Rey P, Choitel J, Souyris F
Rev Stomatol Chir Maxillofac. 1984;85(2):102-5.
Exceptionally bilateral, condylar hyperplasia result in graduated facial asymmetry . The principal treatment is the condylectomy. (Condylar head and a portion of the neck of the condyle are removed.) Sometimes we must complete this condylectomy by mandibular osteotomy or resection of a segment of body of the mandible. The occlusal relationships of the teeth are affected by this process. That's why surgery treatment must be associated with orthodontics and prosthetic preparations. We use in post-operative immediate an intermaxillary fixation and traction by elastics. This allow to have a better congruence between the dental arches, and spare functional troubles.
极为罕见的双侧髁突增生会导致渐进性面部不对称。主要治疗方法是髁突切除术。(切除髁突头部和髁突颈部的一部分。)有时我们必须通过下颌骨截骨术或切除下颌骨体的一部分来完成这种髁突切除术。牙齿的咬合关系会受到这个过程的影响。这就是为什么手术治疗必须与正畸和修复准备相结合。我们在术后立即使用弹性牵引进行颌间固定。这有助于使牙弓之间有更好的一致性,并避免功能问题。