Osteochondroma and osteoma are rare benign tumors affectingthe mandibular condyle, often leading to progressive facialasymmetry, malocclusion, and temporomandibular joint (TMJ)dysfunction. Differentiating between these entities is criticalfor accurate diagnosis and effective treatment planning. Thiscase report presents two patients with unilateral condylarovergrowth but differing histopathological diagnoses. Bothpatients were treated with a ‘customizable condylectomy’approach, which involved the surgical excision of tumor massestailored to the specific dimensions of each case and thecorrection of malocclusion and facial asymmetry without theneed for orthognathic surgery. By the end of the first year, bothpatients had stable occlusion, with resolution of symptomssuch as pain, bone discomfort, and difficulty eating. This reporthighlights the effectiveness of the customizable condylectomyapproach in treating condylar tumors by simultaneouslyaddressing the underlying pathology and correcting associatedfacial asymmetry, without the need for additional orthognathicsurgery. The approach offers both aesthetic and functionalbenefits, supporting its value as a definitive treatment option inselected cases.
Avağ et al. (Mon,) studied this question.