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Asymmetry of the mandible

MedGen UID:
488887
•Concept ID:
C0399518
•
Finding
Synonyms: Asymmetry of lower jaw; Asymmetry of mandible; Canted lower jaw; Canted mandible; Crooked lower jaw; Deviation of lower jaw; Deviation of mandible; Deviation of the lower jaw; Deviation of the mandible; Lower jaw shifted to one side; Tilted lower jaw; Tilted mandible; Uneven lower jaw; Uneven mandible
SNOMED CT: Asymmetry of mandible (235082006)
 
HPO: HP:0009940

Definition

Lack of symmetry between the left and right mandible. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Asymmetry of the mandible

Professional guidelines

PubMed

Management of temporomandibular joint arthritis in children and adolescents: An introduction for orthodontists.
Rongo R, Michelotti A, Pedersen TK, Resnick CM, Stoustrup P
Orthod Craniofac Res 2023 Dec;26 Suppl 1:151-163. Epub 2023 May 24 doi: 10.1111/ocr.12676. PMID: 37226648
The etiology, clinical features, and treatment options of hemifacial microsomia.
Luo S, Sun H, Bian Q, Liu Z, Wang X
Oral Dis 2023 Sep;29(6):2449-2462. Epub 2023 Mar 13 doi: 10.1111/odi.14508. PMID: 36648381
Differential diagnosis and treatment of condylar hyperplasia.
Tripathi T, Srivastava D, Neha, Rai P
J Clin Orthod 2019 Jan;53(1):29-38. PMID: 30685757

Recent clinical studies

Etiology

The pressure in the temporomandibular joint in the patients with maxillofacial deformities.
Ma H, Teng H, Li A, Zhang Z, Zheng T, Chong DYR, Shao B, Liu Z
J Stomatol Oral Maxillofac Surg 2023 Feb;124(1S):101285. Epub 2022 Sep 7 doi: 10.1016/j.jormas.2022.09.006. PMID: 36087916
Role of Distraction Osteogenesis in the Management of Postankylotic Deformity.
Anehosur V, Monis PL, Nagaraj N, Krishnamurthy K, Shettigar P, Patil A
J Craniofac Surg 2022 Nov-Dec 01;33(8):2493-2498. Epub 2022 Jul 28 doi: 10.1097/SCS.0000000000008749. PMID: 35905392
Craniofacial Microsomia.
Brandstetter KA, Patel KG
Facial Plast Surg Clin North Am 2016 Nov;24(4):495-515. doi: 10.1016/j.fsc.2016.06.006. PMID: 27712817
Distraction osteogenesis of the mandible using a submerged intraoral device: a report of three cases.
Stucki-McCormick SU, Mizrahi RD, Fox RM, Romo T 3rd
J Oral Maxillofac Surg 1999 Feb;57(2):192-8. doi: 10.1016/s0278-2391(99)90239-2. PMID: 9973131
Hemifacial hypertrophy.
Czarnecki ES, Carrel R
J Pedod 1982 Spring;6(3):270-80. PMID: 6964595

Diagnosis

The etiology, clinical features, and treatment options of hemifacial microsomia.
Luo S, Sun H, Bian Q, Liu Z, Wang X
Oral Dis 2023 Sep;29(6):2449-2462. Epub 2023 Mar 13 doi: 10.1111/odi.14508. PMID: 36648381
Differential diagnosis and treatment of condylar hyperplasia.
Tripathi T, Srivastava D, Neha, Rai P
J Clin Orthod 2019 Jan;53(1):29-38. PMID: 30685757
Craniofacial Microsomia.
Brandstetter KA, Patel KG
Facial Plast Surg Clin North Am 2016 Nov;24(4):495-515. doi: 10.1016/j.fsc.2016.06.006. PMID: 27712817
Correction of facial asymmetry as a result of unilateral condylar hyperplasia.
Jones RH, Tier GA
J Oral Maxillofac Surg 2012 Jun;70(6):1413-25. Epub 2011 Aug 3 doi: 10.1016/j.joms.2011.03.047. PMID: 21813222
Coronoid process enlargement.
Hönig JF, Merten HA, Korth OE, Halling F
Dentomaxillofac Radiol 1994 May;23(2):108-10. doi: 10.1259/dmfr.23.2.7835501. PMID: 7835501

Therapy

Hemifacial microsomia: treatment alternatives-a systematic review of literature.
López DF, Acosta DM, Rivera DA, Mejía CM
J Clin Pediatr Dent 2022 Sep;46(5):15-30. Epub 2022 Sep 1 doi: 10.22514/jocpd.2022.003. PMID: 36624910
Condylar hyperplasia: current thinking.
Higginson JA, Bartram AC, Banks RJ, Keith DJW
Br J Oral Maxillofac Surg 2018 Oct;56(8):655-662. Epub 2018 Aug 13 doi: 10.1016/j.bjoms.2018.07.017. PMID: 30115459
Surgical Correction of Maxillofacial Skeletal Deformities.
Cottrell DA, Farrell B, Ferrer-Nuin L, Ratner S
J Oral Maxillofac Surg 2017 Aug;75(8S):e94-e125. doi: 10.1016/j.joms.2017.04.025. PMID: 28728741
Interventions for the treatment of fractures of the mandibular condyle.
Sharif MO, Fedorowicz Z, Drews P, Nasser M, Dorri M, Newton T, Oliver R
Cochrane Database Syst Rev 2010 Apr 14;(4):CD006538. doi: 10.1002/14651858.CD006538.pub2. PMID: 20393948
Considerations for the use of alloplastic temporomandibular joint replacement in the growing patient.
Mercuri LG, Swift JQ
J Oral Maxillofac Surg 2009 Sep;67(9):1979-90. doi: 10.1016/j.joms.2009.05.430. PMID: 19686937

