Skeleton first in surgical treatment of facial disharmony.
J Craniofac Surg
; 26(2): 336-9, 2015 Mar.
Article
em En
| MEDLINE
| ID: mdl-25759915
ABSTRACT
PURPOSE:
The aim of this study was to correct facial disharmony with or without occlusal dysfunction.METHODS:
Based on computed tomography and presurgical design, restoration of normal skeleton relationship is a priority for selected facial deformities. Combination of different osteotomies for facial skeleton was chosen in 1-stage operation such as orthognathic surgery, zygomatic reduction, and mandibular angle reduction. Supplementary surgeries was considered in some cases as substitute implantation or autologous fat graft.RESULTS:
All the 50 patients (hemifacial microsomia, Romberg syndrome, mandibular condyle hyperplasia, secondary cleft palate, and Crouzon syndrome) received surgeries, and their facial appearance improved significantly. Yearly follow-up shows that the symmetry and balance of the facial proportion approach normal, whereas most of their occlusal relationship has been significantly improved after the first stage of surgery.CONCLUSIONS:
For most facial disharmony with or without occlusal dysfunction, skeleton-first surgery is a feasible strategy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ritidoplastia
/
Imageamento Tridimensional
/
Hemiatrofia Facial
Tipo de estudo:
Diagnostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Craniofac Surg
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
China