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http://dx.doi.org/10.5933/JKAPD.2018.45.3.378

Long Term Follow-up of Children with Facial Asymmetry: A Case Report  

Oh, Yoonjeong (Department of Pediatric Dentistry, Dental Clinic Center, Hallym University Sacred Heart Hospital)
Oh, Sohee (Department of Pediatric Dentistry, Dental Clinic Center, Hallym University Sacred Heart Hospital)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.45, no.3, 2018 , pp. 378-385 More about this Journal
Abstract
Mandibular fractures occur with high incidence among various fractures in maxillofacial region in children. Jaw fractures in children should be approached differently than in adults because bone growth continues throughout childhood. As far as displacement of the fragment is not severe, or if it is condyle that is fractured, closed reduction and additional intermaxillary fixation can be considered. Functional exercise is also required to prevent ankylosis of temporomandibular joint. Several complications, particularly malocclusion and facial asymmetry due to growth disturbances, can occur after condylar fractures. If growth disturbances take place after mandibular fractures, catch-up growth may occur in some patients, thus, periodic observation is necessary. In case of persistent growth disturbances, functional devices may be used to prevent severe facial asymmetry. This case report describes the long-term follow-up of two patients with facial asymmetry after mandibular fracture.
Keywords
Early mandibular fracture; Condylar fracture; Facial asymmetry; Hybrid appliance;
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1 Olson RA, Fonseca RJ, Zeitler DL, Osbon DB : Fractures of the mandible: a review of 580 cases. J Oral Maxillofac Surg, 40:23-28, 1982.   DOI
2 Choi BH : Magnetic resonance imaging of the temporomandibular joint after functional treatment of bilateral condylar fractures in adults. Int J Oral Maxillofac Surg, 26:344-347, 1997.   DOI
3 Proffit WR, Fields HW, Sarver DM : Contemporary Orthodontics, 5th ed. Mosby, 127, 2012.
4 Bruckmoser E, Undt G : Management and outcome of condylar fractures in children and adolescents: a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol, 114:S86-106, 2012.   DOI
5 Choi J, Oh N, Kim IK : A follow-up study of condyle fracture in children. Int J Oral Maxillofac Surg, 34:851-858, 2005.   DOI
6 Vig PS, Vig KW : Hybrid appliances: a component approach to dentofacial orthopedics. Am J Orthod Dentofacial Orthop , 90:273-285, 1986.   DOI
7 Kahl-Nieke B, Fischbach R : Effect of early orthopedic intervention on hemifacial microsomia patients: an approach to a cooperative evaluation of treatment results. Am J Orthod Dentofacial Orthop, 114:538-550, 1998.   DOI
8 Melsen B, Bjerregaard J, Bundgaard M : The effect of treatment with functional appliance on a pathologic growth pattern of the condyle. Am J Orthod Dentofacial Orthop, 90:503-512, 1986.   DOI
9 Proffit WR, Vig KW, Turvey TA : Early fracture of the mandibular condyles: frequently an unsuspected cause of growth disturbances. Am J Orthod, 78:1-24, 1980.   DOI
10 Dimitroulis G : Condylar injuries in growing patients. Aust Dent J, 42:367-371, 1997.   DOI
11 Defabianis P : Treatment of condylar fractures in children and youths: the clinical value of the occlusal plane orientation and correlation with facial development (case reports). J Clin Pediatr Dent, 26:243-250, 2002.   DOI
12 Guven O, Keskin A : Remodeling following condylar fractures in children. J Craniomaxillofac Surg, 29:232-237, 2001.   DOI
13 Ahn JS, Lee KH, Hwang HS : A study on the 3-D standard value of mandible for the diagnosis of facial asymmetry. Korean J Orthod, 35:91-105, 2005.
14 Choi J, Oh N, Kim IK : A follow-up study of condyle fracture in children. Int J Oral Maxillofac Surg, 34:851-858, 2005.   DOI
15 McNamara JA Jr : Functional determinants of craniofacial size and shape. Eur J Orthod, 2:131-159, 1980.   DOI
16 Xenakis D, Ronning O, Kantomaa T, Helenius H : Reactions of the mandible to experimentally induced asymmetrical growth of the maxilla in the rat. Eur J Orthod, 17:15-24, 1995.   DOI
17 Kahl B, Fischbach, R, Gerlach KL : Temporomandibular joint morphology in children after treatment of condylar fractures with functional appliance therapy: a follow-up study using spiral computed tomography. Dentomaxillofac Radiol, 24:37-45, 1995.   DOI
18 Kahl-Nieke B, Fischbach R, Gerlach KL : CT analysis of temporomandibular joint state in children 5 years after functional treatment of condylar fractures. Int J Oral Maxillofac Surg, 23:332-337, 1994.   DOI