Prognosis

Acquired Abnormalities of the Temporomandibular Joint.
Chouinard AF, Kaban LB, Peacock ZS
Oral Maxillofac Surg Clin North Am 2018 Feb;30(1):83-96. doi: 10.1016/j.coms.2017.08.005. PMID: 29153240
Application of angular measurements in the correction of the asymmetric chin.
Pary A
J Oral Maxillofac Surg 2013 Jul;71(7):1231-8. Epub 2013 Mar 26 doi: 10.1016/j.joms.2012.12.021. PMID: 23540430
Distraction osteogenesis of the mandible using a submerged intraoral device: a report of three cases.
Stucki-McCormick SU, Mizrahi RD, Fox RM, Romo T 3rd
J Oral Maxillofac Surg 1999 Feb;57(2):192-8. doi: 10.1016/s0278-2391(99)90239-2. PMID: 9973131
Hemifacial hypertrophy.
Czarnecki ES, Carrel R
J Pedod 1982 Spring;6(3):270-80. PMID: 6964595
Cephalometrics for orthognathic surgery.
Burstone CJ, James RB, Legan H, Murphy GA, Norton LA
J Oral Surg 1978 Apr;36(4):269-77. PMID: 273073

Clinical prediction guides

Three-dimensional measurements on the mandible of patients with hemifacial microsomia.
Wang M, Gui L
Chin Med J (Engl) 2022 Apr 20;135(8):971-976. doi: 10.1097/CM9.0000000000002116. PMID: 35442230Free PMC Article
A Better Understanding of Unilateral Condylar Hyperplasia of the Mandible.
Gateno J, Coppelson KB, Kuang T, Poliak CD, Xia JJ
J Oral Maxillofac Surg 2021 May;79(5):1122-1132. Epub 2020 Dec 29 doi: 10.1016/j.joms.2020.12.034. PMID: 33493432Free PMC Article
Quantification of the relative orientation and position of the mandibular condyles.
Bescond G, Gales M, Glineur R, Bonnechère B, Sholukha V, Louryan S, Van Sint Jan S
Morphologie 2021 Dec;105(351):275-280. Epub 2020 Dec 2 doi: 10.1016/j.morpho.2020.11.007. PMID: 33279396
Acquired Abnormalities of the Temporomandibular Joint.
Chouinard AF, Kaban LB, Peacock ZS
Oral Maxillofac Surg Clin North Am 2018 Feb;30(1):83-96. doi: 10.1016/j.coms.2017.08.005. PMID: 29153240
Goldenhar syndrome: current perspectives.
Bogusiak K, Puch A, Arkuszewski P
World J Pediatr 2017 Oct;13(5):405-415. Epub 2017 Jun 15 doi: 10.1007/s12519-017-0048-z. PMID: 28623555

Recent systematic reviews

A systematic review and meta-analysis of the surgical outcomes in patients with osteochondroma of mandibular condyle.
Poorna T A, Alagarsamy R, Ek J, Singh AK, Lal B, Roychoudhury A
Oral Surg Oral Med Oral Pathol Oral Radiol 2023 Jun;135(6):732-745. Epub 2022 Oct 1 doi: 10.1016/j.oooo.2022.09.039. PMID: 36529674
Hemifacial microsomia: treatment alternatives-a systematic review of literature.
López DF, Acosta DM, Rivera DA, Mejía CM
J Clin Pediatr Dent 2022 Sep;46(5):15-30. Epub 2022 Sep 1 doi: 10.22514/jocpd.2022.003. PMID: 36624910
Prevalence of mandibular asymmetry in different skeletal sagittal patterns.
Evangelista K, Teodoro AB, Bianchi J, Cevidanes LHS, de Oliveira Ruellas AC, Silva MAG, Valladares-Neto J
Angle Orthod 2022 Jan 1;92(1):118-126. doi: 10.2319/040921-292.1. PMID: 34546287Free PMC Article
Association between posterior crossbite, skeletal, and muscle asymmetry: a systematic review.
Iodice G, Danzi G, Cimino R, Paduano S, Michelotti A
Eur J Orthod 2016 Dec;38(6):638-651. Epub 2016 Jan 28 doi: 10.1093/ejo/cjw003. PMID: 26823371
Interventions for the treatment of fractures of the mandibular condyle.
Sharif MO, Fedorowicz Z, Drews P, Nasser M, Dorri M, Newton T, Oliver R
Cochrane Database Syst Rev 2010 Apr 14;(4):CD006538. doi: 10.1002/14651858.CD006538.pub2. PMID: 20393948

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