Alternatives for Treatment of Facial Asymmetry by Condylar Hyperplasia: A Review

Abstract

The purpose of the present review was to describe the numerous alternatives for the treatment of facial asymmetry caused by condylar hyperplasia and compare the results obtained in both aesthetic and functional aspects. A search for articles published from 2002 to 2017 in the PubMed and Lilacs databases was realized. A total of 42 articles were selected according to the inclusion criteria, of which 32 were used for the study. The selection of the most appropriate treatment for condylar hyperplasia depends on factors such as the age of the patient, degree of deformity, osteoblastic activity of the condyle, etiology and functional limitations. The procedure of first choice when confirming active growth of the condyle will be condylectomy in combination with orthognathic surgery. Condylectomy is essential in the presence of joint problems and tumors. The treatment with condylectomy as well as orthodontic camouflage through the use of mini-implants can be considered in cases of mild asymmetry.