High condylectomy versus proportional condylectomy: is secondary orthognathic surgery necessary?

Int J Oral Maxillofac Surg. 2016 Jan;45(1):72-7. doi: 10.1016/j.ijom.2015.07.016. Epub 2015 Aug 11.

Abstract

The objective of this study was to assess the need for secondary orthognathic surgery in patients undergoing two different condylectomy protocols for active unilateral condylar hyperplasia (UCH). A retrospective cohort study evaluated UCH patients treated by condylectomy. Two groups were established: group 1 comprised those who had undergone a high condylectomy (5 mm removed) and group 2 comprised those who had undergone a proportional condylectomy (removing the difference observed between the measurements of the hyperplastic and the healthy side). Data analysis was done with the Levene test and t-test; a P-value of <0.05 indicated a statistically significant relationship. Forty-nine patients, with an average age of 19.83 years, were analyzed; 11 were included in group 1 and 38 in group 2. There was no statistical difference between the two groups with regard to age or sex (P=0.781). An average of 5.81 mm was removed in the high condylectomy group, while an average of 9.28 mm was removed in the proportional condylectomy group; this difference was statistically significant (P=0.042). Comparing the two groups, proportional condylectomy reduced the need for secondary orthognathic surgery (P<0.001). The proportional condylectomy can be used as the sole surgical treatment in cases of UCH, thus avoiding the need for secondary orthognathic surgery.

Keywords: condylar hyperplasia; condylectomy; facial asymmetry; hemimandibular elongation; hemimandibular hypertrophy; high condylectomy; low condylectomy; mandibular condyle; orthognathic surgery; proportional condylectomy.

MeSH terms

  • Facial Asymmetry / diagnostic imaging
  • Facial Asymmetry / pathology
  • Facial Asymmetry / surgery*
  • Female
  • Humans
  • Hyperplasia
  • Male
  • Mandibular Condyle / diagnostic imaging
  • Mandibular Condyle / pathology*
  • Mandibular Condyle / surgery*
  • Mandibular Osteotomy
  • Orthodontics, Corrective
  • Orthognathic Surgical Procedures*
  • Osteotomy, Sagittal Split Ramus
  • Physical Therapy Modalities
  • Reoperation
  • Retrospective Studies
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Young Adult