片側下顎頭過形成により生じた顔面非対称症に対して下顎頭切除術と下顎枝矢状分割術を同時に行った1症例

  • 鹿嶋 光司
    宮崎大学医学部感覚運動医学講座顎顔面口腔外科学分野
  • 永田 順子
    宮崎大学医学部感覚運動医学講座顎顔面口腔外科学分野
  • 高森 晃一
    宮崎大学医学部感覚運動医学講座顎顔面口腔外科学分野
  • 井川 加織
    宮崎大学医学部感覚運動医学講座顎顔面口腔外科学分野
  • 吉岡 泉
    宮崎大学医学部感覚運動医学講座顎顔面口腔外科学分野
  • 迫田 隅男
    宮崎大学医学部感覚運動医学講座顎顔面口腔外科学分野

書誌事項

タイトル別名
  • Simultaneous condylectomy and bilateral sagittal splitting ramus osteotomy for treatment of a patient with facial asymmetry caused by unilateral condylar hyperplasia
  • カタガワ シタアゴトウ カケイセイ ニ ヨリ ショウジタ ガンメン ヒタイショウショウ ニ タイシテ シタアゴトウ セツジョジュツ ト シタアゴ シヤジョウ ブンカツジュツ オ ドウジ ニ イッタ 1 ショウレイ

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抄録

Unilateral condylar hyperplasia is a pathological condition creating significant functional and esthetic jaw and facial deformities. We report here a case of successful treatment with a combination of condylectomy and orthognathic surgery for correction of facial asymmetry caused by unilateral condylar hyperplasia, although this combined approach has been considered controversial by oral and maxillofacial surgeons. A 36-year-old female presented with a 14-year history of a gradual growing facial asymmetry and painful temporomandibular joint on the left side. At the first visit, she presented with mandibular asymmetry to the right side as well as elongation of the left molar of both jaws, accompanied with temporomandibular joint pain on opening the mouth. Radiographic examination showed deformed and hypertrophic condyle of the left side. Subsequent to completing the preoperative orthodontic tooth arrangement, concomitant condylectomy and bilateral sagittal splitting ramus osteotomy were performed under general anesthesia. To prevent post-surgical adhesion, an artificial non-absorbable membrane was temporarily inserted into the excised space. Histological study confirmed the diagnosis of condylar hyperplasia without any tumor cells. The clinical course was satisfactory after receiving a 2-week course of intermaxillary fixation and subsequent active postsurgical functional rehabilitation.

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