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Lip Adhesion in the Wide Cleft Lip: Indications and Operative Technique.

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Morphological Profiling of Unilateral Condylar Hyperplasia: Implications for Surgical Decision-Making.

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Optimal Condylar Seating in Concurrent High Condylectomy and Sagittal Split Osteotomy.

Nicole M Nishime1, Ashtyn M Moser1, Derek M Steinbacher2

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The Journal of Craniofacial Surgery
|May 6, 2026
PubMed
Summary
This summary is machine-generated.

This study introduces a novel surgical technique for unilateral condylar hyperplasia, improving facial symmetry and temporomandibular joint function. The method ensures accurate neocondyle seating, reducing operative time and potential complications.

Keywords:
Condylar hyperplasiacondylar repositioning techniquehigh condylectomyorthognathic surgery

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Plastic Surgery

Background:

  • Unilateral condylar hyperplasia causes facial asymmetry and malocclusion.
  • Current management involves high condylectomy and orthognathic surgery.
  • Accurate neocondyle seating is a critical surgical challenge.

Purpose of the Study:

  • To present a novel surgical technique for managing unilateral condylar hyperplasia.
  • To improve neocondyle seating and overall surgical outcomes.
  • To enable single-stage correction of condylar hyperplasia and associated deformities.

Main Methods:

  • Utilized a preauricular post-tragal incision with SMAS flap elevation for TMJ exposure.
  • Employed a wire loop traction system for controlled neocondyle repositioning after high condylectomy.
  • Combined the technique with bilateral sagittal split osteotomy and Le Fort I osteotomy for stable intraoral fixation.

Main Results:

  • Achieved direct visualization and controlled seating of the neocondyle and disc.
  • Enabled single-stage correction, improving facial symmetry.
  • Reduced overall operative time and potential for malposition, joint dysfunction, and relapse.

Conclusions:

  • The presented technique offers a reliable method for managing unilateral condylar hyperplasia.
  • Direct visualization ensures accurate condylar seating, enhancing functional and aesthetic outcomes.
  • This approach streamlines surgical correction, potentially decreasing complications and improving patient recovery.