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Sequential treatment for a patient with hemifacial microsomia: 10 year-long term follow up.

Seo JS, Roh YC, Song JM, Song WW, Seong HS, Kim SY, Hwang DS, Kim UK - Maxillofac Plast Reconstr Surg (2015)

Bottom Line: In patients with HFM, the management of the asymmetries requires a series of treatment phases that focus on their interception and correction, such as distraction osteogenesis or functional appliance treatment during growth and presurgical orthodontic treatment followed by mandibular and maxillary surgery.At the age of 19, genioplasty and mandible body augmentation with a porous polyethylene implant (PPE, Medpor®, Porex) was sequentially performed for the functional and esthetic reconstruction of the face.We report a case of HFM with a review of the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, 20 Geumo-ro, Mulgeum-eup, Yangsan, 626-787 Korea.

ABSTRACT

Hemifacial microsomia (HFM) is the most common craniofacial anomaly after cleft lip and cleft palate; this deformity primarily involves the facial skeleton and ear, with either underdevelopment or absence of both components. In patients with HFM, the management of the asymmetries requires a series of treatment phases that focus on their interception and correction, such as distraction osteogenesis or functional appliance treatment during growth and presurgical orthodontic treatment followed by mandibular and maxillary surgery. Satisfactory results were obtained in a 9-year-old girl with HFM who was treated with distraction osteogenesis. At the age of 19, genioplasty and mandible body augmentation with a porous polyethylene implant (PPE, Medpor®, Porex) was sequentially performed for the functional and esthetic reconstruction of the face. We report a case of HFM with a review of the literature.

No MeSH data available.


Related in: MedlinePlus

Pre-operative view of patient.1. Pre-operative extraoral and intraoral photographs. 2. Pre-operative Skull lateral and AP views, Panoramic view.
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Fig1: Pre-operative view of patient.1. Pre-operative extraoral and intraoral photographs. 2. Pre-operative Skull lateral and AP views, Panoramic view.

Mentions: A 9-year-old girl was referred to the Department of Oral and Maxillofacial Surgery, Pusan National University Hospital, Pusan, Republic of Korea, for the evaluation and treatment of a facial deformity. Clinical findings were as follows: micrognathia, lower incisor midline deviation towards the left side, hypoplasia of the mandibular condyle and coronoid process, deficiency in ramus height and length of the left mandibular body, and canting of the occlusal plane (Figure 1). Clinical and radiographic examinations indicated that she had HFM anomaly.Figure 1


Sequential treatment for a patient with hemifacial microsomia: 10 year-long term follow up.

Seo JS, Roh YC, Song JM, Song WW, Seong HS, Kim SY, Hwang DS, Kim UK - Maxillofac Plast Reconstr Surg (2015)

Pre-operative view of patient.1. Pre-operative extraoral and intraoral photographs. 2. Pre-operative Skull lateral and AP views, Panoramic view.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4317524&req=5

Fig1: Pre-operative view of patient.1. Pre-operative extraoral and intraoral photographs. 2. Pre-operative Skull lateral and AP views, Panoramic view.
Mentions: A 9-year-old girl was referred to the Department of Oral and Maxillofacial Surgery, Pusan National University Hospital, Pusan, Republic of Korea, for the evaluation and treatment of a facial deformity. Clinical findings were as follows: micrognathia, lower incisor midline deviation towards the left side, hypoplasia of the mandibular condyle and coronoid process, deficiency in ramus height and length of the left mandibular body, and canting of the occlusal plane (Figure 1). Clinical and radiographic examinations indicated that she had HFM anomaly.Figure 1

Bottom Line: In patients with HFM, the management of the asymmetries requires a series of treatment phases that focus on their interception and correction, such as distraction osteogenesis or functional appliance treatment during growth and presurgical orthodontic treatment followed by mandibular and maxillary surgery.At the age of 19, genioplasty and mandible body augmentation with a porous polyethylene implant (PPE, Medpor®, Porex) was sequentially performed for the functional and esthetic reconstruction of the face.We report a case of HFM with a review of the literature.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, 20 Geumo-ro, Mulgeum-eup, Yangsan, 626-787 Korea.

ABSTRACT

Hemifacial microsomia (HFM) is the most common craniofacial anomaly after cleft lip and cleft palate; this deformity primarily involves the facial skeleton and ear, with either underdevelopment or absence of both components. In patients with HFM, the management of the asymmetries requires a series of treatment phases that focus on their interception and correction, such as distraction osteogenesis or functional appliance treatment during growth and presurgical orthodontic treatment followed by mandibular and maxillary surgery. Satisfactory results were obtained in a 9-year-old girl with HFM who was treated with distraction osteogenesis. At the age of 19, genioplasty and mandible body augmentation with a porous polyethylene implant (PPE, Medpor®, Porex) was sequentially performed for the functional and esthetic reconstruction of the face. We report a case of HFM with a review of the literature.

No MeSH data available.


Related in: MedlinePlus