Maxillofac Plast Reconstr Surg.  2015 Sep;37(9):29. 10.1186/s40902-015-0029-x.

Facial asymmetry: a case report of localized linear scleroderma patient with muscular strain and spasm

• Kim JH
• Lee SC
• Kim CH
• Kim BJ

• KMID: 2381855
• DOI: http://doi.org/10.1186/s40902-015-0029-x

Abstract

Facial asymmetry is found in patients with or without cosmetic facial alterations. Some patients have facial asymmetry that manifests underlying skeletal problems, while others have only limited soft-tissue facial asymmetry. Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones. Limited soft-tissue asymmetry, meanwhile, is difficult to correct. The treatment modalities for the creation or restoration of an esthetically pleasing appearance were autogenous fat grafts, cartilage graft, and silicon injections. A young female patient had right-side facial asymmetry. The clinical assessment involved visual inspection of the face and palpation to differentiate soft tissue and bone. Although the extra-oral examination found facial asymmetry with skin atrophy, the radiographic findings revealed no mandibular atrophy or deviation. She was diagnosed as localized scleroderma with muscle spasm. In conclusion, facial asymmetry patients with skeletal asymmetry can be esthetically satisfied by orthognathic surgery; however, facial atrophy patients with skin or subdermal tissue contraction need treatment by cosmetic dermatological surgery and orthodontic correction.

Keyword

Facial asymmetry; Scleroderma; Parry-Romberg syndrome (PRS); Soft-tissue facial asymmetry

MeSH Terms

Atrophy
Cartilage
Facial Asymmetry*
Female
Humans
Orthognathic Surgery
Palpation
Scleroderma, Localized*
Silicones
Skin
Spasm*
Transplants
Silicones