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.
|Published (Last):||12 September 2011|
|PDF File Size:||7.74 Mb|
|ePub File Size:||15.64 Mb|
|Price:||Free* [*Free Regsitration Required]|
After that, the remaining bone tissue was remodeled, the articular disk was recaptured to the lateral portion of the condyle, and a condilr by planes was performed.
HIPERPLASIA CONDILAR: CARACTERÍSTICAS, MANIFESTACIONES, DIAGNÓSTICO Y TRATAMIENTO. REVISIÓN DE TEMA
Four major categories were defined. Skeletal class III with laterognathia and lower facial The facial asymmetry was corrected, the midface depression and the zygomatic- malar deficiency improved.
It is important to psychologically prepare the patient to accept the major changes that occur during and after the surgical-orthodontic treatment Figure The condylar growth patterns in these types of procedures could contribute to a better understanding of regenerative processes since if a similar macromorphology is obtained between a treated condyle and a normal condyle, it is possible that a similar micromorphology is also obtained, including the presence of layers known to be in the normal condylar head.
The morphological characteristics of the UCH have been reported clinically with the classic facial asymmetry, chin deviation and unilateral cross-bite Olate et al.
TMJ radiographs and CT scans may show changes in the size and morphology of the mandibular condyle and condylar neck. Along with overcrowding it is among the main reasons for seeking an orthodontic consult. Bone scintigraphy as a diagnostic method in unilateral hyperactivity of the mandibular condyles: A historical review of important early cases with a presentation and analysis of twelve patients.
Surgery was performed under general anesthesia with nasotracheal intubation. Prognatismo y laterognasia severos, hiperplasia condilar Bone scintigraphy is an option for visualizing hyperactivity in the condyle.
When viewing the condylar head, an intact articular disk could be appreciated, therefore it was preserved. One year after the surgery, imaging revealed a clear sign of regeneration likely due cojdilar bone apposition with cortical structure, which was partial in cohdilar case. Regeneration of mandibular condyle following unilateral condylectomy in canines.
Tratamento da assimetria facial causada por hiperplasia condilar: série de casos.
According to this research, it can be concluded that repair and adaptation exist in partially resected mandibular condyles when UCH is present; new information is needed to understand the physiopathological process present in this regenerative stage of the condyle.
To decipher this, references from the patient as hipetplasia as previous photographs are needed. For aesthetical purposes an advancement genioplasty was performed. The resected condyle, initially with low vascularization, could lead to a secondary repair, considering that the development of hypertrophic cartilage in its final stage determines bone growth by endochondral methods with low mechanical resistance Chen et al.
The patient reported impaired sensitivity of the lower lip and complained of paresthesia, returning to normal 4 months after hiperplasiw.
In the present case, all the aforementioned methods were used for the diagnosis of CH. A preauricular incision was performed with a temporal extension to approach the temporomandibular joint; performing a blunt dissection, the articular capsule was located, and then incided in a ”T” shape.
The surgical procedure has potential complications, including damage to adjacent structures such hipedplasia nerves cranial nerves V and VIIvessels, the ear, parotid gland, base of the skull, and middle cranial fossa.
Hiperplasia condilar, diagnostico y manejo clinico a proposito de un caso clinico.
On clinical examination, facial asymmetry was evident as a result of mandibular deviation to the left, mandibular prognathism, maxillary retrognathism, and anterior and posterior crossbite Fig. The clinical characteristics of condylar hyperplasia: Initial panoramic and lateral radiographs. Under a Creative Commons license.
A high Le Fort I was performed to correct the zygomatic deficiency. It has been established that fibrocartilage growth is part of the development of the disease Saridin et al.
Our results showed that in the preoperative images, both segmented and volumetric, there were defined areas of cortical bone and cancellous bone. Class III malocclusion with complex problems of lateral open bite and severe crowding successfully treated with miniscrew anchorage and lingual orthodontic brackets.
Canine class I and an adequate posterior intercusp relationship conidlar functional molar class II were obtained as well as a hiperpoasia overbite and overjet and canine guidance as a disoclussion system.
Asimetría facial secundaria a hiperplasia condilar mandibular: Reporte de un caso
Low condylectomy and hiperplawia surgery to treat mandibular condylar osteochondroma: This hypothesis of growth is supported by the fact that the premature contacts observed in the initial postoperative phase cannot be solved before early with orthodontic forces compensatory orthodontics and use of elastics or preparatory orthodontics for orthognatic surgerywhich limits the elevation conxilar positioning of the treated condyle.
CH diagnosis is mainly based on clinical and radiological data, which evaluate the consequences of a disproportionate growth. The purpose of this literature review is to provide detailed information on the behavior of this disease from the point 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 condipar, 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.
Condylar Hyperplasia causes have not been established.