Choi Yoon Jeong, Lee Sang-Hwy, Baek Man-Suk, Kim Jae-Young, Park Young-Chel
Assistant professor, Department of Orthodontics, The Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, South Korea.
Professor, Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, South Korea.
Am J Orthod Dentofacial Orthop. 2015 Apr;147(4 Suppl):S109-21. doi: 10.1016/j.ajodo.2014.04.025.
This case report demonstrates the successful treatment of facial asymmetry with condylar hyperplasia with limited surgical and orthodontic treatment. A high condylectomy was performed to shorten the elongated condyle and to remove its active growth site. The maxillary molars on the affected side were then orthodontically intruded using temporary anchorage devices to improve the occlusal cant and posterior open bite of the unaffected side. This combined surgical-orthodontic treatment provided a satisfactory outcome without additional orthognathic surgery.
本病例报告展示了通过有限的手术和正畸治疗成功治疗髁突增生导致的面部不对称。进行了高位髁突切除术以缩短伸长的髁突并去除其活跃生长部位。然后使用临时锚固装置对患侧上颌磨牙进行正畸压低，以改善患侧的咬合斜度和健侧的后牙开合。这种联合手术正畸治疗获得了满意的效果，无需额外的正颌手术。
