scholarly journals Surgical Treatment of Posttraumatic Laterognathia: A Case Report and a Literature Review, Focused on the Effects of a Condylar Fracture on the Face

2018 ◽  
Vol 11 (3) ◽  
pp. 211-218
Author(s):  
Felipe Ladeira Pereira ◽  
Luísa de Marilac de Alencar Pinheiro ◽  
Phelype Maia Araújo ◽  
LetíciaLiana Chihara ◽  
Renato Luiz Maia Nogueira ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Condylar Fracture ◽  
Professional Help ◽  
Common Complaint ◽  
The Face ◽  
Second Procedure

Facial asymmetry, following early childhood condylar trauma, is a common complaint among patients who seek surgical treatment. G.D.M., a 27-year-old male patient, sought professional help to correct his cosmetic flaw, caused by a condylar fracture when he was 8-years-old. After the proper orthodontic treatment, he underwent a double jaw orthognathic surgery and, 9 months later, a second one to correct the remaining asymmetry. Two years after this second procedure, the patient is still under surveillance and has no complaints.

scholarly journals Orthodontic-Surgical Treatment of Pattern II: Case Report

2018 ◽  
Vol 20 (1) ◽  
pp. 11
Author(s):  
Sheila Lourdes Molin ◽  
Fabio Pinto Guedes ◽  
Cristhiane Almeida Leite da Silva ◽  
Natalia Sotero Machado Pires
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Therapeutic Approaches ◽  
Prosthetic Rehabilitation ◽  
Angle Class Ii ◽  
Normality Condition ◽  
The Face ◽  
Implant Prosthesis

As más oclusões do Padrão II podem demandar diferentes abordagens terapêuticas. Quando a face é no mínimo aceitável, o tratamento poderá se restringir a região dentoalveolar. No entanto, quando a face é desagradável a correção deve envolver a realização de cirurgia ortognática, além do tratamento ortodôntico. E é exatamente à união sinérgica de todas as especialidades - Implante, Prótese, Cirurgia e Ortodontia – que garante a construção de um sorriso mais estético e saudável e com melhorias significativas na face. O objetivo desse trabalho é descrever um caso clínico de um paciente adulto, negro, Padrão II, deficiência mandibular grave, face desagradável. O tratamento envolveu ortodontia descompensatória, reabilitação protética, cirurgia ortognática e por fim, reanatomização estética dos dentes anteriores superiores, o que permitiu ao paciente uma condição de normalidade oclusal e facial.Palavras chave: Diagnóstico. Má Oclusão de Angle Classe II. Cirurgia Ortognática.AbstractPattern II may require different therapeutic approaches. When the face is at least acceptable, treatment may be restricted to dentoalveolar region. However, when the is unpleasant, correction should involve performing orthognathic surgery, in addition to the orthodontic treatment. And that is exactly the synergic union of all specialties - Implant, prosthesis, surgery and orthodontics - which ensures the construction of a more aesthetic and healthy smile and with significant face improvements. The aim of this study is to describe a case of an adult patient, black, malocclusions class II, severe mandibular deficiency, unpleasant face. The treatment involved descompensatory orthodontics, prosthetic rehabilitation, orthognathic surgery and finally aesthetic reanatomization the upper front teeth, which allowed the patient a normality condition of occlusion and face.Keywords: Diagnosis. Malocclusion, Angle Class II. Orthognathic Surgery

scholarly journals Orthodontic and Orthognathic Surgical Treatment of a Pediatric OSA Patient

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Gregory W. Jackson
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Surgical Treatment ◽  
Sleep Apnea ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Mandibular Advancement ◽  
Sleep Continuity ◽  
Obstructive Sleep

A case report is presented which demonstrates the effectiveness of comprehensive orthodontic treatment combined with orthognathic surgery in the correction of malocclusion and reduction in the sequelae of Obstructive Sleep Apnea (OSA). The patient’s severe OSA was improved to very mild as evaluated by full overnight polysomnogram. The orthodontic treatment included the expansion of both dental arches and mandibular advancement surgery. There was significant improvement in the patient’s sleep continuity and architecture with the elimination of obstructive apneas.

scholarly journals Perawatan bedah ortognati pada maloklusi dentoskeletal kelas III dengan asimetri wajah dan canting oklusal rahang atasOrthognathic surgical treatment of class III dentoskeletal malocclusion with facial asymmetry and maxillary occlusal cant

2021 ◽  
Vol 32 (3) ◽  
pp. 164
Author(s):  
Endah Mardiati ◽  
Ida Ayu Astuti
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Class Iii ◽  
Le Fort ◽  
Posterior Crossbite ◽  
Skeletal Malocclusion ◽  
Anterior Teeth ◽  
The Right

