Simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia: Report of 7 cases
Introduction: The goal in treating Hemifacial microsomia (HFM) is to improve facial symmetry, allow functional jaw movement, obtain stable occlusion, and achieve patient satisfaction. This study was planned with an aim to assess the outcome of simultaneous maxillomandibular distraction osteogenesis...
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Elsevier
2017-05-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426817300696 |
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| author | Divya Mehrotra Debraj Howladar Dichen P. Bhutia |
| author_facet | Divya Mehrotra Debraj Howladar Dichen P. Bhutia |
| author_sort | Divya Mehrotra |
| collection | DOAJ |
| description | Introduction: The goal in treating Hemifacial microsomia (HFM) is to improve facial symmetry, allow functional jaw movement, obtain stable occlusion, and achieve patient satisfaction. This study was planned with an aim to assess the outcome of simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia. Material & methods: Seven patients with hemifacial microsomia were included in this study and demographic data was obtained. Simultaneous maxillo-mandibular distraction was planned for correction of maxillary cant, vertical ramal lengthening and midline, by performing unilateral mandibular osteotomy in ramus and distractor fixation, a Le Fort I osteotomy, with fixation at contralateral zygomatic buttress and intermaxillary elastics. Derriford Appearance Scale was used to measure individual responses to address problems of appearance. Results: 6 males and 1 female, with age range 18–26 years, mean 22.14 were included in the study. Maxillary occlusal cant varied from 4–16°, mean 9.85° and distraction achieved ranged from 12–19 mm, mean 15.57. Preoperatively DAS score ranged from 42–61, mean 51.7 and improved to 10–27, mean 18.4. 100% success was achieved in 5 cases, while other two showed 96% and 99% success. Conclusion: Simultaneous maxillomandibular distraction osteogenesis improves facial esthetics and obviates the need for postoperative orthodontics, minimizing the treatment period. |
| format | Article |
| id | doaj-art-924c3a35a3b84c6bafac4bd00534450c |
| institution | Kabale University |
| issn | 2212-4268 |
| language | English |
| publishDate | 2017-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-924c3a35a3b84c6bafac4bd00534450c2024-11-23T06:27:22ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682017-05-0172147152Simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia: Report of 7 casesDivya Mehrotra0Debraj Howladar1Dichen P. Bhutia2Corresponding author.; Dept. of Oral and Maxillofacial Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, IndiaDept. of Oral and Maxillofacial Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, IndiaDept. of Oral and Maxillofacial Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, IndiaIntroduction: The goal in treating Hemifacial microsomia (HFM) is to improve facial symmetry, allow functional jaw movement, obtain stable occlusion, and achieve patient satisfaction. This study was planned with an aim to assess the outcome of simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia. Material & methods: Seven patients with hemifacial microsomia were included in this study and demographic data was obtained. Simultaneous maxillo-mandibular distraction was planned for correction of maxillary cant, vertical ramal lengthening and midline, by performing unilateral mandibular osteotomy in ramus and distractor fixation, a Le Fort I osteotomy, with fixation at contralateral zygomatic buttress and intermaxillary elastics. Derriford Appearance Scale was used to measure individual responses to address problems of appearance. Results: 6 males and 1 female, with age range 18–26 years, mean 22.14 were included in the study. Maxillary occlusal cant varied from 4–16°, mean 9.85° and distraction achieved ranged from 12–19 mm, mean 15.57. Preoperatively DAS score ranged from 42–61, mean 51.7 and improved to 10–27, mean 18.4. 100% success was achieved in 5 cases, while other two showed 96% and 99% success. Conclusion: Simultaneous maxillomandibular distraction osteogenesis improves facial esthetics and obviates the need for postoperative orthodontics, minimizing the treatment period.http://www.sciencedirect.com/science/article/pii/S2212426817300696Hemifacial microsomiaSimultaneous maxilla mandibular distraction |
| spellingShingle | Divya Mehrotra Debraj Howladar Dichen P. Bhutia Simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia: Report of 7 cases Journal of Oral Biology and Craniofacial Research Hemifacial microsomia Simultaneous maxilla mandibular distraction |
| title | Simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia: Report of 7 cases |
| title_full | Simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia: Report of 7 cases |
| title_fullStr | Simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia: Report of 7 cases |
| title_full_unstemmed | Simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia: Report of 7 cases |
| title_short | Simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia: Report of 7 cases |
| title_sort | simultaneous maxillomandibular distraction osteogenesis in hemifacial microsomia report of 7 cases |
| topic | Hemifacial microsomia Simultaneous maxilla mandibular distraction |
| url | http://www.sciencedirect.com/science/article/pii/S2212426817300696 |
| work_keys_str_mv | AT divyamehrotra simultaneousmaxillomandibulardistractionosteogenesisinhemifacialmicrosomiareportof7cases AT debrajhowladar simultaneousmaxillomandibulardistractionosteogenesisinhemifacialmicrosomiareportof7cases AT dichenpbhutia simultaneousmaxillomandibulardistractionosteogenesisinhemifacialmicrosomiareportof7cases |