scholarly journals Lower Face Asymmetry: Can We Distract the Mandibular Lower Border?

2015 ◽  
Vol 8 (4) ◽  
pp. 341-344
Author(s):  
Santhosh Rao ◽  
Sruthi Rao
Keyword(s):  
Distraction Osteogenesis ◽  
Orthognathic Surgery ◽  
The Body ◽  
Hemifacial Microsomia ◽  
Lower Face ◽  
Lower Border

Orthognathic surgery and alloplastic grafting are the main stay in management in hemifacial microsomia. Distraction osteogenesis is used to increase the ramus and corpus length in the management, but here we have described a technique to increase the height of the body of the mandible using the principles of basal osteotomy and distraction osteogenesis.

scholarly journals Reconstruction of the Adult Hemifacial Microsomia Patient with Temporomandibular Joint Total Joint Prosthesis and Orthognathic Surgery

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Piero Cascone ◽  
Valentino Vellone ◽  
Valerio Ramieri ◽  
Emanuela Basile ◽  
Achille Tarsitano ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Temporomandibular Joint ◽  
Distraction Osteogenesis ◽  
Orthognathic Surgery ◽  
Joint Prosthesis ◽  
Hemifacial Microsomia ◽  
Primary Methods ◽  
Jaw Reconstruction ◽  
The Right ◽  
Reconstructive Techniques

Background. HFM patients’ reconstruction has always been a challenge for maxillofacial surgeons, and numerous reconstructive techniques have been described. Surgical treatment depends on the patient’s age and contemplates Temporomandibular Joint (TMJ) reconstruction in conjunction with orthognathic surgery, usually necessary following completion of growth to maximize the functional and esthetic results. Distraction osteogenesis had gained popularity as valid alternative in growing patients, but the two primary methods to reconstruct the TMJs involve the use of autogenous, using free or microvascular bone grafts, or alloplastic graft, but there is no widely accepted method. Methods. The increasing use of temporomandibular prosthesis for temporomandibular problems has led us to use them even in HFM. A case of female nongrowing patients with HFM type IIb treated with temporomandibular prosthesis in an all-in-one protocol is presented. Results. Incisal opening, measured with BioPAK system (Bioresearch Inc., Milwaukee, USA), was 21.4 mm in the presurgical period and 32.2 mm after all-in-one procedure, for an increase of 50.5%. Excursive movement to the right side was 2.2 mm in the presurgical period and was 1.5 mm after surgery, for a decrease of 31.8%. Left excursion movement changed from 5 mm to 6.1 mm, for an increase of 22.0%. Conclusions. The TMJ Concepts patient-fitted TJP in conjunction with orthognathic surgery for TMJ and jaw reconstruction is a valid option for patients with HFM.

Combined Bimaxillary Distraction Osteogenesis Associated with Orthognathic Surgery for Hemifacial Microsomia in Adults

2017 ◽  
Vol 41 (3) ◽  
pp. 650-660 ◽  
Author(s):  
Hanghang Liu ◽  
Xiaohui Zhang ◽  
Li Liu ◽  
Qianming Chen ◽  
Jun Shao ◽  
...  
Keyword(s):  
Distraction Osteogenesis ◽  
Orthognathic Surgery ◽  
Hemifacial Microsomia

Distraction osteogenesis and orthognathic surgery for a patient with unilateral cleft lip and palate

2015 ◽  
Vol 147 (3) ◽  
pp. 381-393 ◽  
Author(s):  
Ji Hyun Kim ◽  
Il Hong Lee ◽  
Sang Min Lee ◽  
Byoung Eun Yang ◽  
In Young Park
Keyword(s):  
Distraction Osteogenesis ◽  
Orthognathic Surgery ◽  
Cleft Lip ◽  
Cleft Lip And Palate
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