Cleft Lip ; surgery ; Cleft Palate ; surgery ; Humans ; Maxillofacial Development ; physiology

BACKGROUND AND OBJECTIVES: In modern society, maxillofacial trauma is correlated with an increase in population and traffic accident due to industrialization and urbanization. Many studies have examined maxillofacial trauma, although these studies have shown various results due to investigator's viewpoint and regional and cultural differences. Hence, we conducted this study to examine the current status of patients with maxillofacial trauma. SUBJECTS AND METHOD: Based on patients' clinical data, we retrospectively reviewed clinical characteristics, demographic information and radiographic findings of 527 patients (633 cases based on the fracture sites) with maxillofacial trauma who had visited our hospital between January 1998 and December 2002. We analyzed patients' sex, cause of trauma, and fracture sites. Furthermore, we analyzed the type of treatment for each fracture site. RESULTS: Patients with maxillofacial fracture showed a male predominance of 2.9: 1, and were prevalent in the 20's, 10's and 30's in the order of frequency. These patients showed an increasing tendency in their numbers on a yearly basis, and were the most prevalent in 2002 and on November according to year and month, respectively. The most common etiology was `violence (36.6%)'. Predilection sites were `nasal bone (52.1%)' and `orbit (21.5% [blowout fracture of the orbital wall])'. CONCLUSION: Patients with maxillofacial trauma showed an increasing tendency in their numbers on a yearly basis and frequently exhibited nasal bone fracture and blowout fracture of the medial orbital wall. Accordingly, these patients frequently consult otolaryngologits in comparison with the past. otolaryngologists will pay more attention to these patients.
Accidents, Traffic ; Facial Bones ; Humans ; Male ; Maxillofacial Injuries ; Nasal Bone ; Orbit ; Retrospective Studies* ; Urbanization ; Industrial Development

The aim of this study was to present a case series of the orthognathic treatment of facial asymmetry due to temporomandibular joint (TMJ) ankylosis and to characterize the current treatment modalities through a literature review. Four patients who presented with facial asymmetry due to TMJ ankylosis between 2010 and 2014 were included in this study. TMJ ankylosis was surgically treated before bimaxillary surgery with advancement genioplasty in some of the cases. In 2 cases, 3-dimensional (3D) models were used for diagnosis and treatment planning, as 3D models are very important tools for planning surgical maneuvers. Aesthetically pleasant facial symmetry and a good facial profile were obtained in all the cases.
Ankylosis ; Cephalometry ; Diagnosis ; Facial Asymmetry ; Genioplasty ; Humans ; Maxillofacial Development ; Orthognathic Surgery ; Temporomandibular Joint

OBJECTIVEThis study aimed at finding sensitive indicators in diagnosing facial growth pattern by studying the relationship between the indicators which can reflect facial growth pattern according to the previous studies and posterior-anterior ratio.

METHODSThe cephalometric radiographs of 61 teenage children were measured, the posterior-anterior ratio and the other 12 indicators including Y-axis angle, facial axis angle, cranial basal angle, and the four angles (The sagittal horizontal planes were analyzed using statistic methods.

RESULTSThe MP-SN angle was significantly coincided with the posterior-anterior ratio and Pearson coefficient is -0.922, and little correlation was found between the angles of four sagital horizontal planes and the posterior-anterior ratio. The positive correlation was found between the length of mandibular ramus and posterior-anterior ratio.

CONCLUSIONThe sensitive indicators for confirming facial growth pattern are the posterior-anterior ratio and the MP-SN angle.

Adolescent ; Cephalometry ; Child ; Dental Occlusion ; Face ; anatomy & histology ; Facial Bones ; anatomy & histology ; growth & development ; Female ; Humans ; Male ; Mandible ; anatomy & histology ; growth & development ; Maxillofacial Development ; Reference Values

OBJECTIVETo investigate the effect of unilateral mastication on glenoid fossae by means of animal experiment.

METHODSAn animal model of unilateral mastication was established by extracting right mandibular molars of Wistar rats. The rats were sacrificed in different period to examine the location changes of glenoid fossae through sagittal and horizontal plane.

