Condylar hyperplasia: current thinking.

Autor: Higginson JA; Institute of Head and Neck Studies and Education, University of Birmingham, B15 2TT. Electronic address: james.higginson@cantab.net., Bartram AC; Sunderland Royal Hospital, Kayll Road, Sunderland, SR4 7TP. Electronic address: andrew_bartram8@hotmail.com., Banks RJ; Sunderland Royal Hospital, Kayll Road, Sunderland, SR4 7TP. Electronic address: rjbanks@mac.com., Keith DJW; Sunderland Royal Hospital, Kayll Road, Sunderland, SR4 7TP. Electronic address: d.keith541@btinternet.com.
Jazyk: angličtina
Zdroj: The British journal of oral & maxillofacial surgery [Br J Oral Maxillofac Surg] 2018 Oct; Vol. 56 (8), pp. 655-662. Date of Electronic Publication: 2018 Aug 13.
DOI: 10.1016/j.bjoms.2018.07.017
Abstrakt: Unilateral condylar hyperplasia is a rare disease that causes facial asymmetry as a result of excessive vertical or horizontal growth, or both, of the mandibular condyle. Investigation should address the patient's concerns, and establish whether the disease is active with the use of single positron emission tomography (PET). Proportional reduction of the condyle arrests active disease and restores mandibular height, and any residual asymmetry can be corrected according to conventional orthognathic principles. We recommend the use of 3-dimensional virtual planning for such complex movements. The rarity of the disease means that, to our knowledge, high-quality evidence is lacking and further research is needed.
(Copyright © 2018 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE