Application of bilateral condylectomy as an alternative surgical treatment for Class III malocclusion with posterior vertical excess, a technical note

J Stomatol Oral Maxillofac Surg. 2024 Feb 12:101797. doi: 10.1016/j.jormas.2024.101797. Online ahead of print.

Abstract

The Posterior vertical excess (PVE) associates a symmetric ramus and condyle elongation to an Angle Class III malocclusion. This dento-skeletal discrepancy can be isolated or associated to a condyle hyperplasia or a transverse overgrowth of the mandible due to macroglossia. We present the technique and the postoperative results of bilateral condylectomy applied for the surgical correction of PVE. Bilateral condylectomy represents an alternative to the bimaxillary surgery and adds to the therapeutic arsenal for the correction of Angle Class III malocclusion.

Keywords: Condylectomy; mandibular posterior vertical excess; orthognathic surgery; skeletal Class III.