Join Us | Latest Articles | Contact

Journal Home

Editorial Board

Recent Articles

Submit to this journal

Special Issues

Current issue

Clinical Medical Image Library

Clinical, Radiographic, Gammagraphic and Anatomical Characteristics of Active Condylar Hyperplasia

Diego Fernando López B*

Orthodontist, Orthodontics Graduate Program Profesor, Universidad del Valle, Colombia

*Corresponding author: Diego Fernando López B, Orthodontist, Orthodontics Graduate Program Profesor, Universidad del Valle, Carrera 100 # 5-169 Oasis Unicentro Cons. 407 C, Cali, Colombia, Tel: 572-331-7777, 572-315-7777, 310-474-4456, E-mail:
Clin Med Img Lib, CMIL-2-025, (Volume 2, Issue 1); ISSN: 2474-3682
Published Date: January 27, 2016
Citation: Diego FLB (2016) Clinical, Radiographic, Gammagraphic and Anatomical Characteristics of Active Condylar Hyperplasia. Clin Med Img Lib 2:025
Copyright: © 2016 Diego FLB. This is an openaccess content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Condylar hyperplasia is a pathologic condition due to progressive overgrowth of one or both mandibular condyles, causing either secondary facial asymmetry or mandibular prognathism. Although it is self-limiting, the overgrowth may continue even after skeletal growth stops. The most common kind of hyperplasia is hemi-mandibular elongation. The diagnostic is based on clinical correlation of facial characteristics, intraoral occlusal characteristics and radiographic or tomographic findings. Once established the clinical diagnostic, it is necessary to check the active or passive state of overgrowth by Single Photon Emission Computerized Tomography (SPECT). If the active state of hyperplasia is confirmed, the therapeutic treatment includes high condylectomy and orthodontics to stop the advance of the disease and reduce its facial and functional sequelae (Figure 1, Figure 2, Figure 3, Figure 4 and Fgiure 5).

Figure 1: Facial asymmetry due to mandibular lateral deviation to the left side (Mandibular levognathism).

Figure 2: The occlusal characteristics include. Right side molar and canine class III dental malocclusion, mandibular midline deviation to the left and tendency to edge to edge bite or left side cross bite.

Figure 3: Panoramic X-ray film. The arrow indicates the evidence of right condyle neck longer and narrower than in the contralateral side.

Figure 4: TMJ bone scintigraphy indicates more uptake of the radiopharmaceutical m-Technetium 99 methyl diphosphonate in the right condyle, which indicates hyperplasia active state in that side.

Figure 5: Pre-auricular access for right side high condylectomy of the hyperplasic condyle. Six mm length of condyle head removed from medial to lateral pole.

International Journal of Anesthetics and Anesthesiology (ISSN: 2377-4630)
International Journal of Blood Research and Disorders   (ISSN: 2469-5696)
International Journal of Brain Disorders and Treatment (ISSN: 2469-5866)
International Journal of Cancer and Clinical Research (ISSN: 2378-3419)
International Journal of Clinical Cardiology (ISSN: 2469-5696)
Journal of Clinical Gastroenterology and Treatment (ISSN: 2469-584X)
Clinical Medical Reviews and Case Reports (ISSN: 2378-3656)
Journal of Dermatology Research and Therapy (ISSN: 2469-5750)
International Journal of Diabetes and Clinical Research (ISSN: 2377-3634)
Journal of Family Medicine and Disease Prevention (ISSN: 2469-5793)
Journal of Genetics and Genome Research (ISSN: 2378-3648)
Journal of Geriatric Medicine and Gerontology (ISSN: 2469-5858)
International Journal of Immunology and Immunotherapy (ISSN: 2378-3672)
International Journal of Medical Nano Research (ISSN: 2378-3664)
International Journal of Neurology and Neurotherapy (ISSN: 2378-3001)
International Archives of Nursing and Health Care (ISSN: 2469-5823)
International Journal of Ophthalmology and Clinical Research (ISSN: 2378-346X)
International Journal of Oral and Dental Health (ISSN: 2469-5734)
International Journal of Pathology and Clinical Research (ISSN: 2469-5807)
International Journal of Pediatric Research (ISSN: 2469-5769)
International Journal of Respiratory and Pulmonary Medicine (ISSN: 2378-3516)
Journal of Rheumatic Diseases and Treatment (ISSN: 2469-5726)
International Journal of Sports and Exercise Medicine (ISSN: 2469-5718)
International Journal of Stem Cell Research & Therapy (ISSN: 2469-570X)
International Journal of Surgery Research and Practice (ISSN: 2378-3397)
Trauma Cases and Reviews (ISSN: 2469-5777)
International Archives of Urology and Complications (ISSN: 2469-5742)
International Journal of Virology and AIDS (ISSN: 2469-567X)
More Journals

Contact Us

ClinMed International Library | Science Resource Online LLC
3511 Silverside Road, Suite 105, Wilmington, DE 19810, USA


Get Email alerts
Creative Commons License
Open Access
by ClinMed International Library is licensed under a Creative Commons Attribution 4.0 International License based on a work at
Copyright © 2017 ClinMed International Library. All Rights Reserved.