Condylar hyperplasia, approach to diagnosis and treatment. Review of the literature

Condylar hyperplasia (HC) was first described by Robert Adams in 1836. This mandibular pathology presents several types that affect bone size and morphology, alter occlusion and dentolabial structures, indirectly affect the maxilla, resulting in facial patterns that can be characterized by: mandibul...

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Detalles Bibliográficos
Autores: Sedano Balbin, Gabriela, Pérez Vargas, Fernando, Romero Tapia, Percy
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:Perú
Institución:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/16226
Acceso en línea:https://revistasinvestigacion.unmsm.edu.pe/index.php/odont/article/view/16226
Access Level:acceso abierto
Palabra clave:Facial asymmetry; Mandibular condyle; Prognathism; Maxillofacial abnormalities; Tomography; Orthognathic surgery
Asimetría facial; Cóndilo mandibular; Prognatismo; Anomalías maxilofaciales; Tomografía; Cirugía ortognática
Descripción
Sumario:Condylar hyperplasia (HC) was first described by Robert Adams in 1836. This mandibular pathology presents several types that affect bone size and morphology, alter occlusion and dentolabial structures, indirectly affect the maxilla, resulting in facial patterns that can be characterized by: mandibular prognathism, unilateral increase of the condyle, neck, branch and body, facial asymmetry, temporomandibular joint dysfunction, neuromuscular imbalance and myofacial pain pathology. This condition of the HC, requires a multidisciplinary treatment, which according to its severity, is the responsibility of oral and maxillofacial surgeons, orthodontists, physiotherapists, plastic surgeons. The diagnosis of HC is based on the anamnesis, the clinical examination and the imaging evaluation, consisting of panoramic cephalometric radiographs, macizo-facial tomography (TEM CBCT), bone scintigraphy and in some cases anatomo-pathological study. The purpose of this review is to know in detail the behavior and prognosis of this pathology according to the type, in order to facilitate diagnosis and therapeutic options, according to the severity, the age of the patient and the pathology in its active form or inactive.