J Korean Assoc Maxillofac Plast Reconstr Surg.  2007 May;29(3):233-240.

Immediate reconstruction using vertical ramus osteotomy and bone slidng after condylectomy due to osteochondroma: a case report

• Jang JY
• Oh JK
• Cha D
• Baek S

Abstract

Osteochondroma is a common benign tumor of the axial skeleton, especially the distal metaphysis of the femur and proximal metaphysis of the tibia. However, it occurred rarely on the facial skeleton. The coronoid and condylar processes have been considered to be the most common sites of occurrence for osteochondroma of the facial skeleton. The first treatment of osteochondroma is condylectomy, whereas extirpation was done by excision with condyle salvage. Condylectomy presents decrease of vertical dimension, jaw deviation, malocclusion. So, reconstruction is need. Methods of reconstruction are as follows: no reconstruction, condyloplasty, discectomy, costochondral graft, discplication or coronoidectomy, eminoplasty, alloplastic spacer placement, Le Fort I level maxillary osteotomy, extraoral and intraoral vertical ramus osteotomy. This is a case report of a 28-year old woman who had facial asymmetry, malocclusion and temporomandibular joint pain. We obtained moderate functional and cosmetic results with surgical removal of the osteochondroma by condylectomy and concomitant reconstruction of condyle by vertical ramus osteotomy with sliding technique.

Keyword

Osteochondroma of condyle; Vertical ramus osteotomy; Reconstruction of condyle

MeSH Terms

Adult
Diskectomy
Facial Asymmetry
Female
Femur
Humans
Jaw
Malocclusion
Maxillary Osteotomy
Osteochondroma*
Osteotomy*
Skeleton
Temporomandibular Joint
Tibia
Transplants
Vertical Dimension