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| DOI | 10.4067/S0717-95022015000200054 | ||||||
| Año | 2015 | ||||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
The different aspects of unilateral condylar hyperplasia have been studied and continue to be controversial; nevertheless, treatment based on condylectomy has been established as part of the working protocol. The aim of this investigation was to identify the bone repair observed in surgically treated condyles after 1 year using cone beam computed tomography (CBCT). Nine subjects were included in this study (6 female and 3 male) with an average age of 18.5 years. They had been diagnosed with active unilateral condylar hyperplasia using SPECT, clinical follow-up of progressive facial asymmetry and CBCT. Patients underwent exclusive condylectomy surgery with a piezoelectric system without disc replacement, orthognatic surgery or any other type of adjunct surgical procedure. Later, they were treated orthodontically for dental compensation or as preparation for orthognatic surgery. A CBCT was performed in the first postoperative month and after 1 year from the surgery to analyze variables. The CBCT at 1 month showed a clear and distinct slice of the condyle without defects or irregularities; the distance from the condylar remnant to the articular fossa reached 8.5 mm in the most extreme case. After 1 year, condylar bone remodeling was observed, with areas of lateral and superior curvature and characteristics of normal condyles, with cortical bone present and a maximum distance of 4.5 mm from the condylar fossa. In conclusion, condylar repair and remodeling can be obtained in these types of surgeries and the morphology of resected condyles after 1 year is quite close to normal macroscopic anatomy.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | OLATE-MORALES, SERGIO | Hombre |
Universidad de La Frontera - Chile
UNIV ESTADUAL CAMPINAS - Brasil State University of Campinas - Brasil Universidade Estadual de Campinas - Brasil |
| 2 | CANTIN-LOPEZ, MARIO | Hombre |
Universidad Autónoma de Chile - Chile
Universidad de La Frontera - Chile |
| 3 | Palmieri, Celso | Hombre |
Louisiana State Univ Hlth Shreveport - Estados Unidos
Louisiana State University Health Shreveport - Estados Unidos Louisiana State University in Shreveport - Estados Unidos |
| 4 | ALISTER-HERDENER, JUAN PABLO | Hombre |
Universidad de La Frontera - Chile
|
| 5 | MUNOZ-ORTEGA, MARIELA ELIZABETH | Mujer |
Univ Cient Sur - Perú
Universidad Científica del Sur - Perú |
| 6 | de Moraes, Marcio | Hombre |
UNIV ESTADUAL CAMPINAS - Brasil
State University of Campinas - Brasil Universidade Estadual de Campinas - Brasil |