Technical StrategiesConcurrent High Condylectomy and Orthognathic Surgery to Address Mandibular and Facial AsymmetryManiskas, Seija MS*; Parsaei, Yassmin DMD*,†; Bruckman, Karl C. MD, DMD*; Steinbacher, Derek MD, DMD*Author Information *Division of Plastic Surgery, Yale School of Medicine, New Haven, CT †Department of Orthodontics, University of Connecticut, Farmington, CT. Address correspondence and reprint requests to Derek Steinbacher, MD, DMD, Yale School of Medicine, Section of Plastic and Reconstructive Surgery, 330 Cedar St, Boardman Bld, 3rd fl, New Haven, CT 06510; E-mail: Derek.Steinbacher@yale.edu Received 27 April, 2019 Accepted 1 July, 2019 The authors report no conflicts of interest. Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com). Journal of Craniofacial Surgery: November-December 2019 - Volume 30 - Issue 8 - p 2601-2603 doi: 10.1097/SCS.0000000000005886 Buy SDC Metrics Abstract Correction of facial asymmetry caused by active unilateral condylar hyperplasia (CH) requires proper diagnosis, arrested ongoing condylar growth, and ultimately orthognathic surgery. Traditionally, prior to performing orthognathic surgery, active CH is addressed either by: awaiting natural cessation of condylar overgrowth, or performing an interval high condylectomy (to stop growth). However, these strategies both add to the total treatment time, by either waiting and confirming no active growth, or performing a first stage growth-arresting procedure. In this report, the authors describe concurrent high condylectomy, and 3-jaw orthognathic surgery, to address the root of the problem and provide aesthetic correction in the same setting. This clinical series illustrates a detailed description of this approach, highlighting operative order, and an analysis of outcomes. © 2019 by Mutaz B. Habal, MD.