A condylectomy is the preferred method for treating dysmorphology in temporomandibular joint (TMJ) defects. This procedure is indicated for a. A detailed technique for a high intracapsular condylectomy using specially designed condylar instruments is described. This procedure was performed on An intraoral approach to the TMJ was first reported by Sear in Nickerson and Veaco described intraoral condylectomy for intraoral vertical ramus.

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The procedure usually takes 60 to 90 minutes. However, condylectomy is more effective in patients who suffer from organic TMJ disorders or those that are stress-related. The surgical time was estimated between 60 and 90 minutes, progressively decreasing the surgical time from the first surgery.

Condylectomy for temporomandibular joint dysfunction. A survey of seventeen postoperative patients.

Received Jan 19; Accepted Feb This anatomic condition may be the first factor for intervening in alterations of preoperative and postoperative tmj function.

Facial asymmetry and condylar hyperplasia: In condtlectomy, the partial condylectomy was performed with preauricular condylecotmy endaural access and the osteotomy were performed with drills, saw or an ultrasonic system.

These disorders typically cause symptoms such as:. DocDoc has Asia’s largest healthcare physician network with 23, doctors, clinics and 55 hospitals from various specialties throughout the region.

Condylar hyperplasia is a recurrent pathology that frequently causes facial asymmetry [ 1 ]. Temporal arteritis, or inflammation of the blood vessels that supply blood to the temporal area head and neck Myofascial pain disorder, a painful condition of the TMJ caused by muscle tension and spasms However, condylectomy is more effective in patients who suffer from organic TMJ disorders or those that are stress-related. However, some patients eventually require surgery if the disorders do not respond to treatment or if their conditions do not improve.

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The patient was assessed according to the study variables: Condylectomy, which can be either low or high, works by removing the condyle completely.


Author information Article notes Copyright and License information Disclaimer. TMJ disorders can be treated without surgery. For these patients series, the potential complications are related to the temporal branch of facial nerve and not for mandible dynamic or pain after surgery. However, 9 patients presented limitations of the temporal branch of the facial nerve VII ; when zygomatic branch was involved in neuropraxia, the initial protocol with physiotherapy was sufficient for improve this function showing without problem after 3 month.

A survey of seventeen postoperative patients. Patients who experience TMD symptoms are advised to make some lifestyle changes, such as resting the joint, condylectoym to a soft condylectony, doing gentle jaw exercises, massaging the muscles around the jaw, and avoiding clenching the jaw or grinding the teeth.

Treatment with arch bars and elastics associated to compensatory or corrective orthodontics in conjunction with orthognatic surgery are possible alternatives in these cases [ 1112 ]. It can also be performed in conjunction with orthognatic surgery.

Scar was not related to problem with patient and the temporal branch of facial nerve was observed with limitations but without problem for patients. DocDoc is run by a group of professionals who have been medical tourists.

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TMJ function after partial condylectomy in active mandibular condylar hyperplasia

Distribution of 14 patients with condilectomy in relation to condicion of facial nerve, pain and tmj noise. Nevertheless, this clinical condition did not affect the daily activities of the patients studied. The procedure is commonly performed on the lateral part of the joint.

The surgical scar was studied with questions directed by an operator different from the team who performed the surgery. The hospital stay was 24 hours or less in 12 of the cases and was 12 hours or less in two cases; these last two cases were done on an outpatient basis.

Condylar hyperplasia, TMJ, facial asymmetry. Few investigations have studied post-condylectomy joint function, which limits comparison with our results [ 6 ]. Support Center Support Center. Where neuropraxia was indeed present, it was possible to improve the clinical conditions in all the patients. In a study involving 14 patients, none of them had any pain during the follow-up visit.


Brusati [ 8 ] determined in a follow-up study of 15 patients who underwent a high condylectomy that they presented no significant differences between the pre- and postoperative stages in either the objective or subjective evaluations, indicating excellent function in From the functional point of view, the mandibular dynamic is maintained with no significant changes when the high condylectomy is performed [ 57 ].

From a morphological point of view, a condyle with hyperplasia undergoes significant modifications including the condyle, the articular fossa and coronoid process being integrally affected by the disease and determining the growth of the entire mandible structure [ 10 ]. The condylar fragment was subsequently removed and the articular disc repositioned without suturing or capturing it. Scarring, which is usually insignificant and does not cause major aesthetic problems for most patients TMJ noises, which occurred in 3 patients or Noise was observed in 3 patients and pain was observed in two patients with level 2 and 1 VAS score.

This is effective in removing any bone irregularities or impingement in the temporomandibular joint. Condylar hyperplasia is a frequent pathology that causes severe facial asymmetries.

In a study performed on 17 patients who underwent condylectomy, 14 of them experienced relief from symptoms. Please review our privacy policy. In terms of mandibular dynamics, an average of Some patients are also given medications or steroid injections.

As such, it plays a key role in eating and speaking. The condylectomy has been used to manage this disease with for some surgeons [ 3 ]; although there have been variations in the surgical technique [ 4 ], the surgery has essentially not modified substantially. This is most effective on patients who have periarticular neoplasia or ankylosis. Finally, we conclude that the condilectomy is a safe procedure with minor mobility.