Gola R, Carreau J P, De Massiac G
Service de Stomatologie, Chirurgie Maxillo-faciale et Plastique de la Face, Hôpital Nord, Marseille.
Rev Stomatol Chir Maxillofac. 1996;97(3):145-60.
Excessive cartilage growth on the condyle process of the mandible can result from primary hyperreactivity of the growth cartilage or be a secondary adaptation to an imbalance in occlusive and/or cervicofacial conditions. Treatment depends on the distinction between these two forms. Primary active overgrowth is treated by condylectomy sparing the distal apparatus although conservative surgery to re-centering the temporomandibular joint and re-establish symmetry without condylectomy may be used in quiescent moderately active forms saving the joint. For secondary forms, the joint is re-centering and symmetry is re-established without condylectomy. If started early enough, orthopaedic treatment can avoid the development of secondary forms resulting an imbalance in occlusive and/or cervicofacial conditions.
下颌骨髁突过度的软骨生长可能源于生长软骨的原发性高反应性，或者是对咬合和/或颈面部状况失衡的继发性适应。治疗取决于这两种形式的区分。原发性活跃性过度生长通过保留远端结构的髁突切除术进行治疗，不过对于静止的中度活跃形式，可采用保守手术使颞下颌关节重新居中并重建对称性而不进行髁突切除术，以保留关节。对于继发性形式，不进行髁突切除术即可使关节重新居中并重建对称性。如果足够早地开始，矫形治疗可以避免因咬合和/或颈面部状况失衡而导致继发性形式的发展。
