Combined treatment for children hemifacial microsomia: an experience of 108 cases
10.3760/cma.j.issn.1009-4598.2017.s1.006
- VernacularTitle:108例儿童半侧颜面短小畸形综合治疗
- Author:
Xiaojun TANG
1
;
Lei SHI
;
Lin YIN
;
Wei LIU
;
Qingguo ZHANG
;
Xiaomei SUN
;
Shi FENG
;
Hongyu YIN
;
Yinan YANG
;
Xuan WANG
;
Zhiyong ZHANG
Author Information
1. 中国医学科学院北京协和医学院整形外科医院颌面整形外科中心
- Keywords:
Hemifacial microsomia;
Osteogenesis,distraction;
Reconstruction of auricle;
Orthodontic treatment
- From:
Chinese Journal of Plastic Surgery
2017;33(z1):21-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the therapeutic effect of combined treatment for children hemifacial microsomia.Methods From Aug 2008 to May 2016, 108 children with hemifacial microsomia underwent combined treatment at an early age .Digital simultation technology was used for design of the guiding model during osteotomy .The mandibular distraction osteogenesis , auricular reconstruction and orthodontic treatment were also adopted .The maxillary development and post-distraction relapse were analyzed during the follow-up period.Results The distractor fell off in 3 cases.All other patients got obvious improvement in facial symmetry , auricular deformity and occlusion .During the follow-up period of 6 -39 months, the development of maxilla on the affected side increased significantly .Though the distracted mandible showed some certain relapse , but the facial asymmetry and occlusion improved a lot . Conclusions The children hemifacial microsomia should receive a combined treatment at an early age to achieve a goodresult .
