Related Experiment Videos
[Lingual-mandibular remodeling resection in prognathism]
K Berrada1, J P Deffez, P Allain
1Service de Stomatologie et Chirurgie Maxillo-faciale Infantiles, Hôpital Robert Debré, Paris.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1991
Summary
This study details a two-stage treatment for a specific craniofacial condition involving a hypoplastic upper jaw and lower jaw protrusion. Management includes early orthopedic intervention followed by surgical correction for optimal jaw alignment and function.
Area of Science:
- Craniofacial Surgery
- Orthodontics
- Pediatric Dentistry
Context:
- Describes a complex craniofacial anomaly characterized by a hypoplastic maxilla, narrow palate, glossoptosis, and mandibular prognathism.
- Highlights the challenges in managing this condition, particularly in achieving proper jaw relationship and airway patency.
Purpose:
- To outline a comprehensive management strategy for this specific craniofacial malformation.
- To detail both early orthopedic and later surgical treatment modalities.
Summary:
- Early management focuses on orthopedic expansion of the superior dental arcade and functional tongue repositioning.
- Surgical intervention involves tongue reduction, mandibular setback osteotomy (Chevron's resection), premolar extraction, and nerve preservation for 6-8 mm retrusion.
- Monomaxillary fixation with splinting and external osteosynthesis facilitates early motor function recovery.
Impact:
- Provides a structured approach to treating a complex craniofacial syndrome.
- Emphasizes the benefits of combined orthopedic and surgical techniques for improved outcomes.
- Early mobilization post-surgery enhances patient recovery and functional rehabilitation.