Condylar aplasia: a case report
Keywords:Condyle, Syndrome, Condylar aplasia, Mandibular asymmetry, Growth instability
Aplasia of mandibular condyle is one of the several facial manifestations of many syndromes. It is considered as an extremely exceptional stipulation, if it is not seen as a part of any syndrome. The incidence expected 1 in 5600. It occurs due to the growth instability in development of condyle in the intrauterine life, late in the first trimester. It is not discernible at birth and seems to be steadily acquired during the growth. We report a case of condylar aplasia on the right side in an 18-year-old female. The patient reported to the department of Oral and Maxillofacial Surgery at ACPM dental College, Dhule, with a chief complaint of underdeveloped lower jaw. The etiology of this condition was unknown, clinical examination and conventional radiographs revealed complete absence of condyle on the right side. A proper diagnosis along with the differentiation from the syndromic cases is of importance. The aim of this article is to present a case with peculiar type of non-syndromic condylar aplasia.
Chee EK, Sara Ahmad T. Fibula Osteocutaneous Flap for Mandible Reconstruction after Ameloblastoma Resection: Amending Technique to Reduce Ischaemic Time. Malaysian Orthop J. 2007;1:1.
Vayvada H, Mola F, Menderes A, Yilmaz M. Surgical Management of Ameloblastoma in the Mandible: Segmental Mandibulectomy and Immediate Reconstruction with Free Fibula or Deep Circumflex Iliac Artery Flap (Evaluation of the Long-Term Esthetic and Functional Results). J Oral Maxillofac Surg. 2006;64:1532-9.
Ooi A, Feng J, Tan HJ, Ong YS. Primary treatment of mandibular ameloblastoma with segmental resection and free fibula reconstruction: Achieving satisfactory outcomes with low implant prosthetic rehabilitation uptake. J Plastic, Reconstructive Aesthetic Surg. 2014;67:498e505.
Smith ML, Clarke-Pearson E, Dayan JH. Fibula osteo-adipofascial flap for mandibular and maxillary reconstruction. 2011 Wiley Periodicals, Inc. Head Neck. 2012;34:1389-94.
Small IA, Waldron CA. Ameloblastoma of the jaws. Oral Surg Oral Med Oral Pathol. 1955;8:281.
Morgan KA, Rehman MA, Schwartz RE. Morquio’s syndrome and its anaesthetic considerations. Pediatric Anes- thesi. 2002;12:641-4.
Ozturk S, Sengezer M, Isik S, Gul D, Zor F. The cor- rection of auricular and mandibular deformities in auriculo-condylar syndrome. J Craniofacial Surg. 2005;16(3):489-92.
Krogstad O. Aplasia of the mandibular condyle. Eur J Orthodontics. 1997;19(5):483-9.
Shibata S, Suda N, Fukada N, Ohyama K, Yamashita Y, Hammond VE. Mandibular coronoid process in parathyroid hormone-related protein-deficient mice shows ectopic cartilage formation accompanied by abnormal bone modelling. Anatomy Embryol. 2003;207(1):35-44.
Prowler JR, Glassman S. Agenesis of the mandibular condyles. Diagnostic findings and treatment of deformity by polyethylene implant. Oral Surg Oral Med Oral Pathol. 1954;7(2):133-9.
Akihiko I, Ritsuo T, Junichi F, Nobuyuki I, Yutaka T. Agenesis of bilateral mandibular condyle-report of a case. J Jap Stomatol Society. 2006;55:187-92.
Santos KCP, Dutra MEP, Costa C, Lascala CA, De Oliviera JX. Aplasia of mandibular condyle: case report. Dentomaxillofacial Radiol. 2007;36:420-22.
Bowden Jr CM, Kohn MW. Mandibular deformity associated with unilateral absence of the condyle. J Oral Surg. 1973;31(6):469-72.
Canger EM, Celenk P. Aplasia of mandibular condyle associated with some orthopedic abnormalities: a case report. Dentomaxillofacial Radiol. 2011;1-5.
Vargervik K, Kaban LB. Hemifacial microstomia diagnosis and management in Modern Practice in Orthognathic and Reconstructive Surgery, W. H. Bell, Ed., W B Saunders Company, Philadelphia, Pa, USA. 1992;2:1533-60.