Surgery-first for a patient with mild hemifacial microsomia: A case report and review of literature.
Surgery-first for a patient with mild hemifacial microsomia: A case report and review of literature.
复制标题
轻度半侧面部短小症患者的首次手术：病例报告及文献复习
DOI：
10.12998/wjcc.v9.i1.148
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发表时间：
2021-01-06
影响因子：
1.1
通讯作者：
Zhang Y
中科院分区：
文献类型：
--
作者：
Song JY;Yang H;He X;Gao S;Wu GM;Hu M;Zhang Y
半面短小畸形是继唇腭裂后第二常见的颅面先天畸形。由于各种表型谱和畸形的严重程度，已经提出了广泛的治疗方法。最近，手术优先的方法（SFA）被引入治疗轻度至中度HFM，它产生了平衡的面部外观。SFA不仅促进面部美学的快速改善，而且大大缩短了整体治疗时间。病例摘要一名女性患者，年龄25岁，寻求正畸治疗的主要投诉牙齿和面部不对称。在进行全面的体格检查和影像学分析后，患者被诊断为轻度HFM，主要归因于单侧上颌骨发育异常。行SFA矫正骨骼畸形。在手术计划中，将腭缝作为上颌骨的中线，以使上颌骨居中，并适当定位下巴，以获得相对对称的面部外观。术后4周，患者接受术后正畸治疗，以使牙列失代偿并稳定咬合。治疗20个月后，所有正畸矫治器被删除。患者的治疗后照片和她的微笑证实了良好的美学和咬合结果。结论SFA可以矫正轻度HFM，不仅可以促进面部美学的快速改善，而且可以大大缩短总的治疗时间。
BACKGROUND Hemifacial microsomia (HFM) is the second most common craniofacial congenital anomaly following cleft lip and palate. Because of the various phenotypic spectra and the severity of the deformity, a wide range of treatment approaches have been proposed. Recently, the surgery-first approach (SFA) was introduced to treat mild to moderate HFM, and it yielded a balanced facial appearance. The SFA not only promotes rapid improvement in facial aesthetics but also considerably reduces the overall treatment time. CASE SUMMARY A female patient, aged 25 years old, sought orthodontic treatment with the chief complaint of dental and facial asymmetry. After a comprehensive physical examination and imaging analysis were performed, the patient was diagnosed with mild HFM that was primarily attributed to unilateral abnormal development of the maxilla-mandibular. The SFA was carried out to correct the skeletal deformity. The palatal suture was used as the midline of the maxilla in the surgical plan to center the maxilla, and the chin was also properly positioned to obtain a relatively symmetrical facial appearance. Four weeks after the surgery, the patient was referred for postsurgical orthodontics to decompensate the dentition and stabilize the occlusion. After 20 mo of treatment, all orthodontic appliances were removed. The posttreatment photographs of the patient and her smile confirmed good aesthetic and occlusal results. CONCLUSION Mild HFM can be corrected by SFA, which not only promotes rapid improvement in facial aesthetics but also considerably reduces the overall treatment time.
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影响因子：
3.6
作者：
Liao, Yu-Fang;Chiu, Yu-Ting;Chen, Yu-Ray
通讯作者：
Chen, Yu-Ray
影响因子：
3.6
作者：
KABAN, LB;MOSES, MH;MULLIKEN, JB
通讯作者：
MULLIKEN, JB
影响因子：
3.3
作者：
Cavalcanti, MGP;Rocha, SS;Vannier, MW
通讯作者：
Vannier, MW
影响因子：
3.1
作者：
Hartsfield, J. K.
通讯作者：
Hartsfield, J. K.
DOI：
10.1067/mod.2001.113267
发表时间：
2001-04-01
影响因子：
3
作者：
Janson, GRP;Metaxas, A;Pinzan, A
通讯作者：
Pinzan, A