下顎関節突起肥大の 1 例

概要

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Condylar hyperplasia is taken to mean a progressive unilateral or bilateral hyperplasia of the mandibular condyle of unknown etiology, causing facial deformity and malocclusion. Condyle hyperplasia has been known since 1836 when Adams reported a case of enlargement of condyle. We encountered on September 1, 1970, a 41-year-old male suffering from hyperplasia of right condyle. The patient has no history of familial mandibular deformities. Roentogenograms showed enlargement of the right condyle, but not on the side. The external incision was applied according to Kocher's operation. The condyle was removed under full vision with a pointed Hall's surgeairtome fissure burr. After the removal, the mandible was repositioned and fixed with dental wiring. Histological examination of the excised condyle proved evidences of "condylar hyperplasia". The post operative course was uneventful, and there remained no facial paralysis. The facial asymmetry was successfully corrected.
九州歯科学会の論文
1972-09-30