Artero ARH, Hidalgo HJA, Noyola FMÁ, Metlich MMA

Language: Spanish
References: 20
Page: 212-217
PDF size: 427.72 Kb.

ABSTRACT

Temporomandibular joint (TMJ) reconstruction is one of the most demanding surgical procedures performed by maxillofacial surgeons and their teams, whose aim is not only to rehabilitate the complex normal mechanism of the joint but also to restore facial symmetry, and to improve occlusion and chewing. TMJ functions can be affected by various types of maladies: tumors, infectious diseases, trauma, and dysplasias, which constitute the main indicators for TMJ reconstruction, being those associated with congenital syndromes the most difficult to treat. Hemi-facial microsomia is the second most common craniofacial defect after cleft lip and palate. Unlike other syndromes, it presents a wide range of treatment options, all involving a multidisciplinary approach as that they can range from conservative or nonsurgical procedures to functional orthopedics, and surgical procedures in which the TMJ and the mandibular ramus are reconstructed with the help of free costochondral grafts. We present the case of a 5-year-old female patient diagnosed with severe hemi-facial microsomia and referred to the «Dr. Ignacio Morones Prieto» Central Hospital for treatment. This paper focuses on describing the protocol used at our institution for mandibular reconstruction in early-age patients affected with this syndrome in order to benefit both joint function and facial esthetics.

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