Abstract：
Central giant cell granulomas (CGCG) are not common in the mandibular condyle. In teenagers, the problem is more complex because of difficulties in diagnosis and treatment involving the potential growth of the mandibular process and development of the face. In this short communication a case is presented of an eleven-year-old female under diagnosis of central giant cell granuloma affecting the mandibular condyle treated surgically in two steps using a condylectomy and vertical ramus osteotomy at the first time and later orthognathic surgery, showing the clinical evolution after 13 years of follow-up. In addition, we performed a review of the scientific reports related to CGCG in the mandibular condyle to compare this treatment with others, in terms of follow-up and results. We concluded that the CGCG affecting the mandibular head can be properly treated with low condilectomy, vertical mandibular ramus sliding osteotomy, and discopexy.
摘要：
中央巨细胞肉芽肿（CGCG）在下颌髁中并不常见。在青少年中，由于诊断和治疗涉及下颌过程的潜在生长和面部发育的困难，该问题更加复杂。在这份简短的通讯中，介绍了一名11岁的女性，其诊断为中央巨细胞肉芽肿，影响下颌髁突，在第一次和随后的正颌手术中，分两步进行了髁突切除术和垂直支截骨术，显示13年随访后的临床演变。此外,我们对下颌髁突CGCG相关的科学报告进行了回顾，以将这种治疗与其他治疗方法进行比较，在后续行动和结果方面。我们的结论是，影响下颌头的CGCG可以通过低位条件切除术来正确治疗，垂直下颌支滑动截骨术，和双性恋。
