Uma análise geral sobre a hiperplasia condilar e o manejo clínico cirúrgico

Abstract

Condylar Hyperplasia (CH) is a disorder characterized by abnormal growth of mandibular condyle, causing aesthetic, functional and psychological changes. According to the literature, a consensus has not been reached concerning the etiology of this condition, although factors such as previous trauma, hormonal disorders and joint diseases could be possible causes. The therapeutic approach to condylar hyperplasia has not yet been standardized, and different parameters are used to decide on the best treatment for each case, such as: degree of alteration, osteoblastic activity, etiology and functional limitations. Treatment options include condylectomy, orthognathic surgery, surgical cosmetic camouflage, or a combination of these treatments. The main objective of this study was to describe, through a literature review with a qualitative approach, the pathophysiology of condylar hyperplasia, as well as its diagnosis, main clinical manifestations and therapeutic approaches. Thus, the keywords “condylar hyperplasia”, “facial asymmetry” and “condylectomy” were searched on the databases Scholar, Scielo and PubMed in Portuguese, English and Spanish languages. It was concluded that the ideal treatment must be individualized for each patient, focusing on function and aesthetics restoration, aiming to improve life quality. The information presented in this literature review, along with providing a new perspective for future interventions for these patients, will also be of great value to the scientific community.