Management of patients with condylar hyperplasia: A diverse experience with 18 patients

Alyamani, Ahmed; Abuzinada, Sondos

doi:10.4103/2231-0746.95311

Cited by 33 publications

(18 citation statements)

References 19 publications

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“…This determination can be made with many methods, but bone SPECT is an essential diagnostic tool to assess active growth. 21 In this quantitative method, 99m Tc-MDP is injected and absorbed into hydroxyapatite crystals and calcium in the bone. 22 The bone is then scanned using the SPECT technique, and the hyperplastic condyle is quantitatively compared to the contralateral side.…”

Section: Main Subjectsmentioning

confidence: 99%

Condylar hyperplasia: An updated review of the literature

2015

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Condylar hyperplasia (CH) is a rare disorder characterized by excessive bone growth that almost always presents unilaterally, resulting in facial asymmetry. Classification of the different types of CH can differ depending on the authors. Correct diagnosis is critical in determining the proper treatments and timing. This paper is a review of the recent literature on the epidemiology, etiology, diagnosis, classification, and surgical treatments of CH.

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Section: Main Subjectsmentioning

confidence: 99%

Condylar hyperplasia: An updated review of the literature

2015

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“…Because clinical and radiographic presentations in patients with condylar hyperplasia are highly diverse, the assessment of condylar growth activity has a vital role in managing these patients [ 13 ]. Radionuclide bone imaging is a useful quantitative tool for indicating continued bone activity, but there are still some problems with assessment and diagnosis [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical Value of⁹⁹Tc^m-MDP SPECT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia

Wen

Ying

Wang

2014

The Scientific World Journal

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Purpose. To investigate the clinical value of 99Tcm-MDP SPECT for the diagnosis of unilateral condylar hyperplasia (UCH). Methods. One hundred forty-nine patients who underwent mandibular 99Tcm-MDP SPECT between January 2009 and December 2012 were studied, including 105 cases that were clinically suspected of UCH and 44 comparable cases without UCH as a control group. Results. Increased bone activity was observed in the affected condyles for all UCH patients. In the UCH group, the relative percentage uptake on the affected side was 59% (SD ± 4.3%), significantly higher than the 41% (SD ± 4.1%) uptake on the contralateral side (P<0.001). Similarly, the condyle/skull ratio was significantly higher for the affected side (1.66 ± 0.63) than for the contralateral side (1.34 ± 0.34, P < 0.01. No significant difference was found in the control group between the left and right condyles. Values for the sensitivity (95%), specificity (61%), positive (84.4%) and negative (84.6%) predictive values, and accuracy (84.5%) for 99Tcm-MDP SPECT in the diagnosis of UCH were calculated. However, for the hyperplastic condyle, no correlation was observed between the thickness of each cartilage layer and the relative uptake in the SPECT image. Conclusion. 99Tcm-MDP SPECT is accurate for diagnosing UCH and can provide a reference for treatment options.

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“…Growth activity of the CH can be assessed using single-photon emission computed tomography (SPECT) 25 . In SPECT the unilateral hyperplastic condyle is quantitatively compared to the normal contralateral side 26 .…”

Section: Discussionmentioning

confidence: 99%

Case Report: unilateral condylar hyperplasia

Shetty

Guddadararangiah

2021

F1000Res

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Case: This report describes a clinical case of unilateral condylar hyperplasia (CH) with unique, atypical morphology. An important feature of this report is the documentation of a series of clinical photographs of the patient, showing a gradual increase in facial asymmetry associated with the CH. The main symptom reported in this case was facial asymmetry. The main intraoral clinical features observed in the patient were contralateral crossbite and ipsilateral open bite associated with CH. Surgical reshaping of the condyle was the treatment plan for this case. Conclusions: The main take away point from this case is the importance of obtaining previous photographs of the patient at different ages during case diagnosis, which helps the clinician to determine the approximate time of commencement of CH. This case also highlights the imaging features of rarely observed atypical shape of the hyperplastic condyle.

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Management of patients with condylar hyperplasia: A diverse experience with 18 patients

Cited by 33 publications

References 19 publications

Condylar hyperplasia: An updated review of the literature

Condylar hyperplasia: An updated review of the literature

Clinical Value of⁹⁹Tc^m-MDP SPECT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia

Case Report: unilateral condylar hyperplasia

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Management of patients with condylar hyperplasia: A diverse experience with 18 patients

Cited by 33 publications

References 19 publications

Condylar hyperplasia: An updated review of the literature

Condylar hyperplasia: An updated review of the literature

Clinical Value of99Tcm-MDP SPECT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia

Case Report: unilateral condylar hyperplasia

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Clinical Value of⁹⁹Tc^m-MDP SPECT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia