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Lower Face Asymmetry: Can We Distract the Mandibular Lower Border?
1Department of Dentistry, Maxillofacial Surgery Services, All India Institute of Medical Sciences (AIIMS), Raipur, Chhattisgarh, India.
Craniomaxillofacial Trauma & Reconstruction
|November 18, 2015
Summary
This study presents a novel technique for hemifacial microsomia management, enhancing mandibular body height. The method combines basal osteotomy and distraction osteogenesis for improved facial symmetry.
Area of Science:
- Craniofacial surgery
- Orthognathic surgery
- Regenerative medicine
Background:
- Hemifacial microsomia (HFM) often requires complex surgical correction.
- Current treatments like orthognathic surgery and alloplastic grafting have limitations.
- Distraction osteogenesis is effective for increasing mandibular length but not typically height.
Observation:
- A novel surgical technique was developed to address mandibular hypoplasia in HFM.
- The technique focuses on increasing the vertical height of the mandibular body.
- It integrates principles of basal osteotomy with distraction osteogenesis.
Findings:
- The described method successfully increases the height of the mandibular body.
- This approach offers a new strategy for HFM reconstruction.
- It potentially improves facial aesthetics and function.
Implications:
- This technique provides a valuable alternative for managing HFM, particularly for vertical mandibular deficiencies.
- It expands the application of distraction osteogenesis in craniofacial reconstruction.
- Further research can validate long-term outcomes and refine the procedure.
