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Conservative condylectomy alone for the correction of mandibular asymmetry caused by osteochondroma of the mandibular condyle: a report of five cases

 Dong Sung Kim  ;  Jae-Young Kim  ;  Chan-Woo Jeong  ;  Kwang-Ho Park  ;  Jong-Ki Huh 
 Journal of the Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회지), Vol.41(5) : 259-264, 2015 
Journal Title
 Journal of the Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회지) 
Issue Date
Condylectomy ; Facial asymmetry ; Mandibular condyle ; Osteochondroma
We describe our experience with conservative condylectomy for the correction of facial asymmetry in five patients with osteochondroma of the mandibular condyle. All five patients presented with malocclusion and facial asymmetry, which are common clinical findings of osteochondroma involving the mandibular condyle. We performed conservative condylectomy without additional orthognathic surgery for all five patients, preserving the vertical height of the condylar process as much as possible. Following surgery, intermaxillary traction using a skeletal anchorage system with rubber elastics was performed on all patients to improve occlusion, and, when necessary, additional minimal orthodontic treatment was performed. The mean follow-up period was 42 months. At the last follow-up visit, all patients exhibited satisfactory facial symmetry and remodeling of the remaining condyle, with stable health and no signs of recurrence. In conclusion, conservative condylectomy alone, without subsequent orthognathic surgery, is adequate for the restoration of facial symmetry and the preservation of vertical condylar height in select patients with condylar osteochondroma.
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2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Sung(김동성)
Kim, Jae Young(김재영) ORCID logo https://orcid.org/0000-0002-9423-438X
Park, Kwang Ho(박광호) ORCID logo https://orcid.org/0000-0003-1942-2986
Jeong, Chan Woo(정찬우)
Huh, Jong Ki(허종기) ORCID logo https://orcid.org/0000-0002-7381-3972
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