Alyamani Ahmed, Abuzinada Sondos
Department of Oral and Maxillofacial Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.
Ann Maxillofac Surg. 2012 Jan;2(1):17-23. doi: 10.4103/2231-0746.95311.
The purpose was to report the clinical experience with patients diagnosed with Condylar Hyperplasia (CH).
Eighteen patients with CH underwent condylar growth assessment using clinical and radiographic examinations. Seven patients with suspected active condyles underwent single photo emission computed tomography (SPECT) examination. A total of patients with asymmetry and malocclusion were treated with orthognathic surgery. Three patients with intact occlusion; underwent inferior border osteotomy with nerve repositioning. All patients were followed up for 3 years without any complications.
There is great diversity in the clinical and radiographic presentation in cases with CH. Assessment of condylar growth activity is the cornerstone in managing these cases. After that each case has its own diverse treatment plan to achieve a satisfactory facial symmetry.
报告诊断为髁突增生(CH)患者的临床经验。
18例CH患者通过临床和影像学检查进行髁突生长评估。7例怀疑髁突活跃的患者接受了单光子发射计算机断层扫描(SPECT)检查。共有不对称和错牙合患者接受了正颌外科治疗。3例咬合正常的患者;接受了下颌下缘截骨术并进行神经复位。所有患者均随访3年,无任何并发症。
CH病例的临床和影像学表现存在很大差异。髁突生长活动的评估是处理这些病例的基石。在此之后,每个病例都有其独特的治疗方案以实现满意的面部对称性。