[Mandibular condyle hyperplasia. Therapeutic review].
Excessive cartilage growth on the condyle process of the mandible can result from primary hyperreactivity of the growth cartilage or be a secondary adaptation to an imbalance in occlusive and/or cervicofacial conditions. Treatment depends on the distinction between these two forms. Primary active overgrowth is treated by condylectomy sparing the distal apparatus although conservative surgery to re-centering the temporomandibular joint and re-establish symmetry without condylectomy may be used in quiescent moderately active forms saving the joint. For secondary forms, the joint is re-centering and symmetry is re-established without condylectomy. If started early enough, orthopaedic treatment can avoid the development of secondary forms resulting an imbalance in occlusive and/or cervicofacial conditions.
Gola
R
R
Service de Stomatologie, Chirurgie Maxillo-faciale et Plastique de la Face, Hôpital Nord, Marseille.
Carreau
J P
JP
De Massiac
G
G
D003937:Diagnosis, Differential; D005146:Facial Asymmetry / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D005260:Female; D006132:Growth Plate / Q000254:growth & development / Q000473:pathology / Q000601:surgery; D006801:Humans; D006965:Hyperplasia; D008297:Male; D008310:Malocclusion / Q000150:complications; D008335:Mandibular Condyle / Q000254:growth & development / Q000473:pathology* / Q000601:surgery; D026741:Physical Therapy Modalities; D013704:Temporomandibular Joint / Q000601:surgery
Hypercondylie mandibulaire. Mise au point thérapeutique.