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The Role of Skeletal Scintigraphy in the Diagnosis and Management of Mandibular Growth Abnormalities and Asymmetry

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Pediatric Nuclear Medicine and Molecular Imaging

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Abstract

Mandibular growth abnormalities are challenging to diagnose and manage. Skeletal scintigraphy provides additional information regarding the area of abnormality and can classify the process as active or quiescent. This serves to guide the type and timing of operative treatment of the resultant deformity. Abnormalities in mandibular growth can result in significant facial deformity and asymmetry. Mandibular asymmetry may be congenital or acquired and often has functional, esthetic, and social consequences (Kaban, Acquired abnormalities of the temporomandibular joint. In: Kaban LB, Troulis MJ (eds) Pediatric oral and maxillofacial surgery, Elsevier, New York, pp 340–376, 2004; Gottlieb, J Oral Surg (Chic) 9:118–135, 1951; Obwegeser and Makek, J Maxillofac Surg 14:183–208, 1986). In general, asymmetry of the mandible may be classified as overgrowth or undergrowth conditions. Unilateral condylar hyperplasia is the most common overgrowth asymmetry. Overgrowth can also occur in response to trauma (e.g., condylar fracture in children), tumors in the condylar region, or fibrous dysplasia. Undergrowth of one side may be the result of trauma, radiation, inflammatory joint disease, idiopathic condylar resorption, or congenital malformation such as hemifacial microsomia.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA, USA

    Zachary S. Peacock DMD, MD, Matthew E. Lawler DMD & Leonard B. Kaban DMD, MD

  2. Department of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine, Boston, MA, USA

    Zachary S. Peacock DMD, MD, Matthew E. Lawler DMD & Leonard B. Kaban DMD, MD

  3. Joint Program in Nuclear Medicine, Department of Radiology, Harvard Medical School, Boston, MA, USA

    Frederic H. Fahey DSc

  4. Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, Boston Children’s Hospital, Boston, MA, USA

    Frederic H. Fahey DSc

Authors
  1. Zachary S. Peacock DMD, MD
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  2. Matthew E. Lawler DMD
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  3. Frederic H. Fahey DSc
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  4. Leonard B. Kaban DMD, MD
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Corresponding author

Correspondence to Zachary S. Peacock DMD, MD .

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Editors and Affiliations

  1. Department of Radiology, Harvard Medical School, Boston, Massachusetts, USA

    S.Ted. Treves

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Peacock, Z.S., Lawler, M.E., Fahey, F.H., Kaban, L.B. (2014). The Role of Skeletal Scintigraphy in the Diagnosis and Management of Mandibular Growth Abnormalities and Asymmetry. In: Treves, S. (eds) Pediatric Nuclear Medicine and Molecular Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9551-2_18

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  • DOI: https://doi.org/10.1007/978-1-4614-9551-2_18

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