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

López, Diego Fernando; Aristizabal, Juan Fernando; Martínez-Smit, Rosana

doi:10.1590/2177-6709.22.4.086-096.oar

Cited by 16 publications

(21 citation statements)

References 35 publications

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“…El RAP aumenta la reorganización del tejido y la curación mediante el aumento transitorio de la resorción ósea localizada y una mayor remodelación. Esta es la explicación de la aceleración del movimiento dental ortodóntico durante un período de 4 a 5 meses aproximadamente 26,[28][29][30] .…”

Section: Tratamiento De La Hiperplasia Condilarunclassified

Hiperplasia condilar, un enfoque actual del diagnóstico y tratamiento. Revisión de la literatura

Balbin¹,

Vargas²,

Romero-Tapia³

2019

Odontol. sanmarquina

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La Hiperplasia condilar (HC) fue descrita inicialmente por Robert Adams en 1836. Esta patología mandibular presenta varios tipos que afectan el tamaño y la morfología ósea, alteran la oclusión y las estructuras dentolabiales, afectan indirectamente al maxilar superior, dando como resultado patrones faciales que se pueden caracterizar por: prognatismo mandibular, aumento unilateral del cóndilo, el cuello, la rama y el cuerpo, asimetría facial, disfunción de la articulación temporomandibular, desequilibrio neuromuscular y patología dolorosa miofacial. Esta condición de la HC, hace que requiera de un tratamiento multidisciplinario, que según su severidad, compete a cirujanos bucomaxilofaciales, ortodoncistas, fisioterapeutas y cirujanos plásticos. El diagnóstico de la HC se basa en la anamnesis, el examen clínico y la evaluación imagenológica, consistente en radiografías panorámica cefalométrica, tomografía macizo facial (TEM-CBCT), gammagrafía ósea y en algunos casos estudio anátomo-patológico. El propósito de esta revisión es conocer de manera detallada el comportamiento y pronóstico de esta patología de acuerdo al tipo, con la finalidad de facilitar el diagnóstico y las opciones terapéuticas, según la severidad, la edad del paciente y la patología en su forma activa o inactiva.

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Section: Tratamiento De La Hiperplasia Condilarunclassified

Hiperplasia condilar, un enfoque actual del diagnóstico y tratamiento. Revisión de la literatura

Balbin¹,

Vargas²,

Romero-Tapia³

2019

Odontol. sanmarquina

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“…Orthodontic treatment time depends on the complexity of case. The shortest reported treatment time is 4 months (Figure 1a-d, 2a-d) but generally it takes 6-12 months [17,26,28,33,35,[47][48][49][50]. Tooth extraction is the factor that influences the total treatment time [13], and in some cases, the time range was reported between 10 and 19 months [51][52][53].…”

Section: The Advantages Of Sfamentioning

confidence: 99%

“…Class III with openbite and asymmetry cases with SFA are the other published studies. SFA in Class II cases and in some deformities like TMJ disorders or condylar hyperplasia is rare [27][28][29].…”

Section: Introductionmentioning

confidence: 99%

Surgery First Approach

Gülşen¹

2019

Current Approaches in Orthodontics

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The surgery first approach (SFA) was presented by some researchers in earlier years, but SFA in a combined treatment, with the surgery first and the orthodontic treatment second, as introduced by Brachvogel et al. and by Nagasaka et al., has gained attention in the past 10 years. The advantages of SFA were reported in the literature, and the research into this method continues. One of the advantages of the SFA is the shorter total treatment time, and another is that patients begin treatment with a much improved face esthetically. The protocol of presurgical orthodontics is well known in dentofacial anomalies, but in SFA, especially in complex cases, the meticulous treatment is very important. In this chapter, SFA will be discussed.

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“…Alyamani and Abuzinada described 18 cases, where 15 were females [4]. On the other hand, other authors also indicate slight female predominance [5][6][7][8][9][10][11][12][13]. Etiological factors remain unknown, but many are taken into consideration, especially endocrinal and trauma followed by other factors such as genetic, hereditary, or perhaps even iatrogenic once in the close proximity of the joint [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

What Features on Routine Panoramic Radiographs Could Help Orthodontists to Estimate the Occurrence of Condylar Hyperplasia from Other Mandibular Asymmetries—Retrospective Analysis Study

Nelke¹,

Łuczak²,

Janeczek

et al. 2022

Symmetry

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Hemimandibular hyperplasia (HH) and elongation (HE) are the most common pathologies present in the mandible. Presented condylar hyperplasias have their own radiological and clinical features. In most cases, patients suffer from various forms of malocclusion. From a total of 150 asymmetrical jaw radiographs evaluated, 46 were evaluated and included in this study. A retrospective study on the data of 46 selected patients treated, diagnosed, and consulted from various forms of mandibular and skeletal asymmetry based on routine diagnostic panoramic radiographs evaluated typical and atypical radiological and anatomical symptoms of condylar hyperplasia. The presented evaluation focused on mandibular, maxillary, and other bones, in order to distinguish condylar hyperplasia from other forms of mandibular asymmetry. The degree of maxillary downward growth followed by the occurrence of an open bite on the affected side estimate the degree/presence or cessation of growth in the affected condyle. Mandibular asymmetry with incisor teeth inclination remains the most typical characteristic of condylar hyperplasia. Increased height of mandibular ramus differentiates between condylar hyperplasia and elongation, which also influences the position of the inferior alveolar nerve. Mentioned symptoms, described as the acronym “Go Moira!”, are useful in a quick and simple “glimpse of an eye” differential diagnostic approach. It is possible to quickly and accurately establish the first diagnosis simply by a careful evaluation of patients’ panoramic radiographs.

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

Cited by 16 publications

References 35 publications

Hiperplasia condilar, un enfoque actual del diagnóstico y tratamiento. Revisión de la literatura

Hiperplasia condilar, un enfoque actual del diagnóstico y tratamiento. Revisión de la literatura

Surgery First Approach

What Features on Routine Panoramic Radiographs Could Help Orthodontists to Estimate the Occurrence of Condylar Hyperplasia from Other Mandibular Asymmetries—Retrospective Analysis Study

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