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):||18 September 2008|
|PDF File Size:||2.57 Mb|
|ePub File Size:||1.89 Mb|
|Price:||Free* [*Free Regsitration Required]|
The patient is subjected hipeprlasia a Cone Beam CT scan to be sure that there was no damage to the external cortical of the maxilla. A CBCT was performed in the first postoperative month and after 1 year from the surgery to analyze variables.
Tratamento da assimetria facial causada por hiperplasia condilar: série de casos.
Prognatismo y laterognasia severos, hiperplasia condilar In it, the objectives are to achieve a good relationship of both jaws, and to accomplish, after surgical reposition, an Angle Class I canine occlusion. Comparison between pre and post-treatment radiographs. It is important to be cognizant with the type of surgery to be performed as well as all expected changes, to perform presurgical dental movements.
Based on the information reported by the patient and clinical data, he was referred for imaging evaluation of the TMJs. Low condylectomy and orthognathic surgery to treat mandibular condylar osteochondroma: The hiperpladia process is self-limiting, but as long as it remains active, asymmetry will progress along with associated occlusal alterations.
The treatment protocol includes performing a low condylectomy at the junction of the mandibular condyle and hiperplsaia neck to completely remove the tumor and preserve the condylar neck. The condyle was then reshaped and the articular disc was repositioned.
Hiperplasia condilar, diagnostico y manejo clinico a proposito de un caso clinico.
The first anchor was placed in the posterolateral aspect of the condyle and sutured to the disc and retrodiscal tissues. Facial changes during treatment.
The third type of CH is a combination of the former two types. A classification system for conditions causing condylar hyperplasia. In the literature review by Ord et al.
Clinically, facial asymmetry was observed at the expense of the lower third. Comparison of the pre and post-surgical CAT hiperlpasia. Revistas Revista Mexicana de Ortodoncia. In that study, all 37 patients showed statistically significant improvement in pain, headaches,mandibular function, and diet. The preauricular incision is the most common conndilar to the TMJ, although other surgical approaches have been reported.
Along with overcrowding it is among the main reasons for seeking an orthodontic consult.
One year after the surgery, imaging revealed a clear sign of regeneration likely due to bone apposition with cortical structure, which was partial in every case. Surgical access was gained via a right preauricular, intra-aural approach, with dissection in planes to the temporal fascia to expose the TMJ capsule. Following this, an osteotomy on the lower base of the condylar deformation was performed Figure 6. Se continuar a navegar, consideramos que aceita o seu uso.
The images were analyzed with the EZ3D plus software by condipar single observer on three different occasions 15 days from the initial measurement in order to reduce analytical error. The 6-month control radiograph showed steady maintenance of anchoring devices in place and bone alignment Fig. After debonding the appliances, final models are taken for the confection of the ccondilar.
Under a Creative Commons license. Bone scintigraphy is an option for visualizing hyperactivity in the condyle. Due to the complexity of the treatment of condylar hyperplasia associated with dentofacial condilsr and its complications, if left untreated, the surgeon should be alert to these factors at the time of surgical planning to tailor the optimal therapy for an individual patient.
The macrocospic morphology of the condyle has recently been analyzed by two studies published by the group at the Universidad de La Frontera Olate et al. The amount of tracking coneilar distributed in an area is determined by the metabolic activity range or by the vascular contribution to a region, and is translated in the radiographic plates of condylar heads. Initial panoramic and lateral radiographs.
In the present case, all the aforementioned methods were used for the diagnosis of CH. During the first 10 condilat, the patient had trismus and difficulty chewing due to TMJ and orthognathic surgery and was therefore given a liquid and soft diet during this period.
Asimetría facial secundaria a hiperplasia condilar mandibular: Reporte de un caso
Intraorally, the midline is deviated to the non affected side while contralateral lower molars condliar in a lingual direction in an attempt to achieve occlusion. 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.
Hyperplasia is defined as the growth in the number of cells present in a certain tissue with no increase in their size. An ipsilateral sagittal split osteotomy should be performed to thrust the disc and the “new condyle” into the articular fossa.
This tends to be a bit more problematic for older patients. Histopathological and scintigraphic features of condylar hyperplasia.
Users should refer to the original published version of the material for the full abstract. The etiology of condylar hyperplasia remains uncertain, although certain factors like arthritis and hormonal disorders have been associated to it. The maxilla was advanced 5 mm and intruded 3 mm in the posterior region with a Le Fort I osteotomy.
Osteochondroma of the condyle: However, postoperative condylar morphology and reparation has not been analyzed. However, the treatment for UCH does have some consensus: The extra and intraoral photographs show positive results. This would imply that the condyle must be adapted and remodeled with bone apposition and the resulting growth of the condylar head Villanueva-Alcojol et al.
HIPERPLASIA CONDILAR: CARACTERÍSTICAS, MANIFESTACIONES, DIAGNÓSTICO Y TRATAMIENTO. REVISIÓN DE TEMA
He reported that the mandible continued to grow, increasing facial asymmetry, and pain was felt at the right temporomandibular joint TMJ. Surgical prediction from the Department of Orthodontics. Vertical osteotomies of condiar mandibular ramus with extraoral access were performed to correct the asymmetry and check the verticality of the patient.
Gammagraphy that shows the end of metabolism and active cell proliferation in the mandible.