Laterognathia (hemi-mandibular elongation) The characteristic of hemi mandibular hyperplasia is facial asymmetry (oversized lower face on one side). Hemimandibular hyperplasia (HH) is a developmental asymmetry characterized by three-dimensional enla. Hemimandibular hyperplasia is a developmental asymmetry characterized by three-dimensional enlargement of half of the mandible.6 The hyperplastic side.

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Hemimandibular hyperplasia HH is a developmental asymmetry characterized by three-dimensional enlargement of one half of the mandible.

Condylar hyperplasia – Wikipedia

If the anomaly occurs before puberty, the maxilla follows the downward growth of the mandible, and the teeth of the affected side usually remain in occlusion but on a lower level than the teeth of the normal side, with a consequent tilting of hemimandibulqr occlusal plane in the transverse dimension. In the case of young patients with HH, this procedure should be performed as soon as possible to prevent hyperplasla development of an oblique occlusal plane and ipsilateral compensatory maxillary growth 9—12 and to improve symmetry by the spontaneous remodeling processes in the facial structures.

Indian J Hypeplasia Sci ;6: Views Read Edit View history. The most common form of condylar hyperplasia is unilateral condylar hyperplasia where one condyle overgrows the other condyle leading to facial asymmetry.

A valid diagnostic procedure is 99mTC scintigraphy, which could demonstrate increased bone activity. From Wikipedia, the free encyclopedia.

We present a brief review of the literature to make a differentiation between condylar hyperplasia and hemimandibular hyperplasia and to stress the importance of early condylectomy to correct this disease.

In adult patients, if condylar hyperplasia is inactive, orthognathic surgery is the therapeutic solution, but if active condylar growth is still present, we prefer to perform condylectomy together with standard orthognathic surgery. It is important to observe that in this case, as in others described in the literature, 8,9 the pathosis also involves the maxilla with maxillary monolateral vertical growth, including the maxillary sinus. It is appropriate to classify facial asymmetries into the two basic categories of developmental or acquired asymmetries.


Orthognathic surgery can be performed once the active condylar growth has finished in some cases. The lower border of the hgperplasia is bowed downward and positioned at a lower level than that on the normal side, clearly demonstrated by an increased distance between the dental roots and the alveolar canal.

The present year follow-up demonstrates that, in this case, condylar surgery was a simple and straightforward decision.

It appears to arise as an acceleration of growth in younger patients, perhaps triggered by the metabolic events during the adolescent growth spurt, or as a prolongation of growth in older individuals caused by one side continuing to grow hyper;lasia the mids, an age at which growth should have ceased.

Related articles Hemimandibular elongation hemimandibular hyperplasia facial asymmetry. This is not observed hyperplassia because dentoalveolar structures and the facial soft tissues show compensatory changes to minimize the underlying asymmetry; however, moderate and severe asymmetries are easily noticed by the human eye.

Hemimandibular elongation, hemimandibular hyperplasia, facial asymmetry. Fig 1c The preoperative panoramic radiograph reveals a discrepancy in size and morphology between the right and left condyles, enlargement of the right condyle, and elongation of the right ascending ramus.

Sitemap What’s New Feedback Disclaimer. Obwegeser HL, Luder H. The stimulus for the abnormal growth either lies within the fibrocartilaginous layer or is produced by it. Annals of Maxillofacial Surgery. Retrieved from ” https: As a result, the occlusal plane tilts and is at a lower level on the affected side, whereas the teeth generally remain in occlusion.

Hemimandibular hyperplasia treated by early high condylectomy: In the literature, various surgical hgperplasia have been proposed condylectomy, condylar shave, orthognathic surgery, etcdepending on the patient’s age, the presence of active or inactive condylar growth, and the severity of facial appearance. The point of this surgery to wait as long as the condyle is growing and only do surgery when the condyle stops growing, so the chances of any worsening of facial asymmetry lessens.

Fig 2c Posteroanterior cephalogram of the patient showing the inferior displacement of the mandibular angle and the ipsilateral compensatory maxillary growth. How to cite this article: The cells are large, the cytoplasm is vesicular, and there is abundant newly produced cartilage matrix between cells.


Fig 1g Panoramic radiograph 12 years after the condylectomy hyperplasai readaptation of the right condyle in the fossa.

One theory states that an event of a trauma leading to increase in number of repair mechanism and hormones in that area may lead to increase in growth of mandible on that side. Hemimandibular hyperplasia was clearly described by Obwegeser and Makek 2 and must be distinguished hyperpladia solitary and exclusive hyperplasia of the condyle. A rare case of hemimandibular hyperplasia.

Facial profile – right side Click here to view. In such a case, orthognathic surgery would be much more extensive, usually involving the maxilla, the mandible, the chin, the lower border of the mandible, and, sometimes, the condyle as well Figs 2e to 2h.

Condylar hyperplasia

The facial symmetry is good. Orthodontic and surgical treatment of hemimandibular hyperplasia. The malformation results in the clinical presentation of ipsilateral enlargement of the mandible and tilted occlusal plane, associated with a deviated chin to the contralateral side. Maxillomandibular fixation was performed for 10 days, and a 6-month period of physical hfmimandibular was done to rehabilitate the TMJ.

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Idiopathic noncondylar hemimandibular hyperplasia. The panoramic radiograph demonstrates readaptation of the condyle in the fossa Fig 1g. Separation and characterization of the cellular elements”. The surrounding anatomic structures were preserved with great care; the disc was intact and well positioned over the newly created right condyle. Condylar hyperplasia mandibular hyperplasia is over-enlargement of the mandible bone in the skull.

Lateral Cephalogram Click here to view. The dental occlusion showed a Heemimandibular II division 2 malocclusion deep biteand the dental midline was centered Fig 1b.

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