13 PDF Article

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.

Author: Nim Jujar
Country: Tanzania
Language: English (Spanish)
Genre: Relationship
Published (Last): 12 July 2015
Pages: 320
PDF File Size: 18.40 Mb
ePub File Size: 17.32 Mb
ISBN: 968-1-16081-717-9
Downloads: 56506
Price: Free* [*Free Regsitration Required]
Uploader: Tut

An intermaxillary fixation was placed and the patient had his mouth closed for four weeks Figure 7.

Hipedplasia radioactive isotope is technetium 99, and increased radionuclide uptake by a hyperplastic condyle can be an indication of abnormal growth 5. If the maxillary plane does not follow the mandibular plane, on that side, an open bite will develop.

Tratamento da assimetria facial causada por hiperplasia condilar: série de casos.

It can be associated to temporomandibular pain and dysfunction. In all the subjects, the gonion of the hyperplastic side was lower and more medially positioned than the contralateral gonion. How to cite this article. In the literature review by Ord et al.

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

He reported that the mandible continued to grow, increasing facial asymmetry, and pain was felt at the right temporomandibular joint TMJ. Condilarr treated condyles appeared 3. CH type 1 refers to an accelerated and prolonged growth aberration condular the “normal” mandibular condylar growth mechanism, causing a predominantly horizontal growth condliar and resulting in prognathism that can occur bilaterally CH type 1A or unilaterally CH type 1B.

C- Panoramic radiograph showing the arrangement and steady maintenance of anchoring devices in place. Rev Fac Odontol Univ Antioq [online]. Journal of Oral and Maxillofacial Surgery ; One year after the surgery, imaging revealed a clear sign of regeneration likely due to bone apposition with cortical structure, which was partial in every case.

Some CH classification systems have been proposed. In it, an abnormal augmented deposition of the drug was observed; this confirmed the presence of a blastic lesion Figure 5. Contemporary treatment of dentofacial deformity. Hemimandibular hyperplasia hemimandibular elongation. CAT that shows the degree of discrepancy and maxillomandibular asymmetry. The treatment protocol includes performing a low condylectomy at the junction of the mandibular condyle and condylar neck hiperpasia completely remove the tumor and preserve the condylar neck.


Am J Orthod Dentofacial Orthop.

All the patients underwent subsequent orthodontic treatment, where some were enrolled for treatment with orthognatic surgery while others were treated exclusively with corrective orthodontics.

The patient is subjected to a Cone Beam CT scan to be sure that there was no damage to the external cortical of the maxilla.

C- Bone scintigraphy showing the right mandibular condyle with bone metabolic activity. The patient underwent balanced inhalation general anesthesia, having previously observed a protocol of asepsis and antisepsis. The orthognathic surgical procedure started with mandibular setback and repositioning to the right. The patient accepted the treatment plan and was fully informed of possible surgical complications, giving written consent to treatment and for publication of this case report and any accompanying images.

Relationship between condylar size and transverse facial asymmetry in subject with condylar hyperplasia. The amount of tracking material distributed in an area is determined by the metabolic activity range or by the vascular contribution to a region, and is translated in the radiographic plates of condylar heads.

With this procedure, a stable dental occlusion was achieved, and was then fixed with titanium mini plates Figure 8. Vertical osteotomy of the mandibular ramus was also reported.


In addition, the osteotomy with a drill directed medially to the condyle was not completed, and chisels were used to reduce the chance of maxillary artery injury and complete the procedure. Miniplate and screw systems of 2. TMJ function after partial hiperplssia in active mandibular condylar hyperplasia. Services on Demand Article.

In low condylectomy, the risk of injury to the maxillary artery is particularly high because the artery runs posterior to the condyle and just above the sigmoid notch. Surgical prediction from the Department of Orthodontics. Osteochondroma of the mandibular condyle: The left TMJ and articular disc remained unchanged. Following hiperplassia, an osteotomy on the lower base of the condylar deformation was performed Figure 6.


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

It mainly manifests itself in patients with ages ranging years, showing no predilection for either left or right side. Female patient, 37 years of age Figure 1. Prior to surgery routine laboratory analysis are carried out and additionally, a bone scan SPECT bone of the skull and facial massif with MDP-Tcm was requested to make sure that there was no active cell proliferation at the level of the condyle which could cause a relapse in the asymmetry and the laterognathia caused by the condylar hyperplasia on the right side.

During surgery and the post-surgery weeks several brackets debonded so it was to order a panoramic radiograph to reposition and replace the lost appliances. CBCT image of treated condyle 3 weeks after condylectomy; clear osteotomy and without defects. Inicio Revista Mexicana de Ortodoncia Severe prognathism and hiperplasiia, condilar hyperplasia with considerable fac This tends to be a bit more problematic for hieprplasia patients.

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. After 1 year, condylar bone remodeling was observed, with areas of lateral and superior curvature and characteristics of normal condyles, with cortical bone present and a maximum distance of 4.

International Journal Oral Maxillofacial Surgery ; This case report describes a patient with right condylar hyperplasia associated with dentofacial deformity who was treated surgically with low condylectomy, articular disc repositioning and anchoring, and orthognathic surgery, concomitantly, with stable results, satisfactory occlusion and facial harmony. When choosing proper treatment, a precise diagnosis is very important, as well as the knowledge of whether CH is active. For all the aforementioned reasons she was sent home to continue with post surgical orthodontic management.