Artículos de revistas
Orthognathic surgery in craniofacial microsomia: Treatment algorithm
Fecha
2015Registro en:
Plastic and Reconstructive Surgery - Global Open, Volumen 3, Issue 1, 2015.
21697574
10.1097/GOX.0000000000000259
Autor
Fariña, Rodrigo
Valladares, Salvador
Torrealba, Ramón
Nuñez, Marcelo
Uribe, Francisca
Institución
Resumen
Craniofacial microsomia is a broad term that covers a variety of
craniofacial malformation conditions that are caused by alterations in the
derivatives of the first and second pharyngeal arches. In general terms, diverse therapeutic alternatives are proposed according to the growth stage
and the severity of the alteration. When craniofacial growth has concluded,
conventional orthognathic surgery (Le Fort I osteotomy, bilateral sagittal
split osteotomy, and genioplasty) provides good alternatives for MI and
MIIA type cases. Reconstruction of the mandibular ramus and temporomandibular joint before orthognathic surgery is the indicated treatment
for cases MIIB and MIII. The goal of this article is to establish a surgical
treatment algorithm for orthognathic surgery on patients with craniofacial microsomia, analyzing the points that allow the ideal treatment for
each patient to be chosen.