Condylectomy as a treatment approach to condylar hyperplasia

Abstract

ABSTRACT Introduction: Condylar hyperplasia (CH) is one of the causes of asymmetric facial growth resulting from overgrowth or hyperactivity in the mandibular condyles. The present review article describes the clinical and histopathological features of condylar hyperplasia and condylectomy with and without orthognathic surgery as a treatment approach to address this condition. Objectives and Conclusions: This article highlights the different classification systems to characterize CH. Clinical examination and radiographic examinations (including bone scintigraphy and single-photon emission computed tomography) over a period of time appear to be the gold standard in the diagnosis. Condylectomies, which removes a small portion of the mandibular condylar head, have been reported to produce adequate outcomes with minimal side effects on the temporomandibular joint. Timing of this surgical procedure and differences in indications and outcomes between high and low condylectomies are presented. A case report illustrating a low proportional condylectomy is reported.