Sequential treatment for a patient with hemifacial microsomia: 10 year-long term follow up.
10.1186/s40902-015-0004-6
- Author:
Jeong Seok SEO
1
;
Young Chea ROH
;
Jae Min SONG
;
Won Wook SONG
;
Hwa Sik SEONG
;
Si Yeob KIM
;
Dae Seok HWANG
;
Uk Kyu KIM
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, 20 Geumo-ro, Mulgeum-eup, Yangsan, 626-787 Korea. kuksjs@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Hemifacial microsomia;
Distraction osteogenesis;
Facial augmentation
- MeSH:
Child;
Cleft Lip;
Cleft Palate;
Congenital Abnormalities;
Ear;
Female;
Follow-Up Studies*;
Genioplasty;
Goldenhar Syndrome*;
Humans;
Mandible;
Osteogenesis, Distraction;
Polyethylene;
Skeleton
- From:Maxillofacial Plastic and Reconstructive Surgery
2015;37(2):3-
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hemifacial microsomia (HFM) is the most common craniofacial anomaly after cleft lip and cleft palate; this deformity primarily involves the facial skeleton and ear, with either underdevelopment or absence of both components. In patients with HFM, the management of the asymmetries requires a series of treatment phases that focus on their interception and correction, such as distraction osteogenesis or functional appliance treatment during growth and presurgical orthodontic treatment followed by mandibular and maxillary surgery. Satisfactory results were obtained in a 9-year-old girl with HFM who was treated with distraction osteogenesis. At the age of 19, genioplasty and mandible body augmentation with a porous polyethylene implant (PPE, Medpor(R), Porex) was sequentially performed for the functional and esthetic reconstruction of the face. We report a case of HFM with a review of the literature.
