Facial asymmetry: a case report of localized linear scleroderma patient with muscular strain and spasm.
10.1186/s40902-015-0029-x
- Author:
Jae Hyung KIM
1
;
Suck Chul LEE
;
Chul Hoon KIM
;
Bok Joo KIM
Author Information
1. Department of Oral and Maxillofacial Surgery, Dong-a University Hospital, Daesingonhwon-ro26, Seo-gu, Busan, 602-715 Korea. omsbjkim@dau.ac.kr
- Publication Type:Case Report
- Keywords:
Facial asymmetry;
Scleroderma;
Parry-Romberg syndrome (PRS);
Soft-tissue facial asymmetry
- MeSH:
Atrophy;
Cartilage;
Facial Asymmetry*;
Female;
Humans;
Orthognathic Surgery;
Palpation;
Scleroderma, Localized*;
Silicones;
Skin;
Spasm*;
Transplants
- From:Maxillofacial Plastic and Reconstructive Surgery
2015;37(9):29-
- CountryRepublic of Korea
- Language:English
-
Abstract:
Facial asymmetry is found in patients with or without cosmetic facial alterations. Some patients have facial asymmetry that manifests underlying skeletal problems, while others have only limited soft-tissue facial asymmetry. Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones. Limited soft-tissue asymmetry, meanwhile, is difficult to correct. The treatment modalities for the creation or restoration of an esthetically pleasing appearance were autogenous fat grafts, cartilage graft, and silicon injections. A young female patient had right-side facial asymmetry. The clinical assessment involved visual inspection of the face and palpation to differentiate soft tissue and bone. Although the extra-oral examination found facial asymmetry with skin atrophy, the radiographic findings revealed no mandibular atrophy or deviation. She was diagnosed as localized scleroderma with muscle spasm. In conclusion, facial asymmetry patients with skeletal asymmetry can be esthetically satisfied by orthognathic surgery; however, facial atrophy patients with skin or subdermal tissue contraction need treatment by cosmetic dermatological surgery and orthodontic correction.