Pendahuluan: Asimetri wajah akibat canting oklusal rahang atas seringkali menjadi keluhan  estetika wajah pasien. Perawatan canting oklusal parah memerlukan kombinasi perawatan ortodonti cekat dengan bedah ortognati. Tujuan laporan kasus ini adalah untuk menjelaskan perawatan ortodonti cekat kombinasi bedah Le Fort 1 pada kasus canting oklusal rahang atas pada maloklusi dentoskeletal kelas III disertai asimetri wajah. Laporan kasus: Seorang pasien perempuan umur 17 tahun 7 bulan datang ke praktek pribadi dengan keluhan gigi rahang atas miring, gigi belakang kanan tidak dapat mengunyah dengan nyaman. Pasien ingin dirawat gigi dan rahangnya. Pemeriksaan ekstra oral menunjukan wajah asimetri, profil cekung dan dagu sedikit menonjol. Pemeriksaan intra oral,  garis median rahang atas bergeser ke kiri, rahang bawah bergeser ke kanan, crossbite anterior, crossbite posterior unilateral, retrusi gigi anterior rahang atas dan rahang bawah. Analisis sefalometri lateral: maloklusi dentoskeletal kelas III. Diagnosis yang diberikan adalah maloklusi dentoskeletal kelas III disertai canting oklusal rahang atas, wajah asimetri, crossbite anterior, crossbite unilateral posterior. Rencana perawatan adalah perawatan ortodonti cekat kombinasi bedah ortognati Le Fort 1. Perawatan dilakukan dalam 4 tahap yaitu perawatan ortodonti dekompensasi, perawatan bedah ortognati rahang atas, perawatan ortodonti pasca bedah rahang, debonding dan pemasangan retainer. Simpulan: Maloklusi skeletal kelas III disertai canting oklusal rahang atas, asimetri wajah, crossbite anterior, dan crossbite posterior unilateral, yang dirawat menggunakan alat ortodonti cekat dan bedah ortognati Le Fort 1 dapat berhasil dengan baik. Relasi dental dan skeletal tercapai kelas I, interdigitasi gigi rahang atas dan rahang bawah mengunci, fungsi pengunyahan terkoreksi serta pasien merasa sangat puas dengan estetika wajahnya.Kata kunci: Maloklusi skeletal kelas III, asimetri wajah, canting maksila, crossbite anterior, crossbite posterior unilateral, bedah ortognati. ABSTRACTIntroduction: Facial asymmetry due to maxillary occlusal cant often becomes a facial aesthetics complaint. Treatment of severe occlusal cant requires a combination of fixed orthodontic treatment with orthognathic surgery. This case report was aimed to describe the combined fixed orthodontic treatment of Le Fort 1 in maxillary occlusal cant of class III dentoskeletal malocclusion with facial asymmetry. Case report: A female patient aged 17 years seven months came to the private clinic, complained of oblique maxillary teeth, and the right posterior was unable to masticate comfortably. The patient wants to be treated for her teeth and jaw. Extraoral examination revealed facial asymmetry, sunken profile and slightly protruding chin. The intraoral examination resulted in the maxillary median line that shifted to the left, mandible shifted to the right, anterior crossbite, unilateral posterior crossbite, and retrusion of maxillary and mandibular anterior teeth. The lateral cephalometric analysis resulted in class III dentoskeletal malocclusion. The diagnosis was class III dentoskeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and posterior unilateral crossbite. The treatment plan was fixed orthodontic treatment combined with Le Fort orthognathic surgery. The treatment was carried out in 4 stages: decompensated orthodontic treatment, maxillary orthodontic treatment, post-orthognathic surgery orthodontic treatment, debonding, and retainer placement. Conclusion: Class III skeletal malocclusion with maxillary occlusal cant, facial asymmetry, anterior crossbite, and the unilateral posterior crossbite was successfully treated with a fixed orthodontic appliance and Le Fort 1 orthognathic surgery. The dental and skeletal relations were achieved for class I, the interdigitation of the maxillary and mandibular teeth was locked, the masticatory function was corrected, and the patient was very satisfied with her facial aesthetics.Keywords: Class III skeletal malocclusion, facial asymmetry, maxillary cant, anterior crossbite, unilateral posterior crossbite, orthognathic surgery.

scholarly journals Non-surgical Treatment of Condylar Fracture in an 11-Year-Old Patient: a Case Report

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Angela Pia Cazzolla ◽  
Graziano Montaruli ◽  
Nunzio Francesco Testa ◽  
Gianfranco Favia ◽  
Maria Grazia Lacaita ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Condylar Fracture ◽  
Non Surgical Treatment

scholarly journals Two-Stage Treatment of Facial Asymmetry Caused by Unilateral Condylar Hyperplasia

2014 ◽  
Vol 25 (3) ◽  
pp. 257-260 ◽  
Author(s):  
Samuel Porfírio Xavier ◽  
Thiago de Santana Santos ◽  
Erick Ricardo Silva ◽  
Ana Célia Faria ◽  
Francisco Verissimo de Mello Filho
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Two Stage ◽  
Condylar Head ◽  
Condylar Hyperplasia ◽  
And Function ◽  
Spontaneous Onset

Condylar hyperplasia (CH) is a rare, self-limiting process manifesting between the first and third decades of life. CH causes facial asymmetry and derangement of the occlusion. Management involves resection of the condylar head and orthognathic surgery. This paper describes the case of a 37-year-old woman with spontaneous onset of CH over a span of approximately 25 years. The condition was managed with resection of the condyle alone, which dramatically improved facial asymmetry and altered the occlusion within a few months of follow up. Orthodontic treatment was then carried out and the patient underwent orthognathic surgery after 3 years. The patient is currently satisfied with her appearance and function and there are no signs of recurrence.

scholarly journals Infratemporal fossa schwannoma

2013 ◽  
Vol 66 (5-6) ◽  
pp. 250-253
Author(s):  
Ivana Mijatov ◽  
Bojan Pejakovic ◽  
Benjamin Nalic ◽  
Sasa Mijatov ◽  
Aleksandar Kiralj
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Success Rate ◽  
Surgical Approach ◽  
Infratemporal Fossa ◽  
Complete Removal ◽  
Accurate Diagnosis ◽  
Primary Tumors ◽  
Postoperative Course ◽  
The Face

Introduction. Due to its contents and relations with neighboring regions, the infratemporal fossa has a great clinical significance. Primary tumors of this region, both benign and malignant, are rare, but they do require surgical treatment, which is determined by the size and localization of the tumor. Case Report. The paper presents the case of a 72-year-old female patient who was referred to hospital for paresthesia in the left half of the face after having been found to have a tumor of left infratmeporal fossa by imaging methods. The tumor was completely removed by transfacial-transzygomatic approach and, according to histopathological findings, it was a schwannoma. The postoperative course was without complications and the patient did not have any discomforts at the check-up a month later. Conclusion. In addition to the accurate diagnosis, the success rate of the surgical treatment of tumors depends on the appropriate surgical approach to ensure the complete removal of the tumor while preserving the content of the infratemporal region.

TRATAMENTO ORTO-CIRÚRGICO DE LATERO-DESVIO MANDIBULAR: RELATO DE CASO

2019 ◽  
Vol 1 (40) ◽  
Author(s):  
Ian Magalhães de Andrade
Keyword(s):  
Orthognathic Surgery ◽  
Facial Asymmetry ◽  
Lateral Deviation ◽  
Long Term Stability ◽  
Bimaxillary Orthognathic Surgery ◽  
The Face ◽  
Facial Harmony ◽  
The Individual ◽  
Functional Problems

RESUMO  A assimetria facial é uma anomalia que ocorre entre partes homólogas da face, que pode gerar diversas alterações na harmonia facial e problemas funcionais, como dificuldade mastigatória. Essas alterações podem causar grandes prejuízos psicossociais ao indivíduo que possui esse tipo de anormalidade dentofacial. Dentre as opções terapêuticas, a que mais se destaca é a cirurgia ortognática pois produz resultados previsíveis e com boa estabilidade a longo prazo. O objetivo do presente trabalho é relatar o caso clínico de uma paciente portadora de látero-desvio mandibular e importante assimetria facial, apresentando o resultado alcançado com a cirurgia ortognática bimaxilar e discutir a literatura especializada. Palavras-chave: Cirurgia ortognática; Látero-desvio mandibular; Ortodontia.   ABSTRACT  Facial asymmetry is an abnormality that occurs between homologous parts of the face, which can generate several changes in facial harmony and functional problems, as masticatory difficulty. These changes can cause great psychosocial damage to the individual who has this type of dentofacial abnormality. Among the therapeutic options, the most common is orthognathic surgery, because produces predictable results with good long-term stability. The aim of the present study is to report the clinical case of a patient with mandibular lateral deviation and an important facial asymmetry, presenting the result achieved with bimaxillary orthognathic surgery and discuss the specialized literature. Key words: Ortognatic surgery; Mandibular lateral deviation; Orthodontics

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