Condylectomy and “surgery first” approach: An expedited treatment for condylar hyperplasia in a patient with facial asymmetry

Diego Fernando LÓPEZ, Juan Fernando ARISTIZÁBAL, Rosana MARTÍNEZ-SMIT

Condylar Hyperplasia (CH) is a self-limiting pathology condition that produces severe facial deformity at the expense of mandibular asymmetry. In this case report a 15-year-old female patient was diagnosed with Unilateral Condylar Hiperplasia (UCH) by mean of single-photon emission computed tomography (SPECT) and histological study. A high condylectomy in the right condyle was performed to stop the active status of the hyperplasia. A month after condylectomy, orthognathic jaw impaction and asymmetric mandibular setback surgery was performed with the Surgery First Approach (SFA). After 10 days, orthodontic appointments were made every two weeks during 4 months. The active phase of treatment lasted 14 months. Excellent facial and occlusal outcomes were obtained and after 24 months in retention the results remained stable.

Keywords: Condylar hyperplasia. Surgery first. Orthodontics.

How to cite: López DF, Aristizábal JF, Martínez-Smit R. Condylectomy and “surgery first” approach: An expedited treatment for condylar hyperplasia in a patient with facial asymmetry. Dental Press J Orthod. 2017 July-Aug;22(4):86-96. DOI: https://doi.org/10.1590/2177-6709.22.4.086-096.oar

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