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

• Main Author: López,Diego Fernando
• Publication Date: 2017
• Other Authors: Aristizábal,Juan Fernando, Martínez-Smit,Rosana
• Format: Article
• Language: eng
• Source: Dental Press Journal of Orthodontics
• Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512017000400086
• topic: Condylar hyperplasia; Surgery first; Orthodontics.

ABSTRACT 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.