfactory occlusion and facial harmony were obtained.

Osteochondroma of the mandibular condyle: However, postoperative condylar morphology and reparation has not been analyzed.