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[Surgery of asymmetry]
1Polyclinique de l'Ormeau, Chemin de l'Ormeau, 65000 Tarbes. JCasteigt@wanadoo.fr
L' Orthodontie Francaise
|June 18, 2002
Summary
This study reviews surgical and orthodontic strategies for treating facial asymmetry. It highlights 3D imaging, presurgical preparation, and various osteotomies to achieve stable, long-term results.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Medical Imaging
Background:
- Facial asymmetry presents complex ethiopathogeneses requiring comprehensive treatment strategies.
- Evaluating asymmetrical patients necessitates advanced diagnostic tools and tailored presurgical planning.
Observation:
- Three-dimensional (3D) tomodensitometry offers significant advantages in complementary examinations for assessing asymmetry.
- Presurgical orthodontic preparation is crucial for counteracting compensatory mechanisms affecting alveolar bone support.
Findings:
- Therapeutic strategies involve combined programs and a range of osteotomies for common dysmorphoses.
- Complex cases like condylar hyperplasia and temporomandibular ankylosis require specialized interventions, including glossoplasty for hemihypertrophies.
- Overcorrection, splinting, and postoperative kinesitherapy are key to preventing relapses and ensuring treatment stability.
Implications:
- Integrated orthodontic and surgical approaches are vital for managing diverse facial asymmetry problems.
- Understanding these multifaceted issues enhances the reader's awareness and clinical decision-making.
- This review provides a framework for addressing complex craniofacial deformities and improving patient outcomes.