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Care after surgery for hypercondylism or condylar hyperplasia
CONDILECTOMY

Mandible growth should be symmetrical on both sides. In this way, the midline of the face must be coincident with the middle of the upper and lower teeth.

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All people have different sides of the face. We are not totally symmetrical, therefore if we were to copy one side to the other and create a photograph we would look very different from our actual image.

Despite the above, there are situations in which the face does not grow in a similar way and exceeds certain margins and proportions. In these cases, the bite is altered, the proportions of the entire face, including the smile, and an altered position of the eyes could be manifested.

Normally, growth stops at the end of development, but in these pathologies it continues and can even be reactivated with hormonal changes such as those that occur in pregnancies.

Once the diagnosis is confirmed, the moment of surgery must be prepared. It consists of removing the growth cartilage of the jaw. To do this, the patient must have orthodontic appliances installed and in many cases will require a second surgery at the end of the orthodontics to recover the occlusion (bite) and the symmetry of the face.

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Symptoms of condylar hyperplasia: 

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  • Mismatched dental midlines.

  • deviated chin

  • slanted corners of the lips

  • Slanted smile line (you may even show more gum on one side than the other)

  • Joint discomfort

  • Different mandibular angles (left from right)

  • Sometimes one eye slightly lower than the other

Síntomas de una hiperplasia condilar:
 

Care after a condylectomy

The main objective of a condylectomy is to ELIMINATE THE GROWTH CARD that is still active and has not stopped growth.growth symmetrically (left and right side).

This cartilage is found in the final part of the jaw and measures about three millimeters. 

Once the growth is eliminated, it stops and the patient can continue with his orthodontic treatment and then reach his orthognathic surgery in a second moment.

In some cases, the condylectomy is performed together with the rest of the orthognathic surgery and sometimes it must be complemented with certain types of implants in the mandibular angle to symmetrical the lateral areas of the face. What is recommended is after one year of orthognathic surgery to verify if the difference on both sides is substantially different.

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PREVIOUS CARE

We recommend removing rings and piercings from the entire body to our patients and trimming the hair two cms near the sideburn area and above the ear. Your surgeon will explain.
This has the great advantage that on the day of surgery it will be possible to operate cleanly, adhere the patches and avoid 100% the possibility of accessing the wrong side.


Your surgeon will visit you first thing in the morning and sign you out. Hospitalization is generally less than 24 hours.
You will be left with a patch, which the surgeon will remove at the time of your control.

FEEDING
All the surgery is performed outside the mouth and the first week it will be porridge so as not to force the operated area.
After the second week you can resume your usual diet.

FACIAL EXERCISES
In a low percentage of patients, paralysis of the eyebrow on the operated side occurs, preventing its elevation.
This occurs because the surgery area is in relation to a nerve branch that is part of the facial nerve.
In these cases we refer the patients to the maxillofacial kinesiologist so that he actively stimulates mobility. This can be recovered in most cases.

SCAR MANAGEMENT
In the pre-auricular area we make our incision, it measures approximately 5 cm and is hidden by the area of the tragus and hair, in general it is very little noticeable and the main care is to cover it with a patch to avoid sun exposure for a few months.

LATER
After a year the operated bone takes a final shape and will no longer be growingasymmetrically.
 
Remember
If you have any concerns, do not hesitate to call your surgeon's cell phone.
 
Dr Antonio Marino
Maxillofacial surgeon
www.maxillofacial.cl
 

AFTER SURGERY

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