Correction of post ankylotic facial asymmetry with bimaxillary distraction osteogenesis—Case report英文文献资料.docVIP

Open Journal of Stomatology, 2012, 2, 255-259 OJST /10.4236/ojst.2012.24045 Published Online December 2012 (http://www.SciRP.org/journal/ojst/) Correction of post ankylotic facial asymmetry with bimaxillary distraction osteogenesis—Case report U. S. Pal, Nimisha Singh, Laxman R. Malkunje, R. K. Singh, Chandan Gupta, Sharad Chand Department of Oral and Maxillofacial Surgery, C. S. M. Medical University, Lucknow, India Email: uspalkgmc@yahoo.co.in Received 23 August 2012; revised 23 September 2012; accepted 3 October 2012 ABSTRACT ous techniques for treating this have been described but no uniform protocol exists with successful results. Ex- pected complications may vary from limited inter incisal opening due to relapse, loss of vertical height of the af- fected ramus, foreign body reactions and re-ankylosis [3]. The treatment of TMJ ankylosis requires restoration of proper mandibular form, length and vertical dimension, occlusal stability and satisfactory joint movement. Distraction osteogenesis has recently become a main stay for the treatment of craniofacial syndromes with mandibular hypoplasia including TMJ ankylosis. Its suc- cess in lengthening the mandible opens new perspectives for interceptive therapy, where other surgical techniques including orthognathic surgery and/or bone grafting pro- cedures have not proved to be satisfactory [4,5]. Many authors [6,7] have reported marked occlusal dis- turbances following mandibular distraction osteogenesis which are sometimes difficult to be corrected orthodon- tically. When treating patients with TMJ ankylosis, some authors (Lopez and Doglitti) [8] prefer to first restore the jaw movements, and address the secondary facial de- formities afterwards. Ortiz Monasterio et al. [9] and Cho et al. [10] have recommended simultaneous bimaxillary distraction osteogenesis with the use of external devices in patients with hemifacial microsomia for correction of th