Skip to main content
Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 3/2023

26.07.2022 | Original Article

Multiheaded mandibular condyles

verfasst von: Merve Yelken Kendirci, Sevde Göksel, İlknur Özcan

Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Sonderheft 3/2023

Einloggen, um Zugang zu erhalten

Abstract

Objectives

This study aimed to evaluate the prevalence of multiheaded condyles (MHC) in a group of Turkish subjects using cone-beam computed tomography (CBCT).

Methods

In this retrospective study, CBCT scans of 975 patients (546 female, 429 male; age 15–89 years, mean age 42.46 years) who were referred to Istanbul University Faculty of Dentistry, Department of Dentomaxillofacial Radiology between 2015 and 2021 were evaluated. Bifid and trifid mandibular condyle cases were analyzed according to the patients’ age, gender, and laterality, and their frequencies were determined statistically.

Results

A multiheaded mandibular condyle (MHC) was detected in 57 of the 975 patients (546 female, 429 male). MHC was diagnosed unilaterally in 49 patients; in 8 patients, it was observed bilaterally. A bifid mandibular condyle (BMC) was detected in 54 patients. A trifid mandibular condyle (TMC) was found in 2 women, and one tetrafid mandibular condyle was seen in 1 woman.

Conclusions

The prevalence of MHC was 5.84% in our proband, which is higher than in previous studies. There was no statistically significant difference between the prevalence of MHC in males or females.
Literatur
1.
Zurück zum Zitat Güven O (2018) A study on etiopathogenesis and clinical features of multi-headed (bifid and trifid) mandibular condyles and review of the literature. J Cranio Maxillofac Surg 46(5):773–778CrossRef Güven O (2018) A study on etiopathogenesis and clinical features of multi-headed (bifid and trifid) mandibular condyles and review of the literature. J Cranio Maxillofac Surg 46(5):773–778CrossRef
2.
Zurück zum Zitat Şahman H, Etöz O, Şekerci A, Etöz M, Şişman Y (2011) Tetrafid mandibular condyle: a unique case report and review of the literature. Dentomaxillofac Radiol 40(8):524–530CrossRefPubMedPubMedCentral Şahman H, Etöz O, Şekerci A, Etöz M, Şişman Y (2011) Tetrafid mandibular condyle: a unique case report and review of the literature. Dentomaxillofac Radiol 40(8):524–530CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Khojastepour L, Kolahi S, Panahi N, Haghnegahdar A (2015) Cone beam computed tomographic assessment of bifid mandibular condyle. J Dent 12(12):868–873 Khojastepour L, Kolahi S, Panahi N, Haghnegahdar A (2015) Cone beam computed tomographic assessment of bifid mandibular condyle. J Dent 12(12):868–873
4.
Zurück zum Zitat Balaji SM (2010) Bifid mandibular condyle: a study of the clinical features, patterns and morphological variations using CT scans. J Maxillofac Oral Surg 9(1):38–41CrossRefPubMedPubMedCentral Balaji SM (2010) Bifid mandibular condyle: a study of the clinical features, patterns and morphological variations using CT scans. J Maxillofac Oral Surg 9(1):38–41CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Jha A, Khalid M, Sahoo B (2013) Posttraumatic bifid and trifid mandibular condyle with bilateral temporomandibular joint ankylosis. J Craniofac Surg 24(2):e166–e167CrossRefPubMed Jha A, Khalid M, Sahoo B (2013) Posttraumatic bifid and trifid mandibular condyle with bilateral temporomandibular joint ankylosis. J Craniofac Surg 24(2):e166–e167CrossRefPubMed
6.
Zurück zum Zitat Miloglu O, Yalcin E, Buyukkurt M, Yilmaz A, Harorli A (2010) The frequency of bifid mandibular condyle in a Turkish patient population. Dentomaxillofac Radiol 39(1):42–46CrossRefPubMedPubMedCentral Miloglu O, Yalcin E, Buyukkurt M, Yilmaz A, Harorli A (2010) The frequency of bifid mandibular condyle in a Turkish patient population. Dentomaxillofac Radiol 39(1):42–46CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Sahman H, Sisman Y, Sekerci AE, Tarim-Ertas E, Tokmak T, Tuna IS (2012) Detection of bifid mandibular condyle using computed tomography. Med Oral Patol Oral Cir Bucal 17(6):e930–e934CrossRefPubMedPubMedCentral Sahman H, Sisman Y, Sekerci AE, Tarim-Ertas E, Tokmak T, Tuna IS (2012) Detection of bifid mandibular condyle using computed tomography. Med Oral Patol Oral Cir Bucal 17(6):e930–e934CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Antoniades K, Hadjipetrou L, Antoniades V, Paraskevopoulos K (2004) Bilateral bifid mandibular condyle. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(4):535–538CrossRefPubMed Antoniades K, Hadjipetrou L, Antoniades V, Paraskevopoulos K (2004) Bilateral bifid mandibular condyle. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97(4):535–538CrossRefPubMed
9.
Zurück zum Zitat Daniels JS, Ali I (2005) 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 99(6):682–688CrossRefPubMed Daniels JS, Ali I (2005) 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 99(6):682–688CrossRefPubMed
10.
Zurück zum Zitat Corchero-Martin G, Gonzalez-Teran T, Garcia-Reija MF, Sanchez-Santolino S, Saiz-Bustillo R (2005) Bifid condyle: case report. Med Oral Patol Oral Cir Bucal 10(3):277–279PubMed Corchero-Martin G, Gonzalez-Teran T, Garcia-Reija MF, Sanchez-Santolino S, Saiz-Bustillo R (2005) Bifid condyle: case report. Med Oral Patol Oral Cir Bucal 10(3):277–279PubMed
11.
Zurück zum Zitat Hersek N, Ozbek M, Tasar F, Akpinar E, Firat M (2004) Bifid mandibular condyle: a case report. Dent Traumatol 20(3):184–186CrossRefPubMed Hersek N, Ozbek M, Tasar F, Akpinar E, Firat M (2004) Bifid mandibular condyle: a case report. Dent Traumatol 20(3):184–186CrossRefPubMed
12.
Zurück zum Zitat Artvinli LB, Kansu Ö (2003) Trifid mandibular condyle: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 95(2):251–254CrossRef Artvinli LB, Kansu Ö (2003) Trifid mandibular condyle: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 95(2):251–254CrossRef
13.
Zurück zum Zitat Ayat A, Boudaoud Z, Djafer L (2019) Trifid mandibular condyle: a case report and literature review. J Stomatol Oral Maxillofac Surg 120(6):601–604CrossRefPubMed Ayat A, Boudaoud Z, Djafer L (2019) Trifid mandibular condyle: a case report and literature review. J Stomatol Oral Maxillofac Surg 120(6):601–604CrossRefPubMed
14.
Zurück zum Zitat Çagirankaya LB, Hatipoglu MG (2005) Trifid mandibular condyle: a case report. Cranio 23(4):297–299CrossRefPubMed Çagirankaya LB, Hatipoglu MG (2005) Trifid mandibular condyle: a case report. Cranio 23(4):297–299CrossRefPubMed
15.
Zurück zum Zitat Sezgin ÖS, Kayipmaz S (2009) Trifid mandibular condyle. Oral Radiol 25(2):146–148CrossRef Sezgin ÖS, Kayipmaz S (2009) Trifid mandibular condyle. Oral Radiol 25(2):146–148CrossRef
16.
Zurück zum Zitat Warhekar AM, Wanjari PV, Phulambrikar T (2011) Unilateral trifid mandibular condyle: a case report. Cranio 29(1):80–84CrossRefPubMed Warhekar AM, Wanjari PV, Phulambrikar T (2011) Unilateral trifid mandibular condyle: a case report. Cranio 29(1):80–84CrossRefPubMed
17.
Zurück zum Zitat Hernández-Andara A, Ortega-Pertuz AI, Guercio E, De Stefano A (2017) CT findings of trifid mandibular condyle in a 12-year-old patient: a case report and review. Int J Odontostomat 11(4):393–398CrossRef Hernández-Andara A, Ortega-Pertuz AI, Guercio E, De Stefano A (2017) CT findings of trifid mandibular condyle in a 12-year-old patient: a case report and review. Int J Odontostomat 11(4):393–398CrossRef
18.
Zurück zum Zitat Haghnegahdar AA, Bronoosh P, Khojastepour L, Tahmassebi P (2014) Prevalence of bifid mandibular condyle in a selected population in South of Iran. J Dent 15(4):156–160 Haghnegahdar AA, Bronoosh P, Khojastepour L, Tahmassebi P (2014) Prevalence of bifid mandibular condyle in a selected population in South of Iran. J Dent 15(4):156–160
19.
Zurück zum Zitat Woo MH, Yoon KH, Park KS, Park JA (2016) Post-traumatic bifid mandibular condyle: a case report and literature review. Imaging Sci Dent 46(3):217–222CrossRefPubMedPubMedCentral Woo MH, Yoon KH, Park KS, Park JA (2016) Post-traumatic bifid mandibular condyle: a case report and literature review. Imaging Sci Dent 46(3):217–222CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Espinosa-Femenia M, Sartorres-Nieto M, Berini-Aytes L, Gay-Escoda C (2006) Bilateral bifid mandibular condyle: case report and literature review. Cranio 24(2):137–140CrossRefPubMed Espinosa-Femenia M, Sartorres-Nieto M, Berini-Aytes L, Gay-Escoda C (2006) Bilateral bifid mandibular condyle: case report and literature review. Cranio 24(2):137–140CrossRefPubMed
21.
Zurück zum Zitat Coclici A, Roman RA, Crasnean E, Faur C, Bran S, Baciut M et al (2020) An overview of the post-traumatic mandibular bifid condyle. Maedica 15(2):258PubMedPubMedCentral Coclici A, Roman RA, Crasnean E, Faur C, Bran S, Baciut M et al (2020) An overview of the post-traumatic mandibular bifid condyle. Maedica 15(2):258PubMedPubMedCentral
22.
Zurück zum Zitat Motta-Junior J, Aita T, Pereira-Stabile C, Stabile G (2013) Congenital Frey’s syndrome associated with nontraumatic bilateral trifid mandibular condyle. Int J Oral Maxillofac Surg 42(2):237–239CrossRefPubMed Motta-Junior J, Aita T, Pereira-Stabile C, Stabile G (2013) Congenital Frey’s syndrome associated with nontraumatic bilateral trifid mandibular condyle. Int J Oral Maxillofac Surg 42(2):237–239CrossRefPubMed
23.
Zurück zum Zitat Li Z, Djae KA, Li ZB (2011) Post-traumatic bifid condyle: the pathogenesis analysis. Dent Traumatol 27(6):452–454CrossRefPubMed Li Z, Djae KA, Li ZB (2011) Post-traumatic bifid condyle: the pathogenesis analysis. Dent Traumatol 27(6):452–454CrossRefPubMed
24.
Zurück zum Zitat Lopez-Lopez J, Ayuso-Montero R, Salas EJ, Rosello-Llabres X (2010) Bifid condyle: review of the literature of the last 10 years and report of two cases. Cranio 28(2):136–140CrossRefPubMed Lopez-Lopez J, Ayuso-Montero R, Salas EJ, Rosello-Llabres X (2010) Bifid condyle: review of the literature of the last 10 years and report of two cases. Cranio 28(2):136–140CrossRefPubMed
26.
Zurück zum Zitat Katti G, Najmuddin M, Fatima S, Unnithan J (2012) Bifid mandibular condyle. BMJ Case Rep 2012:bcr-2012-007051 Katti G, Najmuddin M, Fatima S, Unnithan J (2012) Bifid mandibular condyle. BMJ Case Rep 2012:bcr-2012-007051
27.
Zurück zum Zitat Faisal M, Ali I, Pal US, Bannerjee K (2010) Bifid mandibular condyle: Report of two cases of varied etiology. Natl J Maxillofac Surg 1(1):78–80CrossRefPubMedPubMedCentral Faisal M, Ali I, Pal US, Bannerjee K (2010) Bifid mandibular condyle: Report of two cases of varied etiology. Natl J Maxillofac Surg 1(1):78–80CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Poswillo DJOS (1972) The late effects of mandibular condylectomy. Oral Surg Oral Med Oral Pathol 33(4):500–512CrossRefPubMed Poswillo DJOS (1972) The late effects of mandibular condylectomy. Oral Surg Oral Med Oral Pathol 33(4):500–512CrossRefPubMed
29.
Zurück zum Zitat Tutar O, Bas A, Gulsen G, Bayraktarov E (2012) Bifid mandibular condyle: CT and MRI appearance. BMJ Case Rep 2012:bcr2012006976 Tutar O, Bas A, Gulsen G, Bayraktarov E (2012) Bifid mandibular condyle: CT and MRI appearance. BMJ Case Rep 2012:bcr2012006976
30.
Zurück zum Zitat Shriki J, Lev R, Wong BF, Sundine MJ, Hasso AN (2005) Bifid mandibular condyle: CT and MR imaging appearance in two patients: case report and review of the literature. AJNR Am J Neuroradiol 26(7):1865–1868PubMedPubMedCentral Shriki J, Lev R, Wong BF, Sundine MJ, Hasso AN (2005) Bifid mandibular condyle: CT and MR imaging appearance in two patients: case report and review of the literature. AJNR Am J Neuroradiol 26(7):1865–1868PubMedPubMedCentral
31.
Zurück zum Zitat Szentpetery A, Kocsis G, Marcsik A (1990) The problem of the bifid mandibular condyle. J Oral Maxillofac Surg 48(12):1254–1257CrossRefPubMed Szentpetery A, Kocsis G, Marcsik A (1990) The problem of the bifid mandibular condyle. J Oral Maxillofac Surg 48(12):1254–1257CrossRefPubMed
32.
Zurück zum Zitat Melo SL, Melo DP, Oenning AC, Haiter-Neto F, Almeida SM, Campos PS (2012) Magnetic resonance imaging findings of true bifid mandibular condyle with duplicated mandibular fossa. Clin Anat 25(5):650–655CrossRefPubMed Melo SL, Melo DP, Oenning AC, Haiter-Neto F, Almeida SM, Campos PS (2012) Magnetic resonance imaging findings of true bifid mandibular condyle with duplicated mandibular fossa. Clin Anat 25(5):650–655CrossRefPubMed
33.
Zurück zum Zitat Menezes AV, de Moraes Ramos FM, de Vasconcelos-Filho JO, Kurita LM, de Almeida SM, Haiter-Neto F (2008) The prevalence of bifid mandibular condyle detected in a Brazilian population. Dentomaxillofac Radiol 37(4):220–223CrossRefPubMed Menezes AV, de Moraes Ramos FM, de Vasconcelos-Filho JO, Kurita LM, de Almeida SM, Haiter-Neto F (2008) The prevalence of bifid mandibular condyle detected in a Brazilian population. Dentomaxillofac Radiol 37(4):220–223CrossRefPubMed
34.
Zurück zum Zitat Kempwade PK, Kattimani S, Ramesh D, Byatnal A, Bansode A, Mujawar KK (2019) Evaluation of the prevalence of bifid mandibular condyle detected on digital panoramic radiographs in North Karnataka region. J Adv Clin Res Insights 6(5):149–152CrossRef Kempwade PK, Kattimani S, Ramesh D, Byatnal A, Bansode A, Mujawar KK (2019) Evaluation of the prevalence of bifid mandibular condyle detected on digital panoramic radiographs in North Karnataka region. J Adv Clin Res Insights 6(5):149–152CrossRef
36.
Zurück zum Zitat Ramos FM, Filho JO, Manzi FR, Boscolo FN, Almeida SM (2006) Bifid mandibular condyle: a case report. J Oral Sci 48(1):35–37CrossRefPubMed Ramos FM, Filho JO, Manzi FR, Boscolo FN, Almeida SM (2006) Bifid mandibular condyle: a case report. J Oral Sci 48(1):35–37CrossRefPubMed
37.
Zurück zum Zitat Sales MA, Oliveira JX, Cavalcanti MG (2007) Computed tomography imaging findings of simultaneous bifid mandibular condyle and temporomandibular joint ankylosis: case report. Braz Dent J 18(1):74–77CrossRefPubMed Sales MA, Oliveira JX, Cavalcanti MG (2007) Computed tomography imaging findings of simultaneous bifid mandibular condyle and temporomandibular joint ankylosis: case report. Braz Dent J 18(1):74–77CrossRefPubMed
38.
Zurück zum Zitat Gulati A, Virmani V, Ramanathan S, Verma L, Khandelwal N (2009) Bifid mandibular condyle with temporomandibular joint ankylosis: report of two cases and review of literature. Skelet Radiol 38(10):1023–1025CrossRef Gulati A, Virmani V, Ramanathan S, Verma L, Khandelwal N (2009) Bifid mandibular condyle with temporomandibular joint ankylosis: report of two cases and review of literature. Skelet Radiol 38(10):1023–1025CrossRef
Metadaten
Titel
Multiheaded mandibular condyles
verfasst von
Merve Yelken Kendirci
Sevde Göksel
İlknur Özcan
Publikationsdatum
26.07.2022
Verlag
Springer Medizin
Erschienen in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Ausgabe Sonderheft 3/2023
Print ISSN: 1434-5293
Elektronische ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-022-00416-4

Weitere Artikel der Sonderheft 3/2023

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 3/2023 Zur Ausgabe

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Parodontalbehandlung verbessert Prognose bei Katheterablation

19.04.2024 Vorhofflimmern Nachrichten

Werden Personen mit Vorhofflimmern in der Blanking-Periode nach einer Katheterablation gegen eine bestehende Parodontitis behandelt, verbessert dies die Erfolgsaussichten. Dafür sprechen die Resultate einer prospektiven Untersuchung.

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.