Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(04): 1070-1074
DOI: 10.1055/s-0041-1741054
Case Report

Panoramic Radiograph and CBCT in Unilateral Mandibular Condylar Hyperplasia—A Case Report

A. Rizwana
1   Department of Oral Medicine and Radiology, Vinayaka Mission Sankarachariyar Dental College, Vinayaka Mission Research Foundation -DU, Salem, Tamil Nadu, India
,
N. Mohan
1   Department of Oral Medicine and Radiology, Vinayaka Mission Sankarachariyar Dental College, Vinayaka Mission Research Foundation -DU, Salem, Tamil Nadu, India
,
P. T. Ravi Kumar
1   Department of Oral Medicine and Radiology, Vinayaka Mission Sankarachariyar Dental College, Vinayaka Mission Research Foundation -DU, Salem, Tamil Nadu, India
,
R. Karthik
1   Department of Oral Medicine and Radiology, Vinayaka Mission Sankarachariyar Dental College, Vinayaka Mission Research Foundation -DU, Salem, Tamil Nadu, India
,
Sabitha Gokulraj
1   Department of Oral Medicine and Radiology, Vinayaka Mission Sankarachariyar Dental College, Vinayaka Mission Research Foundation -DU, Salem, Tamil Nadu, India
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Condylar hyperplasia (CH) of the mandible is a rare developmental disorder that results in enlargement of the condyle. It is predominant in females, mostly unilateral and self-limiting. This report presents a case of a 35-year-old female patient with unilateral condylar hyperplasia with an increase in vertical height of mandibular ramus of the affected side. After initial radiographic evaluation, the asymmetry index using a panoramic radiograph was determined and also analyzed using cone-beam computed tomography (CBCT). Condylar dimensions in all the planes were measured for both sides using CBCT. This case report emphasizes the importance of CBCT and its role in the diagnosis and assessment of mandibular condylar hyperplasia.

Keywords

cone-beam computed tomography - facial asymmetry - mandibular condyle - panoramic radiography

Financial Support and Sponsorship

Nil.


Conflicts of Interest

There are no conflicts of interest.




Publication History

Article published online:
10 January 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Almeida LE, Zacharias J, Pierce S. Condylar hyperplasia: an updated review of the literature. Korean J Orthod 2015; 45 (06) 333-340
    CrossrefPubMedSearch in Google Scholar
  • 2 White and Pharoah. Oral Radiology Principles and Interpretation. First South Asian edition.. India: Reed Elsevier India Private Limited; 2014
    Search in Google Scholar
  • 3 Laskin DM, Greene CS, Hylander WL. TMDs: An Evidence-Based Approach to Diagnosis and Treatment. Hanover Park: Quintessence Publishing Co, Inc; 2006
    Search in Google Scholar
  • 4 Bumann A, Lotzmann U, Mah J. et al. TMJ (Temporomandibular Joint) Disorders and Orofacial Pain: The Role of Dentistry in a Multidisciplinary Diagnostic Approach. 1. Aufl. Stuttgart: Thieme, Georg, Verlag; 2002. (Color Atlas of Dental Medicine)
    Search in Google Scholar
  • 5 Sofyanti E, Boel T, Soegiharto B, Auerkari EI. TMD symptoms and vertical mandibular symmetry in young adult orthodontic patients in North Sumatra, Indonesia: a cross-sectional study. F1000 Res 2018; 7: 697
    CrossrefPubMedSearch in Google Scholar
  • 6 Iturriaga V, Navarro P, Cantin M, Fuentes R. Prevalence of vertical condylar asymmetry of the temporomandibular joint in patients with signs and symptoms of temporomandibular disorders. Int J Morphol 2012; 30: 315-321
    CrossrefSearch in Google Scholar
  • 7 Olate S, Netto HD, Rodriguez-Chessa J, Alister JP, de Albergaria-Barbosa J, de Moraes M. Mandible condylar hyperplasia: a review of diagnosis and treatment protocol. Int J Clin Exp Med 2013; 6 (09) 727-737
    PubMedSearch in Google Scholar
  • 8 Premkumar S. Textbook of Craniofacial Growth. 1 ed. New Delhi: Jaypee Brothers. Med Publ (Oulu) 2011; •••: 377
    Search in Google Scholar
  • 9 Srivastava D, Singh H, Mishra S, Sharma P, Kapoor P, Chandra L. Facial asymmetry revisited: Part I- diagnosis and treatment planning. J Oral Biol Craniofac Res 2018; 8 (01) 7-14
    CrossrefPubMedSearch in Google Scholar
  • 10 Barghan S, Tetradis S, Mallya S. Application of cone beam computed tomography for assessment of the temporomandibular joints. Aust Dent J 2012; 57 (Suppl. 01) 109-118
    CrossrefPubMedSearch in Google Scholar
  • 11 Appadurai R, Lingeshwar D, Shwetha V, Christina R. Bone scintigraphy as a diagnostic tool in condylar hyperplasia. J Oral Maxillofac Radiol 2017; 5: 84
    CrossrefSearch in Google Scholar
  • 12 Yang Z, Reed T, Longino BH. Bone scintigraphy SPECT/CT evaluation of mandibular condylar hyperplasia. J Nucl Med Technol 2016; 44 (01) 49-51
    CrossrefPubMedSearch in Google Scholar
  • 13 Minte C, Sandoval P, Olate S. Condylar hyperplasia, diagnosis and clinical management. A clinical case report. Rev Fac Odontol Univ Antioq 2016; 27: 442-454
    Search in Google Scholar
  • 14 Alyamani A, Abuzinada S. Management of patients with condylar hyperplasia: a diverse experience with 18 patients. Ann Maxillofac Surg 2012; 2 (01) 17-23
    CrossrefPubMedSearch in Google Scholar
  • 15 Pinto I, Fonseca J, Vinagre A, Angelo D, Sanz D, Grossmann E. Mandibular condylar hyperplasia: diagnosis and management. Case Report Rev Dor 2016; 17: 307-311
    CrossrefSearch in Google Scholar