RESULTSThe anterior points of glenoid fossae in non-masticatory side of experimental groups were more anterior than those in masticatory sides. The anterior points of the glenoid fossae of non-masticatory sides in experimental groups were more anterior than those of the same sides in the control groups after inducing unilateral mastication for two and four months. After inducing unilateral mastication for two and four months, the anterior and the posterior points of the glenoid fossae of non-masticatory sides in experimental groups became closer to the midline by comparison with masticatory sides as well as the same sides in control groups. Locations of glenoid fossae in masticatory sides showed no changes in comparison with the same side of the control groups.

CONCLUSIONThe forward and inward remodeling of the glenoid fossae can be observed after unilateral mastication was induce to the non-masticatory sides of experimental rats. It is concluded that unilateral mastication might be one of the etiologic factor of temporomandibular joint disorders.

Alveolar Process ; growth & development ; pathology ; Animals ; Facial Asymmetry ; physiopathology ; Female ; Mandible ; growth & development ; pathology ; Mandibular Condyle ; growth & development ; pathology ; Mastication ; physiology ; Maxilla ; growth & development ; Maxillofacial Development ; physiology ; Rats ; Rats, Wistar ; Temporomandibular Joint ; growth & development ; pathology ; Temporomandibular Joint Disc ; physiopathology

OBJECTIVETo evaluate the effect of snoring on facial growth in children and the changes after surgery.

METHODSObservations on facial growth were taken by X-ray 1.5 - 2 years before and after surgery on 40 children snorers aged between 2 - 5 years old, whose tonsils and (or) adenoids were completely removed. The data collected before surgery in the 2 - 3 years old snorers and in the 4 - 5 years old ones were compared with the data from healthy children at the same age respectively.

RESULTSThe comparison of data between 21 children snorers aged from 2 - 3 and 17 healthy children of the same ages showed that there was no significant difference in the diameter of pharyngeal cavity at tongue base (PAS), the diameter of nasopharyngeal cavity (UPW-PNS) and the angle between mandibular plane and frankfort horizontal plane (FH-MP) within 2 - 3 years group by statistically (P > 0.05). There is no significance in UPW-PNS and FH-MP angle within 4 - 5 years group by statistics (P > 0.05). Others results is significance in all groups (P < 0.05 or P < 0.01). There was no significant difference in all groups expect Y-axis Angle 1.5 - 2 years after surgery (P > 0.05).

CONCLUSIONSAbnormal facial growth was caused by the consistent force from the changed way of breathing due to the increasing narrowness of upper airway obstruction and the long-existing obstructive sleep. Surgery done as soon as possible is helpful to reduce the force caused by the obstruction and helpful to the normal facial growth.

Adenoidectomy ; Asian Continental Ancestry Group ; Case-Control Studies ; Child, Preschool ; Female ; Humans ; Male ; Maxillofacial Development ; Sleep Apnea, Obstructive ; Snoring ; Tonsillectomy

Objective:To explore the effects of mouth opening breathing for different reasons on children's maxillofacial development. Methods:One hundred and fifty-one children were selected as the research objects of this experiment. They were divided into 49 cases of adenoid hypertrophy group（group A）, 52 cases of tonsillar hypertrophy group（group B） and 50 cases of adenoid with tonsillar hypertrophy group（Group C）. Healthy children in the same period were selected as the control group, a total of 45 cases. The reflex nasopharyngeal measurement parameters, facial development indexes and cephalometric parameters of group A, group B, group C and control group were analyzed, and the incidence of Angle ClassⅡand Angle Class Ⅲ in group A, group B and group C were studied. Results:Compared with the control group, the reflex nasopharyngeal measurement parameters in group A, group B and group C was significantly different（P<0.05）, and the cephalometric parameters changed with variation in groups（P<0.05）. The incidence of Angle Class Ⅱ facial pattern in group A and group C was higher, but the incidence of Angle Class Ⅲ facial pattern in group B and group C was higher（P<0.05）. Conclusion:Adenoid hypertrophy leads to mandibular retraction; tonsil hypertrophy leads to anterior mandibular arch; adenoid hypertrophy and tonsil hypertrophy are easy to lead to clockwise rotation of the mandible. In clinical practice, to avoid children's uncoordinated maxillofacial development, we should correct the maxillofacial situation of children as soon as possible.
Child ; Humans ; Maxillofacial Development ; Malocclusion, Angle Class III/complications* ; Nasopharynx ; Adenoids ; Palatine Tonsil ; Mouth Breathing/etiology* ; Hypertrophy/complications* ; Mouth

OBJECTIVETo study the growth characters of the craniofacial widths and then perusing its growth pattern.

