title: Two-stage treatment of facial asymmetry caused by unilateral condylar hyperplasia.
abstract: Condylar hyperplasia (CH) is a rare, self-limiting process manifesting between the first and third decades of life. CH causes facial asymmetry and derangement of the occlusion. Management involves resection of the condylar head and orthognathic surgery. This paper describes the case of a 37-year-old woman with spontaneous onset of CH over a span of approximately 25 years. The condition was managed with resection of the condyle alone, which dramatically improved facial asymmetry and altered the occlusion within a few months of follow up. Orthodontic treatment was then carried out and the patient underwent orthognathic surgery after 3 years. The patient is currently satisfied with her appearance and function and there are no signs of recurrence.
authors.affiliation: Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, University of São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Samuel Porfírio
authors.initials: SP
authors.lastname: Xavier
authors.affiliation: Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, University of São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Thiago de Santana
authors.initials: Tde S
authors.lastname: Santos
authors.affiliation: Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, University of São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Erick Ricardo
authors.initials: ER
authors.lastname: Silva
authors.affiliation: Department of Oral and Maxillofacial Surgery and Periodontology, Ribeirão Preto Dental School, University of São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Ana Célia
authors.initials: AC
authors.lastname: Faria
authors.affiliation: Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Francisco Verissimo
authors.initials: FV
authors.lastname: de Mello Filho
mesh_terms: D000328:Adult; D005145:Face / Q000033:anatomy & histology*; D005260:Female; D006801:Humans; D006965:Hyperplasia; D008335:Mandibular Condyle / Q000473:pathology*