Can electrocautery of the mandibular condyle effectively treat condylar hyperplasia? |
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| Institution: | 1. Universityclinic of Bonn, Department of Oral, Cranio-Maxillo and Facial Plastic Surgery, Venusberg Campus 1, 53127, Bonn, Germany;2. University of Bonn, Faculty of Medicine, Department of Medical Biometry, Informatics and Epidemiology Venusberg Campus 1, 53127, Bonn, Germany;1. Department of Dentistry (Oral & Maxillofacial Surgery), All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India;2. ESIC Dental College & Hospital, Rohini, New Delhi, India;3. Department of Trauma & Emergency, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India;4. Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India;5. Consultant Oral and Maxillofacial Surgeon, Kerala, India;6. Consultant Dentist, Private Practice, Kolkata, India;1. Oral and Maxillofacial Surgeon, Hospital Universitario La Samaritana, Bogotá, Colombia;2. Department of Oral Research, Institución Universitaria Colegios de Colombia, Bogotá, Colombia;3. Oral and Maxillofacial Service, Hospital Universitario Fundación Santa Fe de Bogotá, Colombia;4. Oral and Maxillofacial Surgery Program, Universidad El Bosque, Bogotá, Colombia;5. Unit of Basic Oral Investigation (UIBO), Facultad de Odontología, Universidad El Bosque, Bogotá, Colombia;6. Department of Oral and Maxillofacial Surgery, Hospital Clínico San Carlos, Madrid, Spain |
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| Abstract: | This study aims to introduce and evaluate a novel technique to treat unilateral condylar hyperplasia (UCH) by electrocauterization of the mandibular condyle via an intraoral approach.Patients suffering from unilateral condylar hyperplasia (UCH) were included in this study. All patients underwent electrocauterization of the affected condyle. An intraoral incision on the anterior border of the mandibular ramus was made to expose the external surface of the ramus and access the anterior border of the condylar head. A hole was then drilled into the condyle and cauterization was performed; six patients also received orthognathic surgery during the procedure. Patients underwent careful clinical assessment and radiological evaluation including panoramic view, lateral and posteroanterior cephalometry, cone-beam computed tomography (CBCT) and scintigraphy to assess condylar growth for a period of 12–24 months. Ten patients (5 male and 5 female) with active UCH type 1B or 2A were included in this study with a mean age of 20.7 years (range, 18–21.7 years). At the 12-month postoperative assessment, clinical evaluation showed stable dental occlusion with no midline shift; scintigraphy showed persistently reduced cellular activity, and computed tomography scans revealed no degeneration in either of the condyles with complete healing of the drilled holes.Within the limitations of this study it seems that the proposed treatment approach might be an alternative to previously established protocols. |
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| Keywords: | Unilateral condylar hyperplasia Electrocauterization Unilateral condylar hyperplasia treatment |
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