Combination of orthognathic surgery and condylectomy in active condylar hyperplasia: a case report
Journal
Journal of Oral Research
ISSN
0719-2460
Date Issued
2025-12-26
Author(s)
Jorge Maldonado-Alvear
Leonardo Orellana
Cochrane Collaboration, Cochrane Ecuador, EHESP School of Public Health, Elsevier Foundation, Epistemonikos Foundation, Erasmus Mundus Excellence Scholarship, Iberoamerican Cochrane Centre, Pasteur Institute, Public Health England, Secretaría de Educación Superior, Ciencia, Tecnología e Innovación, UTE University, Universidad Central del Ecuador, Universidad Hemisferios, Universidad Técnica Particular de Loja, Universidad UTE, University College London, University of Sheffield
Abstract
Case Report: Active condylar hyperplasia is a rare condition that often leads to progressive facial asymmetry in adolescents and young adults. Surgical treatment, usually involving a condylectomy, is necessary to stop condylar overgrowth. In certain cases, orthognathic surgery is also required to correct associated skeletal abnormalities.
This case report presents an 18-year-old female with right-sided active condylar hyperplasia who underwent simultaneous low condylectomy and orthognathic surgery. Digital planning with virtual surgical simulation was used preoperatively to guide the procedure. A postoperative evaluation revealed a discrepancy of approximately 2 mm compared to the planned outcome, indicating a high degree of surgical accuracy.
Conclusions: This case highlights the potential of combining condylectomy with orthognathic surgery, supported by virtual planning, as an effective strategy to correct asymmetry and achieve long-term functional and aesthetic stability in specific patients.
Keywords: Orthognathic surgery; Mandibular condyle; Hyperplasia; Dentofacial deformities; Case reports; Dentistry.
This case report presents an 18-year-old female with right-sided active condylar hyperplasia who underwent simultaneous low condylectomy and orthognathic surgery. Digital planning with virtual surgical simulation was used preoperatively to guide the procedure. A postoperative evaluation revealed a discrepancy of approximately 2 mm compared to the planned outcome, indicating a high degree of surgical accuracy.
Conclusions: This case highlights the potential of combining condylectomy with orthognathic surgery, supported by virtual planning, as an effective strategy to correct asymmetry and achieve long-term functional and aesthetic stability in specific patients.
Keywords: Orthognathic surgery; Mandibular condyle; Hyperplasia; Dentofacial deformities; Case reports; Dentistry.