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Mandibular condyle repair after partial condylectomy in patients with active condylar hyperplasia [Reparación de cóndilos mandibulares después de condilectomía parcial por hiperplasia condilar activa]

dc.contributor.authorOlate S.
dc.contributor.authorCantín M.
dc.contributor.authorPalmieri C.
dc.contributor.authorAlister J.P.
dc.contributor.authorMuñoz M.
dc.contributor.authorde Moraes M.
dc.date.accessioned2020-09-02T22:24:41Z
dc.date.available2020-09-02T22:24:41Z
dc.date.issued2015
dc.identifier10.4067/S0717-95022015000200054
dc.identifier.citation33, 2, 759-763
dc.identifier.issn07179367
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5609
dc.descriptionThe 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. © 2015, Universidad de la Frontera. All rights reserved.
dc.language.isoen
dc.publisherUniversidad de la Frontera
dc.subjectBone remodeling
dc.subjectCondylar hyperplasia
dc.subjectCondylectomy
dc.titleMandibular condyle repair after partial condylectomy in patients with active condylar hyperplasia [Reparación de cóndilos mandibulares después de condilectomía parcial por hiperplasia condilar activa]
dc.typeArticle


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