Maxillofacial Plastic and Reconstructive Surgery

  • 제32권4호
  • /
  • Pages.351-358
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  • 2010
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

반안면왜소증 환자의 안면비대칭 해소를 위한 늑연골 이식 및 악교정 수술의 동시 이용: 증례보고

Correction of Facial Asymmetry Using Costochondral Graft and Orthognathic Surgery in Hemifacial Microsomia Patient: Case Report

  • 박성수 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 서진원 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 최진영 (서울대학교 치과대학 구강악안면외과학교실)
  • Park, Sung-Soo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Suh, Jin-Won (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Choi, Jin-Young (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University)
  • 투고 : 2010.03.29
  • 심사 : 2010.05.13
  • 발행 : 2010.07.30
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초록

A 31-year-old woman with hemifacial microsomia presented to the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. The patient was previously treated with distraction osteogenesis device to elongate right maxilla and mandibular ramus. But, the result was not satisfactory, to correct residual facial asymmetry due to hemifacial microsomia we planned costochondral graft for reconstruction of ramus and condyle, Le Fort I osteotomy and sagittal split ramus osteotomy for facial asymmetry. The right mandibular condyle and ramus was reconstructed with right eleventh costochondral graft via submandibular approach. Using costochondral graft and orthognathic surgery the facial asymmetry in hemifacial microsomia patient was corrected. 1-stage treatment consists of costochondral graft and orthognathic surgery can achieve function and esthetics at the same time, is timesaving to both patient and surgeon.

키워드

참고문헌

  1. Mommaerts MY, Nagy K : Is early osteodistraction a solution for the ascending ramus compartment in hemifacial microsomia? A literature study. J Craniomaxillofac Surg 30 : 201, 2002. https://doi.org/10.1054/jcms.2002.0314
  2. Poswillo D : Otomandibular deformity: pathogenesis as a guide to reconstruction. J Maxillofac Surg 2 : 64, 1974. https://doi.org/10.1016/S0301-0503(74)80018-4
  3. David DJ, Mahatumarat C, Cooter RD : Hemifacial microsomia: a multisystem classification. Plast Reconstr Surg 80 : 525, 1987. https://doi.org/10.1097/00006534-198710000-00008
  4. Cousley RR, Calvert ML : Current concepts in the understanding and management of hemifacial microsomia. Br J Plast Surg 50 : 536, 1997. https://doi.org/10.1016/S0007-1226(97)91303-5
  5. Padwa BL, Mulliken JB, Maghen A et al : Midfacial growth after costochondral graft construction of the mandibular ramus in hemifacial microsomia. J Oral Maxillofac Surg 56 : 122, 1998. https://doi.org/10.1016/S0278-2391(98)90847-3
  6. Obwegeser HL : Correction of the skeletal anomalies of oto-mandibular dysostosis. J Maxillofac Surg 2 : 73, 1974. https://doi.org/10.1016/S0301-0503(74)80019-6
  7. Kaban LB : Pediatric oral and maxillofacial surgery, 1st ed. Philadelphia, WB Saunders, 1990, p.273.
  8. Davis WB : Reconstruction of hemiatrophy of face. Case report. Plast Reconstr Surg 42 : 489, 1968. https://doi.org/10.1097/00006534-196811000-00020
  9. Kaban LB, Padwa BL, Mulliken JB : Surgical correction of mandibular hypoplasia in hemifacial microsomia: the case for treatment in early childhood. J Oral Maxillofac Surg 56 : 628, 1998. https://doi.org/10.1016/S0278-2391(98)90465-7
  10. Polley JW, Figueroa AA, Liou EJ et al : Longitudinal analysis of mandibular asymmetry in hemifacial microsomia. Plast Reconstr Surg 99 : 328, 1997. https://doi.org/10.1097/00006534-199702000-00005
  11. Murray JE, Kaban LB, Mulliken JB : Analysis and treatment of hemifacial microsomia. Plast Reconstr Surg 74 : 186, 1984. https://doi.org/10.1097/00006534-198408000-00003
  12. Gillies HD : Plastic surgery of the face based on selected cases of war injuries of the face including burns with original illustrations. London, Oxford University Press, 1920, p.177.
  13. Converse JM, Coccaro PJ, Becker M et al : On hemifacial microsomia. The first and second branchial arch syndrome. Plast Reconstr Surg 51 : 268, 1973. https://doi.org/10.1097/00006534-197303000-00005
  14. Snyder CC, Levine GA, Dingman DL : Trial of a sternoclavicular whole joint graft as a substitute for the temporomandibular joint. Plast Reconstr Surg 48 : 447, 1971. https://doi.org/10.1097/00006534-197111000-00004
  15. Smith AE, Robinson M : A new surgical procedure in bilateral reconstruction of condyles, utilizing iliac bone grafts and creation of new joints by means of non-electrolytic metal; a preliminary report. Plast Reconstr Surg 9 : 393, 1952. https://doi.org/10.1097/00006534-195205000-00002
  16. Bell WH : Modern practice in orthognathic and reconstructive surgery, Philadelphia, WB Saunders, 1992, p.872.
  17. Figueroa AA, Gans BJ, Pruzansky S : Long-term followup of a mandibular costochondral graft. Oral Surg Oral Med Oral Pathol 58 : 257, 1984. https://doi.org/10.1016/0030-4220(84)90050-1
  18. Ware WH, Taylor RC : Growth center transplantation to replace damaged mandibular condyles. J Am Dent Assoc 73 : 128, 1966. https://doi.org/10.14219/jada.archive.1966.0199
  19. Mulliken JB, Ferraro NF, Vento AR : A retrospective analysis of growth of the constructed condyle-ramus in children with hemifacial microsomia. Cleft Palate J 26 : 312, 1989.
  20. Grabb WC, Smith JW : Plastic surgery, 3d ed. Boston, Little, Brown, 1979, p.131.
  21. Guyuron B, Lasa CI, Jr. : Unpredictable growth pattern of costochondral graft. Plast Reconstr Surg 90 : 880, 1992. https://doi.org/10.1097/00006534-199211000-00024
  22. Lauritzen C, Munro IR, Ross RB : Classification and treatment of hemifacial microsomia. Scand J Plast Reconstr Surg 19 : 33, 1985. https://doi.org/10.3109/02844318509052863
  23. Perrott DH, Umeda H, Kaban LB : Costochondral graft construction/reconstruction of the ramus/condyle unit: long-term follow-up. Int J Oral Maxillofac Surg 23 : 321, 1994. https://doi.org/10.1016/S0901-5027(05)80046-3
  24. Longacre JJ, Destefano GA, Holmstrand K : The early versus the late reconstruction of congenital hypoplasias of the facial skeleton and skull. Plast Reconstr Surg Transplant Bull 27 : 489, 1961. https://doi.org/10.1097/00006534-196105000-00002