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[Hemifacial microsomia: development, diagnosis and surgical correction].

K Tornes

    Den Norske Tannlaegeforenings Tidende
    |August 1, 1990
    PubMed
    Summary

    Hemifacial microsomia, a common congenital facial anomaly, arises during embryogenesis. Early intervention with combined surgical and orthodontic therapy offers maximum patient benefit for this skeletal defect.

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    Area of Science:

    • Craniofacial surgery
    • Developmental biology
    • Orthodontics

    Background:

    • Hemifacial microsomia is the second most frequent congenital facial anomaly.
    • It originates from spontaneous events during embryogenesis.
    • The condition affects structures derived from the first and second branchial arches.

    Observation:

    • Traditional treatment for skeletal defects in hemifacial microsomia involved delayed intervention until skeletal maturity.
    • This delayed approach aimed to address the end-stage deformity.
    • Past treatment strategies did not prioritize early management.

    Findings:

    • A shift towards early analysis and treatment of hemifacial microsomia is occurring.
    • This modern approach emphasizes maximizing patient benefit.
    • Combined surgical and orthodontic therapy is central to the new strategy.

    Implications:

    • Early treatment of hemifacial microsomia can lead to improved functional and aesthetic outcomes.
    • Integrating surgical and orthodontic interventions early offers a more comprehensive management plan.
    • This approach may reduce the long-term impact of the congenital facial anomaly.

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