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Orthognathic surgery in craniofacial microsomia: treatment algorithm.

Fariña R, Valladares S, Torrealba R, Nuñez M, Uribe F - Plast Reconstr Surg Glob Open (2015)

Bottom Line: In general terms, diverse therapeutic alternatives are proposed according to the growth stage and the severity of the alteration.When craniofacial growth has concluded, conventional orthognathic surgery (Le Fort I osteotomy, bilateral sagittal split osteotomy, and genioplasty) provides good alternatives for MI and MIIA type cases.Reconstruction of the mandibular ramus and temporomandibular joint before orthognathic surgery is the indicated treatment for cases MIIB and MIII.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Hospital del Salvador, Santiago, Chile; Department of Maxillofacial Surgery, Hospital San Borja Arriarán, Santiago, Chile; Oral and Maxillofacial Surgery Dentistry School, Universidad de Chile, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Hospital de Carabineros, Santiago, Chile; Depertment of Orthopedic, Orthodontic Hospital Ezequiel Gonzalez Cortés, Santiago, Chile; and Department of Oral and Maxillofacial Surgery, Hospital Regional de Temuco, Universidad de la Frontera, Temuco, Chile.

ABSTRACT
Craniofacial microsomia is a broad term that covers a variety of craniofacial malformation conditions that are caused by alterations in the derivatives of the first and second pharyngeal arches. In general terms, diverse therapeutic alternatives are proposed according to the growth stage and the severity of the alteration. When craniofacial growth has concluded, conventional orthognathic surgery (Le Fort I osteotomy, bilateral sagittal split osteotomy, and genioplasty) provides good alternatives for MI and MIIA type cases. Reconstruction of the mandibular ramus and temporomandibular joint before orthognathic surgery is the indicated treatment for cases MIIB and MIII. The goal of this article is to establish a surgical treatment algorithm for orthognathic surgery on patients with craniofacial microsomia, analyzing the points that allow the ideal treatment for each patient to be chosen.

No MeSH data available.


Related in: MedlinePlus

Reconstruction of right mandibular ramus with iliac crest graft and orthognathic surgery at the same time (patient 6). Profile facial photograph: before surgery.
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Figure 12: Reconstruction of right mandibular ramus with iliac crest graft and orthognathic surgery at the same time (patient 6). Profile facial photograph: before surgery.


Orthognathic surgery in craniofacial microsomia: treatment algorithm.

Fariña R, Valladares S, Torrealba R, Nuñez M, Uribe F - Plast Reconstr Surg Glob Open (2015)

Reconstruction of right mandibular ramus with iliac crest graft and orthognathic surgery at the same time (patient 6). Profile facial photograph: before surgery.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4323398&req=5

Figure 12: Reconstruction of right mandibular ramus with iliac crest graft and orthognathic surgery at the same time (patient 6). Profile facial photograph: before surgery.
Bottom Line: In general terms, diverse therapeutic alternatives are proposed according to the growth stage and the severity of the alteration.When craniofacial growth has concluded, conventional orthognathic surgery (Le Fort I osteotomy, bilateral sagittal split osteotomy, and genioplasty) provides good alternatives for MI and MIIA type cases.Reconstruction of the mandibular ramus and temporomandibular joint before orthognathic surgery is the indicated treatment for cases MIIB and MIII.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Hospital del Salvador, Santiago, Chile; Department of Maxillofacial Surgery, Hospital San Borja Arriarán, Santiago, Chile; Oral and Maxillofacial Surgery Dentistry School, Universidad de Chile, Santiago, Chile; Department of Oral and Maxillofacial Surgery, Hospital de Carabineros, Santiago, Chile; Depertment of Orthopedic, Orthodontic Hospital Ezequiel Gonzalez Cortés, Santiago, Chile; and Department of Oral and Maxillofacial Surgery, Hospital Regional de Temuco, Universidad de la Frontera, Temuco, Chile.

ABSTRACT
Craniofacial microsomia is a broad term that covers a variety of craniofacial malformation conditions that are caused by alterations in the derivatives of the first and second pharyngeal arches. In general terms, diverse therapeutic alternatives are proposed according to the growth stage and the severity of the alteration. When craniofacial growth has concluded, conventional orthognathic surgery (Le Fort I osteotomy, bilateral sagittal split osteotomy, and genioplasty) provides good alternatives for MI and MIIA type cases. Reconstruction of the mandibular ramus and temporomandibular joint before orthognathic surgery is the indicated treatment for cases MIIB and MIII. The goal of this article is to establish a surgical treatment algorithm for orthognathic surgery on patients with craniofacial microsomia, analyzing the points that allow the ideal treatment for each patient to be chosen.

No MeSH data available.


Related in: MedlinePlus