Adult patient with hemifacial microsomia treated with combined orthodontics and distraction osteogenesis
Copyright policy )Adult patient with hemifacial microsomia treated with combined orthodontics and distraction osteogenesis
Distraction osteogenesis is an alternative treatment option for patients with facial asymmetry and mandibular hypoplasia. New bone is formed between bone segment surfaces that are gradually separated by incremental traction. The purpose of this article is to report the treatment of a 22-year-old man with hemifacial microsomia, facial asymmetry, and a skeletal Class II profile. The patient's left mandibular ramus was lengthened with distraction osteogenesis, and miniscrew-assisted rapid palatal expansion was used to correct the maxillary transverse deficiency. Postoperative orthodontic treatment achieved tooth alignment and closure of the posterior open bite. The total treatment period was 27 months. These therapeutic treatments improved the patient's facial appearance.
- Yonsei University Korea (Republic of)
- Yonsei University Health System Korea (Republic of)
- Yonsei University Medical Library Korea (Republic of)
Male, Chin, Palatal Expansion Technique, Mandibular Condyle/abnormalities, Esthetics, Tooth Movement Techniques, Cephalometry, Bone Screws, Mandibular Osteotomy, Osteogenesis, Distraction, 610, Chin/abnormalities, Mandible, Malocclusion, Angle Class II, Facial Asymmetry/therapy, Open Bite/therapy, Patient Care Planning, Young Adult, Goldenhar Syndrome, Mandible/abnormalities, Osteogenesis, 617, Humans, Orthodontic Appliance Design, Mandibular Osteotomy/methods, Palatal Expansion Technique/instrumentation, Facial Asymmetry/surgery*, Mandibular Condyle, Open Bite, Goldenhar Syndrome/therapy, Mandible/surgery, Goldenhar Syndrome/surgery*, Facial Asymmetry, Angle Class II/therapy*, Cephalometry/methods, Chin/surgery, Distraction/methods*, Malocclusion, Tooth Movement Techniques/methods, Follow-Up Studies
Male, Chin, Palatal Expansion Technique, Mandibular Condyle/abnormalities, Esthetics, Tooth Movement Techniques, Cephalometry, Bone Screws, Mandibular Osteotomy, Osteogenesis, Distraction, 610, Chin/abnormalities, Mandible, Malocclusion, Angle Class II, Facial Asymmetry/therapy, Open Bite/therapy, Patient Care Planning, Young Adult, Goldenhar Syndrome, Mandible/abnormalities, Osteogenesis, 617, Humans, Orthodontic Appliance Design, Mandibular Osteotomy/methods, Palatal Expansion Technique/instrumentation, Facial Asymmetry/surgery*, Mandibular Condyle, Open Bite, Goldenhar Syndrome/therapy, Mandible/surgery, Goldenhar Syndrome/surgery*, Facial Asymmetry, Angle Class II/therapy*, Cephalometry/methods, Chin/surgery, Distraction/methods*, Malocclusion, Tooth Movement Techniques/methods, Follow-Up Studies
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