[Genioplasty in adolescence].

Area of Science:

• Oral and Maxillofacial Surgery
• Orthodontics
• Plastic Surgery

Context:

• Adolescent genioplasty addresses facial asymmetry and skeletal discrepancies.
• Temporomandibular joint (TMJ) ankylosis sequelae can cause significant facial deformities.
• Surgical correction requires careful consideration of growth and development.

Purpose:

• To review and categorize different genioplasty techniques applicable to adolescents.
• To highlight the specific challenges in correcting facial asymmetry secondary to TMJ ankylosis.
• To emphasize the importance of esthetic and psychological outcomes in surgical planning.

Summary:

• Genioplasty techniques discussed include subtraction, apposition, addition, and transfer methods.
• Transfer genioplasty is particularly noted for correcting asymmetry from TMJ ankylosis.
• Predicting surgical results remains complex, necessitating a personalized approach.

Impact:

• Informs surgical decision-making for adolescent genioplasty.
• Provides a framework for managing complex facial asymmetry cases.
• Underscores the critical role of patient-centered esthetic and psychological considerations.