Maxillofacial Plastic and Reconstructive Surgery

  • Volume 37
  • /
  • Pages.3.1-3.7
  • /
  • 2015
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지
DOI QR코드

DOI QR Code

Sequential treatment for a patient with hemifacial microsomia: 10 year-long term follow up

  • Seo, Jeong-Seok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Roh, Young-Chea (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Song, Jae-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Song, Won-Wook (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Seong, Hwa-Sik (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Kim, Si-Yeob (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Hwang, Dae-Seok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Kim, Uk-Kyu (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • Received : 2015.01.11
  • Accepted : 2015.01.12
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Pruzansky S (1969) Not all dwarfed mandibles are alike. Birth Defects 5:120-129.
  2. Rune B, Selvik G, Sarnas K, Jacobsson S (1981) Growth in hemifacial microsomia studied with the aid of roentgen stereophotogrammetry and metallic implants. Cleft Palate J 18(2):128-146
  3. Polley JW, Figueroa AA, Liou EJ, Cohen M (1997) Longitudinal analysis of mandibular asymmetry in hemifacial microsomia. Plast Reconstr Surg 99(2):328-339 https://doi.org/10.1097/00006534-199702000-00005
  4. Obwegeser HL (1974) Correction of the skeletal anomalies of oto-mandibular dysostosis. J Maxillofac Surg 2:73-92 https://doi.org/10.1016/S0301-0503(74)80019-6
  5. Kaban LB, Mulliken JB, Murray JE (1981) Three-dimensional approach to analysis and treatment of hemifacial microsomia. Cleft Palate J 18(2):90-99
  6. Figueroa AA, Pruzansky S (1982) The external ear, mandible and other components of hemifacial microsomia. J Maxillofac Surg 10:200-211 https://doi.org/10.1016/S0301-0503(82)80042-8
  7. Mommaerts MY, Nagy K (2002) Is early osteodistraction a solution for the ascending ramus compartment in hemifacial microsomia? A literature study. J Craniomaxillofac Surg 30(4):201-207 https://doi.org/10.1054/jcms.2002.0314
  8. Padwa BL, Mulliken JB, Maghen A, Kaban LB (1998) Midfacial growth after costochondral graft construction of the mandibular ramus in hemifacial microsomia. J Oral Maxillofac Surg 56(2):122-127 https://doi.org/10.1016/S0278-2391(98)90847-3
  9. Silvestri A, Natali G, Iannetti G (1996) Functional therapy in hemifacial microsomia: therapeutic protocol for growing children. J Oral Maxillofac Surg 54(3):271-278 https://doi.org/10.1016/S0278-2391(96)90738-7
  10. McCarthy JG, Schreiber J, Karp N, Thorne CH, Grayson BH (1992) Lengthening the human mandible by gradual distraction. Plast Reconstr Surg 89(1):1-10 https://doi.org/10.1097/00006534-199289010-00001
  11. Kim UK, Chung IK, Lee KH, Swift JQ, Seong WJ, Ko CC (2006) Bone regeneration in mandibular distraction osteogenesis combined with compression stimulation. J Oral Maxillofac Surg 64(10):1498-1505 https://doi.org/10.1016/j.joms.2006.03.028
  12. Kim UK, Park SJ, Seong WJ, Heo J, Hwang DS, Kim YD, Shin SH, Kim GC (2010) Expression of TGF-${\beta}$1, osteonectin, and BMP-4 in mandibular distraction osteogenesis with compression stimulation: reverse transcriptase-polymerase chain reaction study and biomechanical test. J Oral Maxillofac Surg 68(9):2076-2084 https://doi.org/10.1016/j.joms.2009.09.070
  13. Takato T, Harii K, Hirabayashi S, Komuro Y, Yonehara Y, Susami T (1993) Mandibular lengthening by gradual distraction: analysis using accurate skull replicas. Br J Plast Surg 46(8):686-693 https://doi.org/10.1016/0007-1226(93)90201-L
  14. Klein C, Howaldt H (1995) Lengthening of the hypoplastic mandible by gradual distraction in childhood-a preliminary report. J Craniomaxillofac Surg 23(2):68-74 https://doi.org/10.1016/S1010-5182(05)80451-2
  15. Diner P, Kollar E, Martinez H, Vazquez M (1996) Intraoral distraction for mandibular lengthening: a technical innovation. J Craniomaxillofac Surg 24(2):92-95
  16. Mulliken JB, Ferraro NF, Vento AR (1989) A retrospective analysis of growth of the constructed condyle-ramus in children with hemifacial microsomia. Cleft Palate J 26(40):312-317
  17. Kearns GJ, Padwa BL, Mulliken JB, Kaban LB (2000) Progression of facial asymmetry in hemifacial microsomia. Plast Reconstr Surg 105(2):492-498 https://doi.org/10.1097/00006534-200002000-00002
  18. Sawaki Y, Ohkubo H, Hibi H, Ueda M (1996) Mandibular lengthening by distraction osteogenesis using osseointegrated implants and an intraoral device: a preliminary report. J Oral Maxillofac Surg 54(5):594-600 https://doi.org/10.1016/S0278-2391(96)90640-0
  19. Codivilla A (1905) On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity. J Bone Joint Surg 2(4):353-369
  20. Snyder CC, Levine GA, Swanson HM, Browne EZ Jr (1973) Mandibular lengthening by gradual distraction. Preliminary report. Plast Reconstr Surg 51(5):506-508 https://doi.org/10.1097/00006534-197305000-00003

Cited by

  1. The Retrograde Transposition of the Remnant Earlobe in Patients With Low-Set Microtia vol.26, pp.7, 2015, https://doi.org/10.1097/scs.0000000000002143