Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia

The 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 treate...

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Autores principales:	Olate,Sergio, Cantín,Mario, Palmieri,Celso, Alister,Juan Pablo, Muñoz,Mariela, de Moraes,Márcio
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2015
Materias:	Condylectomy Bone remodeling Condylar hyperplasia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000200054
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spelling	oai:scielo:S0717-950220150002000542015-08-13Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar HyperplasiaOlate,SergioCantín,MarioPalmieri,CelsoAlister,Juan PabloMuñoz,Marielade Moraes,Márcio Condylectomy Bone remodeling Condylar hyperplasia The 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.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.33 n.2 20152015-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000200054en10.4067/S0717-95022015000200054
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Condylectomy Bone remodeling Condylar hyperplasia
spellingShingle	Condylectomy Bone remodeling Condylar hyperplasia Olate,Sergio Cantín,Mario Palmieri,Celso Alister,Juan Pablo Muñoz,Mariela de Moraes,Márcio Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia
description	The 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.
author	Olate,Sergio Cantín,Mario Palmieri,Celso Alister,Juan Pablo Muñoz,Mariela de Moraes,Márcio
author_facet	Olate,Sergio Cantín,Mario Palmieri,Celso Alister,Juan Pablo Muñoz,Mariela de Moraes,Márcio
author_sort	Olate,Sergio
title	Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia
title_short	Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia
title_full	Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia
title_fullStr	Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia
title_full_unstemmed	Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia
title_sort	mandibular condyle repair after partial condylectomy in patients with active condylar hyperplasia
publisher	Sociedad Chilena de Anatomía
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022015000200054
work_keys_str_mv	AT olatesergio mandibularcondylerepairafterpartialcondylectomyinpatientswithactivecondylarhyperplasia AT cantinmario mandibularcondylerepairafterpartialcondylectomyinpatientswithactivecondylarhyperplasia AT palmiericelso mandibularcondylerepairafterpartialcondylectomyinpatientswithactivecondylarhyperplasia AT alisterjuanpablo mandibularcondylerepairafterpartialcondylectomyinpatientswithactivecondylarhyperplasia AT munozmariela mandibularcondylerepairafterpartialcondylectomyinpatientswithactivecondylarhyperplasia AT demoraesmarcio mandibularcondylerepairafterpartialcondylectomyinpatientswithactivecondylarhyperplasia
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Mandibular Condyle Repair after Partial Condylectomy in Patients with Active Condylar Hyperplasia

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