Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

TREATMENT OF SEVERE FACIAL ASYMMETRY:REPORT OF 2 CASES

심한 안모 비대칭 환자 치험 2례

  • Park, Hyung-Sik (Dept. of Oral Surgery, Dental College, Yonsei University) ;
  • Kim, Sun-Yong (Dept. of Oral Surgery, Dental College, Yonsei University) ;
  • Lee, Sang-Hye (Dept. of Oral Surgery, Dental College, Yonsei University) ;
  • Kim, Hye-Kyung (Dept. of Oral Surgery, Dental College, Yonsei University)
  • 박형식 (연세대학교 치과대학 구강외과학 교실) ;
  • 김선용 (연세대학교 치과대학 구강외과학 교실) ;
  • 이상휘 (연세대학교 치과대학 구강외과학 교실) ;
  • 김희경 (연세대학교 치과대학 구강외과학 교실)
  • Published : 1990.08.31
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Abstract

Classification of facial asymmetry has not been yet well-organized because of their variety on etiologic factors, involved sites and clinical expressions. And surgical treatments are also variable and depend upon their causes and clinical abnormalities. This is a case report on surgical experiences of two patients who had severe facial asymmetry and could not treated pre-surgical orthodontics before surgery. One patient was belong to hemifacial microsomia and another was a very unusual complex type related to unilateral condylar hyperplasia, unilateral macrognathia and unilateral mandibular hypoplasia. The authors used a simultaneous two-jaw surgery, bone shaving and onlay-type bone graft in former case, and a simultaneous two-jaw surgery, condylectomy, bone shaving and only-type bone graft in latter case. In two cases, immediate post-operative results in function and esthetics were excellent, however, progressive resorption of onlay-type bone grafts have been noticed.

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