Free Online Library: Hiperplasia condilar, diagnostico y manejo clinico a proposito de un caso clinico.(CASO CLINICO, Ensayo) by “Revista Facultad de. Case report. Facial asymmetry secondary to mandibular condylar hyperplasia. A case report. Alberto Wintergerst Fisch,* Carlos Iturralde Espinosa,§ Santiago. Title: Tratamento da assimetria facial causada por hiperplasia condilar: série de casos. (Portuguese); Alternate Title: Treatment of facial asymmetry caused by.

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Relationship between condylar size and transverse facial asymmetry in subject with condylar hyperplasia. The classification and diagnose of CH, the condyles’ growth activity, and treatment alternatives are presented in this study.

One month after the previous surgery, the patient was brought to the operating theater under balanced inhalation general anesthesia and nasotracheal intubation; an incision was made around the vestibular mucosa to perform a Lefort I osteotomy with maxilar anterolateral descent to correct occlusal plane discrepancy. From the tomographic point of view, a hyper dense mass could be observed in the left condylar head Figure 4.

Oclussally, the bilateral posterior crossbite was corrected. On the facial analysis, a considerable asymmetry and a depression hipdrplasia the middle third is observed Figure 5. To achieve the aforementioned, the most used procedures are unilateral or clndilar mandibular osteotomies, as well as Type Lefort I maxillary osteotomies to correct the occlusal plane. The extra and intraoral photographs show positive results. Facial asymmetry hiperpladia to mandibular condylar hyperplasia.

Intraorally, there is a collapsed maxillary dentition with severe fondilar in the upper arch and moderate crowding in the lower Figure 4. The orthognathic surgical procedure started with mandibular setback and repositioning to the right. Comparison of the pre and post-surgical CAT scans.


A 5 mm maxillary advancement with a posterior intrusion of 3 mm was performed as well as vertical osteotomies of the mandibular ramus with extraoral access. Regeneration of the mandibular condyle after unilateral condylectomy and myotomy of the masseter in lambs.

Hiperplasia condilar, diagnostico y manejo clinico a proposito de un caso clinico.

International Journal Oral Maxillofacial Surgery ; Thus, it was necessary to keep the jaw in a stable position to avoid postsurgical relapse. After consulting with the patient, the following treatment plan is chosen: With this procedure, a stable dental occlusion was achieved, and was then fixed with titanium mini plates Figure 8.

The diagnosis of active UCH is somewhat controversial in terms of recognizing the best diagnostic methods Olate et al. The surgery was in charge of the maxillofacial surgeon Juan Carlos Lopez Noriega and the fourth-year resident Carlos Acosta Behrends from the department of maxillofacial surgery. The treatment objectives were: Quantitative analysis of planar bone scintigraphy in patients with unilateral condylar hyperplasia.

Some patients have problems adapting to significant changes in their facial appearance.

Asimetría facial secundaria a hiperplasia condilar mandibular: Reporte de un caso

According to this research, it can be concluded that repair and adaptation exist in partially resected mandibular condyles when UCH is present; new information is needed to understand the physiopathological process present in this regenerative stage of the condyle. It is characterized by oral commissure asymmetry, with little or no deviation of the chin, cnodilar, an increase of the maxillary alveolar bone height can be observed condklar well as a downward deviation of the ipsilateral occlusal plane.


Nowadays, the combination of different parameters of nuclear medicine, clinical studies and imaging follow-up could determine the progressive and active nature of UCH. The diagnosis of right CH associated with dentofacial deformity was made.

The third type of CH is a combination of the former two types. It was sutured by planes, and the operation was accomplished without incidents or accidents.

The chondrocytes are arranged as rows perpendicular to the surface of the lesion and may overlie a zone of endochondral ossification, resulting in fusion of the cancellous bone with the normal underlying bone. Cephalometric study, treatment planning, and surgical correction our experience.

Histopathological and scintigraphic features of condylar hyperplasia.

Microcomputed tomographic analysis of human condyles in unilateral condylar hyperplasia: Access was obtained to the upper and lower joint spaces of the TMJ and condylar process, where a low condylectomy was performed with removal hhiperplasia approximately 8 mm of the condyle. The disc was not repositioned with sutures or by mobilization techniques, maintaining its integrity during the surgery.

Facial changes during treatment. Remote access to EBSCO’s databases is permitted to patrons of subscribing institutions accessing from remote locations for personal, non-commercial use.

Simple radiographic studies were carried out. To correct any associated facial deformities, contralateral mandibular ramus sagittal split osteotomy, maxillary osteotomy and genioplasty can be performed.

The orthodontic surgical prediction was sent to the Department of Maxillofacial Surgery.

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