Tratamento de assimetria facial decorrente de hiperplasia condilar: relato de caso

Raissa Pinheiro Moraes, Lucas Emanuel Torquato Loiola, Luis Raimundo Serra Rabêlo, Paulo Maria Santos Rabêlo Junior, Eider Guimarães Bastos
2020 Brazilian Journal of Development  
RESUMO A hiperplasia condilar consiste em uma alteração de desenvolvimento, caracterizada por um crescimento condilar excessivo, autolimitado, geralmente unilateral, que causa uma deformidade assimétrica da face e consequentemente má oclusão dental. Não há um consenso sobre a etiologia desta condição, apesar de fatores como traumatismos prévios, distúrbios hormonais e doenças articulares poderem ser possíveis causas. Quanto à melhor forma de tratamento, deve-se levar em consideração a idade do
more » ... deração a idade do paciente, presença de Palavras-Chave: hiperplasia condilar, assimetria facial, tratamento ABSTRACT Condylar hyperplasia consists of a developmental change, featured by excessive, self-limited, usually unilateral condylar growth, which causes an asymmetric deformity of the face and consequently dental malocclusion. There is no consensus on the etiology of this condition, although factors such as previous trauma, hormonal disorders and joint diseases may be possible causes. Regards to the treatment choice, the patient's age, presence of condylar activity and the severity of the deformity must be taken into account. The aim of the present study is to report the treatment for condylar hyperplasia in a female patient, 25 years old, complaining of a "crooked face", reporting the evolution time of the last 10 years. It was possible to observe mandibular facial asymmetry with deviation of the chin to the left side on physical examination. Moreover, the malocclusion with unevenness of the "cant" occlusal plane was noted. Likewise, the imaging examination confirmed the diagnosis: hyperplasia of the right condyle associated with hemimandibular hyperplasia and lengthening of the body and ramus in height. In addition, bone scintigraphy revealed a high level of condylar activity on the affected side. The patient was admitted to the hospital and under general anesthesia, an endoaural access was performed for condylectomy and discopexy followed by bimaxillary orthognathic surgery with mentoplasty. Currently, the patient has one year of postoperative follow-up, and it is possible to observe a satisfactory occlusion and facial balance. Furthermore, the patient's satisfaction was achieved.
doi:10.34117/bjdv6n3-300 fatcat:lkoihztceffttmdxmzcfaicehi