Orthognathic Surgery in Craniofacial Microsomia: Treatment Algorithm

被引:13
作者
Farina, Rodrigo [1 ,2 ,3 ]
Valladares, Salvador [1 ]
Torrealba, Ramon [4 ]
Nunez, Marcelo [5 ]
Uribe, Francisca [6 ]
机构
[1] Hosp Salvador, Dept Oral & Maxillofacial Surg, Santiago, Chile
[2] Hosp San Borja Arriaran, Dept Maxillofacial Surg, Santiago, Chile
[3] Univ Chile, Oral & Maxillofacial Surg Dent Sch, Santiago, Chile
[4] Hosp Carabineros, Dept Oral & Maxillofacial Surg, Santiago, Chile
[5] Orthodont Hosp Ezequiel Gonzalez Cortes, Depertment Orthoped, Santiago, Chile
[6] Univ La Frontera, Dept Oral & Maxillofacial Surg, Hosp Reg Temuco, Temuco, Chile
关键词
D O I
10.1097/GOX.0000000000000259
中图分类号
R61 [外科手术学];
学科分类号
摘要
Craniofacial microsomia is a broad term that covers a variety of craniofacial malformation conditions that are caused by alterations in the derivatives of the first and second pharyngeal arches. In general terms, diverse therapeutic alternatives are proposed according to the growth stage and the severity of the alteration. When craniofacial growth has concluded, conventional orthognathic surgery (Le Fort I osteotomy, bilateral sagittal split osteotomy, and genioplasty) provides good alternatives for MI and MIIA type cases. Reconstruction of the mandibular ramus and temporomandibular joint before orthognathic surgery is the indicated treatment for cases MIIB and MIII. The goal of this article is to establish a surgical treatment algorithm for orthognathic surgery on patients with craniofacial microsomia, analyzing the points that allow the ideal treatment for each patient to be chosen.
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页数:10
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