Modern Mandibular Distraction Applications in Hemifacial Microsomia.
Abstract
Phenotypic severity dictates the timing and type of surgical intervention required. Mandibular distraction in children without respiratory and feeding difficulties remains controversial with regard to long-term mandibular growth outcomes and reducing surgical burden. Early mandibular distraction does not obviate secondary orthognathic surgery at skeletal maturity; it provides improved functional, aesthetic, and psychosocial outcomes, at least in the short term. Costochondral rib grafting for Pruzansky type IIB and III mandibles can produce reliable results, especially when combined with subsequent mandibular distraction. Secondary 2-jaw orthognathic surgery plus genioplasty at skeletal maturity benefits from improved bone volume from prior mandibular distraction.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | orthognathic surgery
|
안면윤곽술 | dict | 2 | |
| 시술 | genioplasty
|
턱끝성형술 | dict | 1 | |
| 해부 | skeletal
|
scispacy | 1 | ||
| 해부 | bone
|
scispacy | 1 | ||
| 질환 | Hemifacial Microsomia
|
C0265240
Goldenhar Syndrome
|
scispacy | 1 | |
| 기타 | Mandibular
|
scispacy | 1 | ||
| 기타 | children
|
scispacy | 1 | ||
| 기타 | 2-jaw orthognathic surgery plus genioplasty at
|
scispacy | 1 |
MeSH Terms
Algorithms; Bone Transplantation; Child; Child, Preschool; Genioplasty; Goldenhar Syndrome; Humans; Infant, Newborn; Mandible; Mandibular Advancement; Orthognathic Surgical Procedures; Osteogenesis, Distraction; Phenotype; Tomography, X-Ray Computed
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