Condylar hyperplasia treatment by means of proportional condilectomy and orthognathic surgery: case report

VICTOR HUGO NESPOLI FERZELI, MAYLSON NOGUEIRA BARROS, VITOR BRUNO TESLENCO, GUILHERME NUCCI REIS, EVERTON FLORIANO PANCINI e HERBERT DE ABREU CAVALCANTI

Introduction: Condylar hyperplasia describes the pathological condition caused by overgrowth of the mandibular condyle, with a higher prevalence between 10 and 20 years of age. This factor can be attributed to the effects of puberty and exponential increase in body growth rate, facial asymmetry may be apparent at this age and with this the search for treatment begins. Several treatments have been proposed for this type of pathology. Objective: To report a case report discussing current treatment protocols for condylar hyperplasia. Case report: A 20-year-old female leukoderma patient referred to the Bucomaxillofacial Surgery and Traumatology service with a history of facial asymmetry. Physical examination revealed severe facial asymmetry and significant laterognathism with left shift, and complementary exams were requested. After diagnosis of mandibular condylar hyperplasia, the patient underwent proportional condilectomy and orthognathic surgery in a second time. Conclusion: The use of proportional condilectomy to treat facial asymmetry caused by unilateral condylar hyperplasia may be satisfactory, since its reduced invasiveness and good success rate.

Keywords: Temporomandibular joint disorders. Temporomandibular joint. Maxillofacial abnormalities.

How to cite: Ferzeli VHN, Barros MN, Teslenco VB, Reis GN, Pancini EF, Cavalcanti HA. Condylar hyperplasia treatment by means of proportional condilectomy and orthognathic surgery: case report. J Braz Coll Oral Maxillofac Surg. 2020 Jan-Apr;6(1):54-60.

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