Combination of orthognathic surgery and condylectomy in active condylar hyperplasia: a case report

  • Jorge Maldonado-Alvear Maxillofacial Surgery Program, Universidad Central del Ecuador, Quito, Ecuador. http://orcid.org/0009-0001-0932-8163
  • Leonardo Orellana Maxillofacial Surgery Program, Universidad Central del Ecuador, Quito, Ecuador. | Police Hospital Quito N°1, Quito, Ecuador. http://orcid.org/0009-0001-1106-331X
  • Camila Montesinos-Guevara Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Facultad de Ciencias de la Salud Eugenio Espejo, Universidad UTE, Quito, Ecuador. http://orcid.org/0000-0001-6763-3644
Keywords: Orthognathic surgery, Mandibular condyle, Hyperplasia, Dentofacial deformities, Case reports, Dentistry

Abstract

Case Report: Active condylar hyperplasia is a rare condition that often leads to progressive facial asymmetry in adolescents and young adults. Surgical treatment, usually involving a condylectomy, is necessary to stop condylar overgrowth. In certain cases, orthognathic surgery is also required to correct associated skeletal abnormalities.
This case report presents an 18-year-old female with right-sided active condylar hyperplasia who underwent simultaneous low condylectomy and orthognathic surgery. Digital planning with virtual surgical simulation was used preoperatively to guide the procedure. A postoperative evaluation revealed a discrepancy of approximately 2 mm compared to the planned outcome, indicating a high degree of surgical accuracy.
Conclusions: This case highlights the potential of combining condylectomy with orthognathic surgery, supported by virtual planning, as an effective strategy to correct asymmetry and achieve long-term functional and aesthetic stability in specific patients.

Published
2025-05-05
How to Cite
Maldonado-Alvear, J., Orellana, L., & Montesinos-Guevara, C. (2025). Combination of orthognathic surgery and condylectomy in active condylar hyperplasia: a case report. Journal of Oral Research, 14(1), 341-351. https://doi.org/10.17126/joralres.2025.028