Mandibular distraction osteogenesis for mandibular retrognathism caused by malunion of bilateral mandibular condyle fractures in childhood with temporomandibular joint dislocation: a case report.
Abstract
Untreated mandibular condyle fractures in childhood can result in significant jaw deformities, such as mandibular retrognathism, open bite, and facial asymmetry, which may necessitate surgical intervention in later years. Surgical approaches vary depending on the severity of the condition, including mandibular surgery alone, maxillomandibular surgery, or mandibular distraction osteogenesis (MDO). This report highlights a case involving mandibular retrognathism and open bite with condylar dislocation and malunion caused by untreated pediatric condyle fractures. Key challenges in this case included excessive anterior mandibular movement, irregular morphology of the mandibular ramus caused by malunion from fracture healing, and anteromedial dislocation of both condyles, all of which posed significant surgical complexities. The surgical approach combined Le Fort I osteotomy with MDO to perform maxillary impaction and mandibular advancement, followed by a secondary genioplasty. Notably, the dislocated temporomandibular joints were left untreated. Two years postoperatively, no relapse or recurrence of open bite was observed, and the dislocated condyles showed no positional and morphological changes, reflecting favorable outcomes. To our knowledge, this is the first reported case of orthognathic surgery combined with MDO for bilateral dislocated mandibular condyles, making it a valuable contribution to clinical practice.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | genioplasty
|
턱끝성형술 | dict | 1 | |
| 시술 | orthognathic surgery
|
안면윤곽술 | dict | 1 | |
| 해부 | MDO
→ mandibular distraction osteogenesis
|
scispacy | 1 | ||
| 해부 | condylar
|
scispacy | 1 | ||
| 해부 | anteromedial
|
scispacy | 1 | ||
| 해부 | condyles
|
scispacy | 1 | ||
| 합병증 | asymmetry
|
비대칭 | dict | 1 | |
| 합병증 | jaw
|
scispacy | 1 | ||
| 합병증 | mandibular retrognathism
|
scispacy | 1 | ||
| 약물 | Le Fort I
|
scispacy | 1 | ||
| 질환 | malunion
|
C3898471
Malunion of Bone
|
scispacy | 1 | |
| 질환 | mandibular condyle fractures
|
scispacy | 1 | ||
| 질환 | temporomandibular joint dislocation
|
C0159914
Temporomandibular joint dislocation
|
scispacy | 1 | |
| 질환 | Untreated mandibular condyle fractures
|
scispacy | 1 | ||
| 질환 | condylar dislocation
|
scispacy | 1 | ||
| 질환 | condyle fractures
|
scispacy | 1 | ||
| 질환 | excessive anterior mandibular movement
|
scispacy | 1 | ||
| 질환 | fracture
|
C0016658
Fracture
|
scispacy | 1 | |
| 질환 | dislocation
|
C0012691
Dislocations
|
scispacy | 1 | |
| 질환 | MDO
→ mandibular distraction osteogenesis
|
scispacy | 1 | ||
| 질환 | maxillary impaction
|
scispacy | 1 | ||
| 질환 | temporomandibular joints
|
C0039493
Temporomandibular Joint
|
scispacy | 1 | |
| 기타 | Mandibular
|
scispacy | 1 | ||
| 기타 | mandibular retrognathism
|
scispacy | 1 | ||
| 기타 | bilateral mandibular condyle
|
scispacy | 1 | ||
| 기타 | temporomandibular joint
|
scispacy | 1 | ||
| 기타 | mandibular condyle
|
scispacy | 1 | ||
| 기타 | maxillomandibular
|
scispacy | 1 | ||
| 기타 | condyle fractures
|
scispacy | 1 | ||
| 기타 | anterior mandibular
|
scispacy | 1 | ||
| 기타 | mandibular ramus
|
scispacy | 1 | ||
| 기타 | maxillary
|
scispacy | 1 | ||
| 기타 | temporomandibular joints
|
scispacy | 1 | ||
| 기타 | mandibular condyles
|
scispacy | 1 |
🔗 함께 등장하는 도메인
이 논문이 속한 카테고리와 같은 논문에서 자주 함께 다뤄지는 카테고리들
같은 제1저자의 인용 많은 논문 (4)
- Improvement of the Respiratory Function in a Patient With Mandibular Retrognathia and Hyperdivergent Skeletal Pattern With Condylar Resorption by Le Fort I Osteotomy and Genioplasty.
- An Extremely Delayed Onset of Frey Syndrome: A Case Report and Literature Review.
- Three cases of free flap anastomoses to the descending genicular artery for knee joint trauma with severe soft tissue injury.
- Using blood glucose and lactate levels for early detection of venous congestion following a free flap procedure for lower extremity open fractures.
관련 논문
- Epidermal inclusion cyst after breast reduction mammoplasty.
- A comparative analysis of secondary unilateral and bilateral cleft lip nasal deformities: From anatomical characteristics to repair strategies.
- A plastic surgery approach to Meige syndrome: Botulinum toxin for rebalancing facial dystonia and aesthetics - A case report.
- Chronological Changes in Breast and Nipple Position After Autologous Reconstruction in an Asian Population.
- Long-term effects of inferior alveolar nerve injury on the quality of life of orthognathic patients: a clinical assessment.