Otro
Unilateral Condylar Hyperplasia: A Treatment Strategy
Registro en:
Journal Of Craniofacial Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 25, n. 3, p. E256-E258, 2014.
1049-2275
10.1097/SCS.0000000000000554
WOS:000337098200018
Autor
Ferreira, Sabrina
Silva Fabris, Andre Luis da
Ferreira, Gabriel Ramalho
Faverani, Leonardo Perez
Francisconi, Giovanna Barbosa
Souza, Francisley Ávila
Garcia, Idelmo Rangel
Resumen
Condylar hyperplasia (CH) is a pathologic condition that causes overdevelopment of the condylar head and neck as well as the mandible. Slowly progressive unilateral enlargement of the head and the neck of the condyle causes crossbite malocclusion, facial asymmetry, and shifting of the midpoint of the chin to the unaffected side. The etiology and the pathogenesis of CH remain uncertain. The diagnosis is made by clinical and radiologic examinations and bone scintigraph. A difference in uptake of 10% or more between condyles is regarded as indicative of CH, and the affected condyles had a relative uptake of 55% or more. When the diagnosis of active CH is established, the treatment consists of removal of the growth center by a partial condylectomy. The authors present the case of a 46-year-old male patient with right active type II CH or hemimandibular hyperplasia who underwent a high condylectomy.