METHODS26 adolescents with normal occlusions were selected. A posteroanterior cephalogram was taken for every subject at the same time each year for 6 successive years. Computer-aided cephalometrics was carried out.

RESULTS(1) From age 13 to 18, most items of the craniofacial widths were bigger in male than in female. With the increase of age, the items with gender differences keep stable, except the width of L-Anter, L-Ore and L-Nas. (2) Compare with the growth completion of the craniofacial widths in 18 years old, they had completed more than 92% in 13 years old, and the L-Eur, L-Anter, L-Lo, L-Max, L-UM and L-LM were almost complete as well. The growth completion quantity of L-Ore, L-Zyg, and L-Nas in female was larger than that in male. (3) The growth of L-Mas, L-Nas, and L-Zyg could keep on to the age of 18. The L-Max maitained stable in female after 13 years old, while there was a growth from age 13 to 17 in male. (4) From age 13 to 18, the tooth arch width kept stable, while the cusp of the lower canine tends to be converging.

CONCLUSIONThe present findings may aid orthodontists to make rational diagnosis and treatment planning.

Adolescent ; Cephalometry ; Dental Occlusion ; Facial Bones ; anatomy & histology ; growth & development ; Female ; Humans ; Longitudinal Studies ; Male ; Malocclusion ; Mandible ; anatomy & histology ; growth & development ; Maxilla ; anatomy & histology ; growth & development ; Maxillofacial Development ; Reference Values ; Skull ; anatomy & histology ; growth & development

OBJECTIVETo observe the whole process of cranio-maxillofacial development of an animal model with bilateral premaxillary clefts, after being exerted with premaxillary retro-pressing forces.

METHODSExperimental rabbits with premaxillary clefts and without clefts were exerted with retro-pressing forces respectively. Roentgenographic cephalometric analysis and different investigations of premaxillary suture were performed during the whole craniofacial development.

RESULTSThe longitudinal cephalometric analysis showed that a temporary retarding effect of mid-facial growth existed. The hindrance of maxillary growth potentiality did not occur in spite of being exerted retro-pressing force as to this experimental extent.

CONCLUSIONS(1) Infant rabbit combined with the designed retro-pressing appliance is an ideal experimental model for quantitative study of active orthopedic treatment of protruding premaxilla. (2) Using active preoperative orthopedics to reposit the protruding premaxilla of bilateral cleft palate is a reasonable and effective approach.

Animals ; Cephalometry ; Cleft Lip ; physiopathology ; therapy ; Cleft Palate ; physiopathology ; therapy ; Female ; Maxilla ; growth & development ; Maxillofacial Development ; physiology ; Models, Animal ; Orthodontic Appliances, Removable ; Rabbits

OBJECTIVEThe purpose of this study was to retrospect the prognosis of simultaneous repair of cleft lip and closure of cleft hard palate with vomer flaps in patients with unilateral complete cleft lip and palate.

METHODSA retrospective study was carried out in 47 patients with unilateral complete cleft lip and palate and, simultaneously received repair of cleft lip and closure of cleft hard palate with vomer flaps. The duration of operation, as well as the blood loss during the operation was recorded, and compared with those patients who only received cleft lip repair.

RESULTSAll the operations were successful, and the wound healed well. The procedure of simultaneous repair of cleft lip and closure of cleft hard palate with vomer flaps did not prolong the operating time, compared with simple cleft lip repair. No blood transfusion was needed due to closure of cleft hard palates with vomer flaps.

CONCLUSIONSimultaneous repairs of cleft lip and closure of cleft hard palate with vomer flaps are safe for patients with unilateral complete cleft lip and palate.

Abnormalities, Multiple ; surgery ; Cleft Lip ; surgery ; Cleft Palate ; surgery ; Female ; Humans ; Infant ; Male ; Maxillofacial Development ; Palate, Hard ; surgery ; Palate, Soft ; surgery ; Reconstructive Surgical Procedures ; methods ; Surgical Flaps