Postoperative Outcomes in Condylar Hyperplasia: Proportional Condylectomy Versus Orthognathic Surgery

The management of patients with facial asymmetry caused by condylar hyperplasia remains a subject of ongoing debate. This study compared active patients with unilateral condylar hyperplasia (UCH) who underwent proportional condylectomy with ceased patients with UCH who underwent orthognathic surgery...

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Bibliographic Details
Published inThe Journal of craniofacial surgery Vol. 36; no. 4; p. 1347
Main Authors Cohen, Adir, Rushinek, Heli, Shhadeh, Amjad, Alterman, Michael, Casap, Nardy
Format Journal Article
LanguageEnglish
Published United States 01.06.2025
Subjects
Adolescent
Adult
Cephalometry
Esthetics
Facial Asymmetry - etiology
Facial Asymmetry - surgery
Female
Humans
Hyperplasia - surgery
Male
Mandibular Condyle - diagnostic imaging
Mandibular Condyle - pathology
Mandibular Condyle - surgery
Orthognathic Surgical Procedures - methods
Patient Satisfaction
Retrospective Studies
Surveys and Questionnaires
Treatment Outcome
Young Adult
Condylar hyperplasia
orthognathic surgery
proportional condylectomy
temporomandibular joint
facial asymmetry
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Summary:The management of patients with facial asymmetry caused by condylar hyperplasia remains a subject of ongoing debate. This study compared active patients with unilateral condylar hyperplasia (UCH) who underwent proportional condylectomy with ceased patients with UCH who underwent orthognathic surgery, evaluating esthetics, function, and satisfaction. The retrospective study included 2 groups: group A, with 15 active patients with UCH who underwent proportional condylectomy, and group B, with 22 ceased patients with UCH who underwent orthognathic surgery. Facial, occlusal, and skeletal changes were analyzed using photographic and radiologic records, along with a satisfaction questionnaire. Both groups showed significant improvements. Group A's chin deviation, dental midline, and occlusal plane canting improved by 58.5% ( P < 0.001), 56.5% ( P < 0.001), and 70.0% ( P < 0.001), respectively. Group B's corresponding improvements were 60.1% ( P < 0.001), 79.4% ( P < 0.001), and 64.9% ( P < 0.001). Patient satisfaction was high in both groups, without significant differences in postoperative results, esthetics, and functional satisfaction. In conclusion, Proportional condylectomy for UCH achieves comparable outcomes with orthognathic surgery in facial, occlusal, and skeletal improvements and patient satisfaction.
ISSN:1536-3732
DOI:10.1097/SCS.0000000000011085