Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

Post-traumatic bifid mandibular condyle: A case report and literature review

  • Woo, Min-Ho (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Yoon, Kyu-Ho (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Park, Kwan-Soo (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Park, Jae-An (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University)
  • Received : 2016.05.16
  • Accepted : 2016.07.02
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Bifid mandibular condyle (BMC) is an uncommon morphological variant of the mandibular condyle. Although authors have proposed various etiologies for BMC, no consensus has emerged. In addition, varying findings have been reported regarding the epidemiological parameters of BMC (e.g., prevalence, gender ratio, and age), possibly due to its low incidence. BMC is occasionally associated with symptoms of the temporomandibular joint, such as ankylosis, pain, and trismus; however, it is difficult to detect this condition on conventional radiographs. This study reports a case of BMC with radiographic findings, and reviews the literature on the epidemiology of BMC.

Keywords

References

  1. Hrdlička A. Lower jaw: double condyles. Am J Phys Anthropol 1941; 28: 75-89. https://doi.org/10.1002/ajpa.1330280104
  2. Almasan OC, Hedesiu M, Baciut G, Baciut M, Bran S, Jacobs R. Nontraumatic bilateral bifid condyle and intermittent joint lock: a case report and literature review. J Oral Maxillofac Surg 2011; 69: e297-303. https://doi.org/10.1016/j.joms.2011.03.072
  3. Antoniades K, Hadjipetrou L, Antoniades V, Paraskevopoulos K. Bilateral bifid mandibular condyle. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97: 535-8. https://doi.org/10.1016/j.tripleo.2003.09.003
  4. Szentpetery A, Kocsis G, Marcsik A. The problem of the bifid mandibular condyle. J Oral Maxillofac Surg 1990; 48: 1254-7. https://doi.org/10.1016/0278-2391(90)90477-J
  5. Menezes AV, de Moraes Ramos FM, de Vasconcelos-Filho JO, Kurita LM, de Almeida SM, Haiter-Neto F. The prevalence of bifid mandibular condyle detected in a Brazilian population. Dentomaxillofac Radiol 2008; 37: 220-3. https://doi.org/10.1259/dmfr/72314113
  6. Miloglu O, Yalcin E, Buyukkurt MC, Yilmaz AB, Harorli A. The frequency of bifid mandibular condyle in a Turkish patient population. Dentomaxillofac Radiol 2010; 39: 42-6. https://doi.org/10.1259/dmfr/38196548
  7. Li Z, Djae KA, Li ZB. Post-traumatic bifid condyle: the pathogenesis analysis. Dent Traumatol 2011; 27: 452-4. https://doi.org/10.1111/j.1600-9657.2011.01035.x
  8. Loh FC, Yeo JF. Bifid mandibular condyle. Oral Surg Oral Med Oral Pathol 1990; 69: 24-7. https://doi.org/10.1016/0030-4220(90)90263-R
  9. Sahman H, Sekerci AE, Ertas ET, Etoz M, Sisman Y. Prevalence of bifid mandibular condyle in a Turkish population. J Oral Sci 2011; 53: 433-7. https://doi.org/10.2334/josnusd.53.433
  10. Sahman H, Sisman Y, Sekerci AE, Tarim-Ertas E, Tokmak T, Tuna IS. Detection of bifid mandibular condyle using computed tomography. Med Oral Patol Oral Cir Bucal 2012; 17: e930-4.
  11. Cho BH, Jung YH. Nontraumatic bifid mandibular condyles in asymptomatic and symptomatic temporomandibular joint subjects. Imaging Sci Dent 2013; 43: 25-30. https://doi.org/10.5624/isd.2013.43.1.25
  12. Garcia-Gonzalez D, Martin-Granizo R, Lopez P. Imaging quiz case 4. Bifid mandibular condyle. Arch Otolaryngol Head Neck Surg 2000; 126: 795-9.
  13. Quayle AA, Adams JE. Supplemental mandibular condyle. Br J Oral Maxillofac Surg 1986; 24: 349-56. https://doi.org/10.1016/0266-4356(86)90020-3
  14. To EW. Mandibular ankylosis associated with a bifid condyle. J Craniomaxillofac Surg 1989; 17: 326-8. https://doi.org/10.1016/S1010-5182(89)80063-0
  15. Stadnicki G. Congenital double condyle of the mandible causing temporomandibular joint ankylosis: report of case. J Oral Surg 1971; 29: 208-11.
  16. Daniels JS, Ali I. Post-traumatic bifid condyle associated with temporomandibular joint ankylosis: report of a case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99: 682-8. https://doi.org/10.1016/j.tripleo.2004.11.051
  17. Blackwood HJ. The double-headed mandibular condyle. Am J Phys Anthropol 1957; 15: 1-8. https://doi.org/10.1002/ajpa.1330150108
  18. Kahl B, Fischbach R, Gerlach KL. Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow-up study us computed tomography. Dentomaxillofac Radiol 1995; 24: 37-45. https://doi.org/10.1259/dmfr.24.1.8593906
  19. Gundlach KK, Fuhrmann A, Beckmann-Van der Ven G. The double-headed mandibular condyle. Oral Surg Oral Med Oral Pathol 1987; 64: 249-53. https://doi.org/10.1016/0030-4220(87)90098-3
  20. Poswillo DE. The late effects of mandibular condylectomy. Oral Surg Oral Med Oral Pathol 1972; 33: 500-12. https://doi.org/10.1016/0030-4220(72)90361-1
  21. Hotz RP. Functional jaw orthopedics in the treatment of condylar fractures. Am J Orthod 1978; 73: 365-77. https://doi.org/10.1016/0002-9416(78)90169-0
  22. Sahm G, Witt E. Long-term results after childhood condylar fractures. A computer-tomographic study. Eur J Orthod 1989;11: 154-60. https://doi.org/10.1093/oxfordjournals.ejo.a035978
  23. Dahlstrom L, Kahnberg KE, Lindahl L. 15 years follow-up on condylar fractures. Int J Oral Maxillofac Surg 1989; 18: 18-23. https://doi.org/10.1016/S0901-5027(89)80009-8

Cited by

  1. Arterial Vascularization of the Mandibular Condyle and Fractures of the Condyle vol.141, pp.5, 2018, https://doi.org/10.1097/prs.0000000000004295