Xavier Samuel Porfírio, Santos Thiago de Santana, Silva Erick Ricardo, Faria Ana Célia, de Mello Filho Francisco Verissimo
Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, University of São Paulo, Ribeirão Preto, SP, Brazil.
Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
Braz Dent J. 2014;25(3):257-60. doi: 10.1590/0103-6440201302150.
Condylar hyperplasia (CH) is a rare, self-limiting process manifesting between the first and third decades of life. CH causes facial asymmetry and derangement of the occlusion. Management involves resection of the condylar head and orthognathic surgery. This paper describes the case of a 37-year-old woman with spontaneous onset of CH over a span of approximately 25 years. The condition was managed with resection of the condyle alone, which dramatically improved facial asymmetry and altered the occlusion within a few months of follow up. Orthodontic treatment was then carried out and the patient underwent orthognathic surgery after 3 years. The patient is currently satisfied with her appearance and function and there are no signs of recurrence.
髁突增生(CH)是一种罕见的自限性疾病,多发生于10至30岁之间。CH会导致面部不对称和咬合紊乱。治疗方法包括髁突头部切除术和正颌外科手术。本文描述了一名37岁女性的病例,其CH在约25年的时间里自发发病。该病例仅通过髁突切除术进行治疗,术后随访数月,面部不对称得到显著改善,咬合也有所改变。随后进行了正畸治疗,3年后患者接受了正颌外科手术。患者目前对自己的外观和功能感到满意,且无复发迹象。