Condylar hyperplasia is a well-known pathologic entity with an established treatment protocol. Traditionally, saws and drills have been used in the condylar osteotomy. The use of ultrasonic systems has optimized many procedures in the maxillofacial area; however, exploration of the use of this technique for condylectomy has been limited. Ultrasonic systems offer several advantages, such as a decrease in the risk of blood vessel damage and clarity of the osteotomy. The present report addressed the scope of condylar osteotomy using ultrasonic systems. (C) 2014 American Association of Oral and Maxillofacial Surgeons