Combination of orthognathic surgery and condylectomy in active condylar hyperplasia: a case report

Case Report: Active condylar hyperplasia is a rare condition that often leads to progressive facial asymmetry in adolescents and young adults. Surgical treatment, usually involving a condylectomy, is necessary to stop condylar overgrowth. In certain cases, orthognathic surgery is also required to correct associated skeletal abnormalities. This case report presents an 18-year-old female with right-sided active condylar hyperplasia who underwent simultaneous low condylectomy and orthognathic surgery. Digital planning with virtual surgical simulation was used preoperatively to guide the procedure. A postoperative evaluation revealed a discrepancy of approximately 2 mm compared to the planned outcome, indicating a high degree of surgical accuracy. Conclusions: This case highlights the potential of combining condylectomy with orthognathic surgery, supported by virtual planning, as an effective strategy to correct asymmetry and achieve long-term functional and aesthetic stability in specific patients. Keywords: Orthognathic surgery; Mandibular condyle; Hyperplasia; Dentofacial deformities; Case reports; Dentistry.