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Conservative condylectomy alone for the correction of mandibular asymmetry caused by osteochondroma of the mandibular condyle: a report of five cases

  • Kim, Dong Sung (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Kim, Jae-Young (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Jeong, Chan-Woo (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Park, Kwang-Ho (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Huh, Jong-Ki (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry)
  • Received : 2015.05.29
  • Accepted : 2015.08.14
  • Published : 2015.10.31

Abstract

We describe our experience with conservative condylectomy for the correction of facial asymmetry in five patients with osteochondroma of the mandibular condyle. All five patients presented with malocclusion and facial asymmetry, which are common clinical findings of osteochondroma involving the mandibular condyle. We performed conservative condylectomy without additional orthognathic surgery for all five patients, preserving the vertical height of the condylar process as much as possible. Following surgery, intermaxillary traction using a skeletal anchorage system with rubber elastics was performed on all patients to improve occlusion, and, when necessary, additional minimal orthodontic treatment was performed. The mean follow-up period was 42 months. At the last follow-up visit, all patients exhibited satisfactory facial symmetry and remodeling of the remaining condyle, with stable health and no signs of recurrence. In conclusion, conservative condylectomy alone, without subsequent orthognathic surgery, is adequate for the restoration of facial symmetry and the preservation of vertical condylar height in select patients with condylar osteochondroma.

Keywords

References

  1. Roychoudhury A, Bhatt K, Yadav R, Bhutia O, Roychoudhury S. Review of osteochondroma of mandibular condyle and report of a case series. J Oral Maxillofac Surg 2011;69:2815-23. https://doi.org/10.1016/j.joms.2010.10.016
  2. Wolford LM, Mehra P, Franco P. Use of conservative condylectomy for treatment of osteochondroma of the mandibular condyle. J Oral Maxillofac Surg 2002;60:262-8. https://doi.org/10.1053/joms.2002.30570
  3. Forssell H, Happonen RP, Forssell K, Virolainen E. Osteochondroma of the mandibular condyle. Report of a case and review of the literature. Br J Oral Maxillofac Surg 1985;23:183-9. https://doi.org/10.1016/0266-4356(85)90088-9
  4. Holmlund AB, Gynther GW, Reinholt FP. Surgical treatment of osteochondroma of the mandibular condyle in the adult. A 5-year follow-up. Int J Oral Maxillofac Surg 2004;33:549-53. https://doi.org/10.1016/j.ijom.2004.01.006
  5. Li H, Hu J, Luo E, Zhu S, Li J. Treatment of osteochondroma in the mandibular condyle and secondary dentofacial deformities using surgery combined with orthodontics in adults. J Oral Maxillofac Surg 2014;72:2295-317. https://doi.org/10.1016/j.joms.2014.03.021
  6. Wolford LM, Movahed R, Dhameja A, Allen WR. Low condylectomy and orthognathic surgery to treat mandibular condylar osteochondroma: a retrospective review of 37 cases. J Oral Maxillofac Surg 2014;72:1704-28. https://doi.org/10.1016/j.joms.2014.03.009
  7. Yang JY, Leem DH. Surgical treatment of osteochondroma on the mandibular condyle through intraoral approach: case report. J Korean Assoc Maxillofac Plast Reconstr Surg 2012;34:349-56.
  8. de Melo WM, Pereira-Santos D, Sonoda CK, de Moura WL, de Paulo-Cravinhos JC. Conservative condylectomy for management of osteochondroma of the mandibular condyle. J Craniofac Surg 2013;24:e209-11. https://doi.org/10.1097/SCS.0b013e3182700b64
  9. Santos GS, Gomes JB, de Sousa Maia S, Bermejo PR, Shinohara EH, Sonoda CK, et al. Using conservative condylectomy for management of a large osteochondroma of the mandibular condyle with 6-year follow-up. J Craniofac Surg 2014;25:e102-4. https://doi.org/10.1097/SCS.0000000000000430
  10. Kim HS, Lee SH, Youn T, Kim HG, Huh JK. Anterior open bite with temporomandibular disorders treated with intermaxillary traction using skeletal anchorage system. J Korean Assoc Oral Maxillofac Surg 2012;38:284-94. https://doi.org/10.5125/jkaoms.2012.38.5.284
  11. Karras SC, Wolford LM, Cottrell DA. Concurrent osteochondroma of the mandibular condyle and ipsilateral cranial base resulting in temperomandibular joint ankylosis: report of a case and review of the literature. J Oral Maxillofac Surg 1996;54:640-6. https://doi.org/10.1016/S0278-2391(96)90652-7
  12. Peroz I, Scholman HJ, Hell B. Osteochondroma of the mandibular condyle: a case report. Int J Oral Maxillofac Surg 2002;31:455-6. https://doi.org/10.1054/ijom.2002.0234
  13. Ribas Mde O, Martins WD, de Sousa MH, Zanferrari FL, Lanzoni T. Osteochondroma of the mandibular condyle: literature review and report of a case. J Contemp Dent Pract 2007;8:52-9.
  14. Iizuka T, Schroth G, Laeng RH, Ladrach K. Osteochondroma of the mandibular condyle: report of a case. J Oral Maxillofac Surg 1996;54:495-501. https://doi.org/10.1016/S0278-2391(96)90127-5
  15. Martinez-Lage JL, Gonzalez J, Pineda A, Alvarez I. Condylar reconstruction by oblique sliding vertical-ramus osteotomy. J Craniomaxillofac Surg 2004;32:155-60. https://doi.org/10.1016/j.jcms.2003.12.006
  16. Ord RA, Warburton G, Caccamese JF. Osteochondroma of the condyle: review of 8 cases. Int J Oral Maxillofac Surg 2010;39:523-8. https://doi.org/10.1016/j.ijom.2010.02.015
  17. Lee SH, Ryu DJ, Kim HS, Kim HG, Huh JK. Alloplastic total temporomandibular joint replacement using stock prosthesis: a oneyear follow-up report of two cases. J Korean Assoc Oral Maxillofac Surg 2013;39:297-303. https://doi.org/10.5125/jkaoms.2013.39.6.297

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