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J Korean Cleft Palate-Craniofac Assoc. 2010 Apr;11(1):45-48. Korean. Case Report.
Kim YH , Lee HS , Kim JT .
Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul, Korea. younhwank@daum.net
Abstract

PURPOSE: After surgical interventions of mandible fractures, facial asymmetry can be occurred, and it leads to serious problems for patients. This can be solved by mandible angle ostectomy. METHODS: A 19-year-old male underwent percutaneous surgical intervention for left mandibular angle and right parasymphyseal fractures 3.5 years ago. The left angle was protruded compared to the other side. Using a percutaneous approach, 4.5x1cm sized piece of mandible angle was sawed off. For the right angle, intraoral approach was performed for angle ostectomy, and the angle was sawed off by a size of 4x1cm, using a pattern based on the piece from the left side. RESULTS: After surgery, no complications such as subcondylar fractures, refractures, insufficient corrections, secondary angle formations, hematomas, and transient nerve palsies were seen, and symmetric correction of mandible angles were done. CONCLUSION: In facial asymmetries due to mandibular fractures, mandible ostectomy could be a solution. Using the bone section from the contralateral side, measurement of the amount of bone sawed off was possible, and via percutaneous approach on the previously operated site with simultaneous scar revision, and intraoral approach for the contralateral side, cosmetically satisfactory result was obtained.

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