Sequential treatment for a patient with hemifacial microsomia: 10 year-long term follow up
서정석, 노영채, 송재민, 송원욱, 성화식, 김시엽, 황대석, 김욱규,
소속 상세정보
서정석 ( Seo Jeong-Seok ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
노영채 ( Roh Young-Chea ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
송재민 ( Song Jae-Min ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
송원욱 ( Song Won-Wook ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
성화식 ( Seong Hwa-Sik ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
김시엽 ( Kim Si-Yeob ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
황대석 ( Hwang Dae-Seok ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
김욱규 ( Kim Uk-Kyu ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
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®, 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.
키워드
Hemifacial microsomia; Distraction osteogenesis; Facial augmentation
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