Oral and Maxillofacial Surgery Cases (Sep 2021)

Severe skeletal deformity following post-traumatic condylar resorption: A case report

  • Derek Vajda, DDS, MD,
  • Victoria Chen, DDS,
  • Vashi Shailendrasinh, BDS,
  • Jonathan Borg, BS,
  • Earl Freymiller, DMD, MD

Journal volume & issue
Vol. 7, no. 3
p. 100227

Abstract

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We present the unique case and treatment of condylar resorption of the temporomandibular joint due to childhood physical trauma in a 38-year-old woman. The patient suffered mandibular trauma as a child, developing severe facial skeletal deformities that caused significant esthetic and functional deficiencies. This case demonstrates that hemimandibular hypoplasia and condylar resorption in the setting of past trauma can be successfully treated with a LeFort 1 osteotomy, sagittal split mandibular osteotomy, inverted L mandibular osteotomy, genioplasty, and an anterior iliac crest bone graft without any significant complications or need for total joint replacement, resulting in substantial improvement in occlusion and facial symmetry.

Keywords