Unilateral condylar hyperactivity: histogenetic and patomorphological aspects

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Maxillofacial deformations and malocclusions are common pathology that leads to severe functional and aesthetic disturbance. Etiological factors are trauma, genetic disorders, and hormonal imbalance. One of the rare and underexplored forms of congenital growth disorders are hemimandibular growth abnormalities as unilateral condylar hyperactivity, hemifacial elongation, condylar hypoplasia. Unilateral condylar hyperactivity (UCH) is a self-limiting pathology of mandibular condylar bone tissue overgrowth, leading to functional and aesthetic maxillofacial disturbance. The aim of the study was to identify the pathological features of hemimandibular growth abnormalities. We performed diagnostics and treatment of 35 patients (7 male, 28 female) aged from 16 to 37 years with condylar hyper- and hypoplasia. In case of unilateral condylar hyperplasia symptoms we performed high partial condyleectomy as the first step of treatment. In all the patients temporo-mandibular joint function was restored and facial aesthetic was improved as a result of treatment. According to histological features we found the materials from all patients to be divided into two groups: without pronounced continued growth and with signs of enchondral osteohistogenesis. Histological features of the pathological process were detailed in each group.

Full Text

Restricted Access

About the authors

E. G Sviridov

A.I. Evdokimov Moscow State University of Medicine and Dentistry

N. A Redko

A.I. Evdokimov Moscow State University of Medicine and Dentistry

O. I Izotov

A.I. Evdokimov Moscow State University of Medicine and Dentistry

S. A Anisimova

I.P. Pavlov Ryazan State University of Medicine

R. V Deev

I.P. Pavlov Ryazan State University of Medicine

A. Yu Drobyshev

A.I. Evdokimov Moscow State University of Medicine and Dentistry

References

  1. Дробышев А.Ю., Анастассов Г. Основы ортогнатической хирургии. Москва: Печатный город; 2007.
  2. Cheong Y.W., Lo L.J. Facial Asymmetry: Etiology, evaluation, and management. Chang Gung Med J. 2011; 34(4): 341-51.
  3. Mahajan M. Unilateral condylar hyperplasia - A genetic link? Case reports. Natl. J. Maxillofac. Surg. 2017; 8(1): 58-3.
  4. Allen P.F. Assessment of oral health related quality of life. Health Qual. Life Outcomes. 2003; 1: 40.
  5. Higginson J.A., Bartram A.C., Banks R.J. Condylar hyperplasia: current thinking. Br. J. Oral. Maxillofac. Surg. 2018 Oct; 56(8): б55-2.
  6. Yang J., Lignelli J.L., Ruprecht A. Mirror image condylar hyperplasia in two siblings. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2004; 97: 281-5.
  7. Arnett G.W., Gunson M.J. Facial planning for orthodontists and oral surgeons. Am J Orthod Dentofacial Orthop. 2004; 126(3): 290-5.
  8. Angiero F., Farronato G., Benedicenti S. Mandibular condylar hyperplasia: clinical, histopathological, and treatment considerations. Cranio. 2009; 27: 24-2.
  9. Pripatnanont P., Vittayakittipong P., Markmanee U. et. al. The use of SPECT to evaluate growth cessation of the mandible in unilateral condylar hyperplasia. Int. J. Oral Maxillofac.Surg. 2005; 34: 364-8.
  10. Kajan Z.D., Motevasseli S., Nasab N.K. et. al. Assessment of growth activity in the mandibular condyles by single-photon emission computed tomography (SPECT). Aust. Orthod. J. 2006; 22: 127-0.
  11. Yang Z., Reed T., Longino B. Bone Scintigraphy SPECT/CT Evaluation of Mandibular Condylar Hyperplasia. Journal of nuclear medicine technology. 2016; 44(1): 49-1.
  12. Ghawsi S., Aagaard E., Thygesen T.H. High condylectomy for the treatment of mandibular condylar hyperplasia: a systematic review of the literature. Int. J. Oral. Maxillofac. Surg. 2016; 45(1): 60-1.
  13. Nitzan D.W., Katsnelson A., Bermanis I. et. al. The clinical characteristics of condylar hyperplasia: experience with 61 patients. J. Oral Maxillofac. Surg. 2008; 66: 312-8.
  14. Martin-Granizo R. Correlation between single photon emission computed tomography and histopathologic findings in condylar hyperplasia of the temporomandibular joint. J. Craniomaxillofac. Surg. 2017; 45(6): 839-4.
  15. Obwegeser H.L. Hemimandibular hyperplasia. In: Obwegeser HL (Ed.). Mandibular growth anomalies. Berlin: Springer, 2001: 145-98.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2018 Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: 

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies