Management of Mandibular Condylar Osteochondroma Combining Low Condylectomy and Bilateral Sagittal Split Osteotomy: A Case Report

Osteochondroma is a benign cartilaginous tumor rarely found in the maxillofacial region, most often affecting the mandibular condyle and leading to progressive facial asymmetry, malocclusion, and temporomandibular dysfunction. The reported case described a 48-year-old female with unilateral condylar hyperplasia secondary to osteochondroma, successfully treated through a surgical approach combining low condylectomy and bilateral sagittal split osteotomy. Postoperative evaluation confirmed restored symmetry, joint function, and stable occlusion, demonstrating that the concurrent application of low condylectomy and orthognathic surgery provides excellent functional and aesthetic outcomes. • Although osteochondroma is an uncommon benign neoplasm, its impact on the maxillofacial region can be profound, often resulting in facial deformity and asymmetry, malocclusion, and temporomandibular joint dysfunction. • Advanced imaging and virtual surgical planning play a critical role in the optimal evaluation and management of dentofacial deformities, providing a robust and reproducible model for similar clinical presentations. • An integrated treatment approach combining low condylectomy with orthognathic surgery yields favorable esthetic and functional outcomes.