J Korean Assoc Maxillofac Plast Reconstr Surg.  2008 Nov;30(6):584-588.

A Case Report of the Facial Asymmetry by Infantile Maxillofacial Surgery

• Choi SY
• Kim JW
• Kwon TG
• Lee SH
• Park IS

Abstract

Facial asymmetry is particularly associated with mandible among other facial bones and it could be either congenital or acquired. Congenital factors are related to Treacher Collin syndrome, Pierre Robin syndrome, hemifacial microsomia and other various syndromes. Acquired factors are such as damaged or diseased growing condyles, hormonal disorder, oral mal-habit, muscular force, tumor, infection and so on. Diagnosis and treatment of facial asymmetry are complicated due to differences in sizes and positions of mandibles. The aspects of facial asymmetry is various and complicated upon each individual. Depending on causes of the facial asymmetry, there also are morphological differences. For such reasons, precise anatomical analysis and diagnosis of the facial asymmetry are essential before any surgical procedure followed by the appropriate treatment plan. This case is regarding a 21-year old patient diagnosed as the facial asymmetry due to an infantile maxillofacial surgery. Employing various morphological evaluations, potential problems during the procedure are predicted beforehand. This case reports a favorable result of sagittal split ramus osteotomy performing the oblique vertical bone cutting in posterior-superior of the mandibular second molar.

Keyword

Eosinophilic granuloma; Facial asymmmetry; BSSRO

MeSH Terms

Eosinophilic Granuloma
Facial Asymmetry
Facial Bones
Humans
Mandible
Molar
Osteotomy, Sagittal Split Ramus
Pierre Robin Syndrome
Surgery, Oral