J Korean Assoc Maxillofac Plast Reconstr Surg.  2002 Jan;24(1):53-57.

A Case Report Of Facial Asymmetry From Unilateral Condylar Hyperplasia

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, College of Dentistry, Kyungpook National University, Korea. skkimdaum@hanmail.net

Abstract

Condylar hyperplasia is an uncommon malformation of the mandible created by excessive growth of one of the condyles. Condylar hyperplasia is a self-limiting condition, and treatment is determined by the degree of functional difficulty and aesthetic change. Some patients can be treated with unilateral condylectomy, whereas others require unilateral or bilateral mandibular osteotomies. Our method includes a condylectomy to arrest the continued condylar growth or to excise the neoplastic condyle, unilateral vertical ramus osteotomy to allow horizontal rotation of the mandible without significantly altering the temporomandibular articulations, and an arthroplasty by superior repositioning of the stump of the proximal condylar segment into the condylar fossa. Both the facial asymmetry and the occlusion were corrected by rotation of the mandible around the unaffected condyle.

Keyword

Condylar hyperplasia; Condylectomy; Mandibular rotation

MeSH Terms

Arthroplasty
Facial Asymmetry*
Humans
Hyperplasia*
Mandible
Mandibular Osteotomy
Osteotomy
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