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Choosing the best method to utilise single positron emission computed tomography (SPECT) scans in the management of unilateral condylar hyperplasia.

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Condylar hyperplasia: current thinking.

J A Higginson1, A C Bartram2, R J Banks2

  • 1Institute of Head and Neck Studies and Education, University of Birmingham, B15 2TT.

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|August 18, 2018
PubMed
Summary
This summary is machine-generated.

Unilateral condylar hyperplasia causes facial asymmetry. Single positron emission tomography (PET) helps diagnose active disease, which can be treated with condyle reduction and orthognathic surgery.

Keywords:
Condylar HyperplasiaCondylar ReductionFacial AsymmetryOrthognathic SurgeryReview

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Area of Science:

  • Medical Science
  • Surgical Innovation
  • Radiology

Background:

  • Unilateral condylar hyperplasia (UCH) is a rare condition causing facial asymmetry due to abnormal mandibular condyle growth.
  • This condition leads to significant aesthetic and functional concerns for patients.

Purpose of the Study:

  • To outline an investigation and management strategy for unilateral condylar hyperplasia.
  • To highlight the role of single positron emission tomography (PET) in assessing disease activity.
  • To describe surgical correction using proportional condyle reduction and orthognathic principles.

Main Methods:

  • Patient evaluation focusing on concerns and disease activity assessment using single positron emission tomography (PET).
  • Surgical intervention involving proportional reduction of the mandibular condyle to arrest active disease.
  • Correction of residual facial asymmetry using established orthognathic surgery techniques.
  • Recommendation for 3-dimensional virtual planning for complex surgical movements.

Main Results:

  • Single positron emission tomography (PET) aids in determining if the disease is active.
  • Proportional condyle reduction effectively halts disease progression and improves mandibular height.
  • Orthognathic surgery principles can address remaining asymmetry post-reduction.

Conclusions:

  • Early and accurate diagnosis using PET is crucial for managing unilateral condylar hyperplasia.
  • Surgical management combining condyle reduction and orthognathic principles offers effective treatment.
  • 3-dimensional virtual planning is recommended for optimizing surgical outcomes in complex cases.
  • The rarity of UCH necessitates further research to build high-quality evidence.