Low condylectomy as the sole treatment for active condylar hyperplasia: facial, occlusal and skeletal changes. An observational study

Fariña, R; Pintor, F.; Pérez, J.; Pantoja, Roberto; Berner, Dagmar

doi:10.1016/j.ijom.2014.10.013

Cited by 48 publications

(38 citation statements)

References 14 publications

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“…Recently, the study by Fariña et al (2015) modified the osteotomy levels while keeping the partial resection of the condylar head as an adequate treatment. It has also been reported that postoperative joint function after a condylectomy does not present any complications, with stable functioning and an absence of pain (Olate et al, 2014a), demonstrating the efficiency of the technique.…”

Section: Introductionmentioning

confidence: 99%

Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia

Olate

Cantín

Palmieri³

et al. 2015

Int. J. Morphol.

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SUMMARY:The different aspects of unilateral condylar hyperplasia have been studied and continue to be controversial; nevertheless, treatment based on condylectomy has been established as part of the working protocol. The aim of this investigation was to identify the bone repair observed in surgically treated condyles after 1 year using cone beam computed tomography (CBCT). Nine subjects were included in this study (6 female and 3 male) with an average age of 18.5 years. They had been diagnosed with active unilateral condylar hyperplasia using SPECT, clinical follow-up of progressive facial asymmetry and CBCT. Patients underwent exclusive condylectomy surgery with a piezoelectric system without disc replacement, orthognatic surgery or any other type of adjunct surgical procedure. Later, they were treated orthodontically for dental compensation or as preparation for orthognatic surgery. A CBCT was performed in the first postoperative month and after 1 year from the surgery to analyze variables. The CBCT at 1 month showed a clear and distinct slice of the condyle without defects or irregularities; the distance from the condylar remnant to the articular fossa reached 8.5 mm in the most extreme case. 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 4.5 mm from the condylar fossa. In conclusion, condylar repair and remodeling can be obtained in these types of surgeries and the morphology of resected condyles after 1 year is quite close to normal macroscopic anatomy.

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Section: Introductionmentioning

confidence: 99%

Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia

Olate

Cantín

Palmieri³

et al. 2015

Int. J. Morphol.

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“…11,14 Recently Wolford et al 4 published an update of their condylar hyperplasia classification and placed the high condylectomy together with disc repositioning and orthognathic surgery as the preferred treatment for UCH cases and also for cases of bilateral condylar hyperplasia. In 2002, Wolford et al, 8 using the same technique, showed its efficacy and stability, presenting close to 5 years of follow-up for the patients who were operated on.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the scant existing literature analysing mandibular condylectomies, Fariña et al 14 have shown that a low or proportional condylectomy as the sole treatment in cases of UCH is an aetiological, reasonable, and predictable alternative that allows the procedure to be optimized for dealing with facial asymmetry; the mandible is rotated when the side that has been operated on ascends until it reaches the highest point allowed by ipsilateral dental contact. This contact can be changed with orthodontics, allowing the mandibular rotation to be improved and facial symmetry to be regained.…”

Section: Discussionmentioning

confidence: 99%

“…On this point, the importance of postoperative functional therapy must be stressed, as the bone and occlusal changes achieved are to a large degree due to the mandibular function guided by elastic bands, as noted by Pantoja et al, 10 Brusati et al, 11 and Fariña et al 14 The high condylectomy has been the routine procedure for the treatment of active UCH. It has been reported that in cases of condylar hyperplasia there is an increase in the number of chondrocytes and with this an increase in the number of cell islands producing connective tissue.…”

Section: Discussionmentioning

confidence: 99%

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High condylectomy versus proportional condylectomy: is secondary orthognathic surgery necessary?

Fariña

Olate

Raposo

et al. 2016

International Journal of Oral and Maxillofacial Surgery

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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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Low condylectomy as the sole treatment for active condylar hyperplasia: facial, occlusal and skeletal changes. An observational study

Cited by 48 publications

References 14 publications

Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia

Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia

High condylectomy versus proportional condylectomy: is secondary orthognathic surgery necessary?

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

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