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: Douran Kigalkree
Country: Mauritius
Language: English (Spanish)
Genre: Photos
Published (Last): 16 October 2014
Pages: 397
PDF File Size: 13.24 Mb
ePub File Size: 7.28 Mb
ISBN: 298-1-14793-405-9
Downloads: 96814
Price: Free* [*Free Regsitration Required]
Uploader: Vudokora

Historically, diagnosis of condylar hyperplasia has been based on anamnesis and the initial physical examination of the patient, where asymmetry, malocclusion and in some cases temporomandibular disorders TMDs are detected and later confirmed with tests such as bone scan and eventually by pathology report once condylar surgery has been done.

Hyperplasia is defined as the growth in the number of cells present in a certain tissue with no increase in their size.

Comparison between pre and post-treatment radiographs. The surgical technique, performed with a piezoelectric system, can also influence this recovery as it has been observed that the vibration of the system might stimulate the expression of factors associated with bone repair Olate etal.

Nine subjects were included in this study 6 female and 3 male with an average age of Hiperpplasia clinical characteristics of condylar hyperplasia: In every case an increase was observed in the size of the condyle in all the relations observed, on the axial, coronal and sagittal planes.


When this affects one of the mandibular condyles, it is called unilateral condylar hyperplasia UCH and is characterized as presenting alterations to both the condylar and facial morphology Olate et al. Clinically, facial asymmetry was observed at the expense of the lower third.

The condialr of right CH associated with dentofacial deformity was made. A correct diagnosis as well as the correct interdisciplinary planning is hierplasia for a successful treatment. This protocol will provide predictable and stable outcomes and optimize functional and esthetic results.


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

Skeletal class III with laterognathia and lower facial Prognatismo y laterognasia severos, hiperplasia condilar Role and regulation of vascularization processes in endochondral bones. Osteochondroma of the mandibular condyle: Mandibular condylar hyperplasia is a rare disease first described in as an overgrowth of the mandibular condyle leading to facial asymmetry and hiperplwsia alterations.

There was only one case of recurrence, a patient who was first diagnosed with CH type 1 based on facial morphology, imaging tests, and facial growth pattern.

The growth process is self-limiting, but as long as it remains active, asymmetry will progress along with associated occlusal alterations. Los objetivos del tratamiento fueron: Patients underwent exclusive condylectomy surgery with a piezoelectric system without disc replacement, orthognatic surgery or any other type of adjunct surgical procedure. Decision to perform a condylectomy is made based on evidence of active changes in the hyperplastic condyle, or when observing clinical or radiographic suggestions of pathological conditions like: This hypothesis may also be associated with the capacity of the hyperplastic mandibular condyle with more cancellous bone combined with fluids from the remaining joint capsule and the same contact with the disc soft tissues to influence the adaptation and repair of condylar bone tissues.

Nine individuals were included in this report aged from 15 to 20 years 6 female and 3 malewho underwent a high or proportional condylectomy for a diagnosis of UCH.

Osteochondroma of the condyle: On bone scintigraphy, the right mandibular condyle showed bone metabolic activity Fig.

The patient had functional complaints e. In most cases, the mandibular line is adequate but can show certain ipsilateral deviation. Strategies to minimize hypertrophy in cartilage engineering and regeneration. Generally patients who are candidates for orthognathic surgery present a natural compensation to their malocclusion which is why it is of great importance to let the patient know at the time when orthodontic decompensation happens, that the asymmetry and the maxillofacial discrepancy will be more noticeable.


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. Using computed microtomography it was recently observed that the hyperplastic condyle has an increase in cancellous bone, disorganized, with perforations in the condylar head Karssemakers et al.

Along with overcrowding it is among the main reasons for seeking an orthodontic consult. Hyperplasia of the mandibular condyle.

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

Facial asymmetry secondary to condylar hyperplasia is not merely an aesthetic problem, it can represent functional alterations such as pain and oral opening impairment. The purpose of this literature review is to provide detailed information on the behavior of this disease from the hkperplasia of view of its etiology, clinical characteristics, and distribution by age, sex and affected condyle, as well as the necessary diagnostic and imaging aids for its diagnosis, differential diagnosis, associated diseases, histological characteristics of the affected tissues, and the different therapeutic approaches according to severity, patient’s age, and active or inactive form of the condition.

Concomitant performance of low condylectomy of the right mandibular condyle, disc repositioning and anchoring, and orthognathic surgery was indicated for treatment. A bone Gammagraphy was performed with technetium phosphate. To the knowledge of these authors, there is nothing in the anatomy, pathology ccondilar surgery literature regarding the use of magnetic resonance to study these conditions or reports of follow-up with CBCT, so it is difficult to compare our results.