Maxillofac Plast Reconstr Surg.  2015 Feb;37(2):3. 10.1186/s40902-015-0004-6.

Sequential treatment for a patient with hemifacial microsomia: 10 year-long term follow up

• Seo JS
• Roh YC
• Song JM
• Song WW
• Seong HS
• Kim SY
• Hwang DS
• Kim UK

• KMID: 2381875
• DOI: http://doi.org/10.1186/s40902-015-0004-6

Abstract

Hemifacial microsomia (HFM) is the most common craniofacial anomaly after cleft lip and cleft palate; this deformity primarily involves the facial skeleton and ear, with either underdevelopment or absence of both components. In patients with HFM, the management of the asymmetries requires a series of treatment phases that focus on their interception and correction, such as distraction osteogenesis or functional appliance treatment during growth and presurgical orthodontic treatment followed by mandibular and maxillary surgery. Satisfactory results were obtained in a 9-year-old girl with HFM who was treated with distraction osteogenesis. At the age of 19, genioplasty and mandible body augmentation with a porous polyethylene implant (PPE, Medpor(R), Porex) was sequentially performed for the functional and esthetic reconstruction of the face. We report a case of HFM with a review of the literature.

Keyword

Hemifacial microsomia; Distraction osteogenesis; Facial augmentation

MeSH Terms

Child
Cleft Lip
Cleft Palate
Congenital Abnormalities
Ear
Female
Follow-Up Studies*
Genioplasty
Goldenhar Syndrome*
Humans
Mandible
Osteogenesis, Distraction
Polyethylene
Skeleton
Polyethylene