Postoperative Outcomes in Condylar Hyperplasia: Proportional Condylectomy Versus Orthognathic Surgery.

Abstract

The management of patients with facial asymmetry caused by condylar hyperplasia remains a subject of ongoing debate. This study compared active patients with unilateral condylar hyperplasia (UCH) who underwent proportional condylectomy with ceased patients with UCH who underwent orthognathic surgery, evaluating esthetics, function, and satisfaction. The retrospective study included 2 groups: group A, with 15 active patients with UCH who underwent proportional condylectomy, and group B, with 22 ceased patients with UCH who underwent orthognathic surgery. Facial, occlusal, and skeletal changes were analyzed using photographic and radiologic records, along with a satisfaction questionnaire. Both groups showed significant improvements. Group A's chin deviation, dental midline, and occlusal plane canting improved by 58.5% (P < 0.001), 56.5% (P < 0.001), and 70.0% (P < 0.001), respectively. Group B's corresponding improvements were 60.1% (P < 0.001), 79.4% (P < 0.001), and 64.9% (P < 0.001). Patient satisfaction was high in both groups, without significant differences in postoperative results, esthetics, and functional satisfaction. In conclusion, Proportional condylectomy for UCH achieves comparable outcomes with orthognathic surgery in facial, occlusal, and skeletal improvements and patient satisfaction.