Treatment of severe micrognathia in an adult with distraction osteogenesis: A case report

Sekido, Katsuhisa; Fujiwara, Kumiko; Tachinami, Hidetake; Imaue, Shuichi; Hanashiro, Keishi; Noguchi, Makoto

doi:10.1002/ccr3.7327

Cited by 2 publications

(1 citation statement)

References 29 publications

(68 reference statements)

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“…On the other hand, in pediatric patients, micrognathia can lead to airway obstruction, especially during sleep, which compromises the infant’s life. These patients usually require tracheostomy; however, another therapeutic alternative could be distraction osteogenesis (DO), mainly in children, young patients, and/or young adults, due to the high capacity of osteogenesis and also because pre-surgical orthodontic treatment is usually started at an early age and completed in adulthood [ 48 ]. Contrary to this, some successful cases of patients > 30 years of age have also been reported using these devices and achieving bone augmentation up to 25 mm in length for five years [ 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Oral findings and comprehensive dental management of Moebius syndrome: a systematic review

Alarcón-Sánchez,

Romero-Servin,

Yessayan

et al. 2024

BMC Oral Health

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Background Moebius syndrome (MS) is a rare, non-progressive, neuromuscular, congenic disease involving the oral maxillofacial region. The present study aimed to describe the oral and extraoral findings in MS patients and their comprehensive dental management. Methods A digital search was carried out in PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar, restricted to articles in English from Jan 01, 2000, to Apr 02, 2023, following PRISMA guidelines. The methodological quality of the studies was evaluated following the JBI guidelines. Qualitative analysis was carried out on the overall result, extraoral and intraoral manifestations, considering dental management as appropriate. Results Twenty-three studies were included, and a total of 124 cases of patients with MS were analyzed. The 82% of patients with MS were younger than 15 years of age. The most frequent extraoral manifestations were blinking and visual problems (78,22%), malformations of the upper and lower limbs (58,22%), bilateral facial paralysis (12,90%), lack of facial expression (12.09%), and unilateral facial paralysis (6,45%). On the other hand, the most frequent oral manifestations were tongue deformities (78,22%), micrognathia (37,90%), labial incompetence (36,29%), cleft palate (22,87%), gothic palate (16,12%), microstomia (15,32%), anterior open bite (15,32%), dental caries (8,87%), and periodontal disease (8,06%). The majority of MS patients were treated by pediatric dentistry (60,86%), using a surgical approach (56,52%), and orthodontic and orthopedic maxillary (43,47%) followed by restorative (39,13%), and periodontal treatments (21,73%). Conclusions This systematic review demonstrates that patients with MS present a wide variety of oral and extraoral manifestations, for which dental treatments are planned and tailored to each patient in accordance with oral manifestations. These treatments encompass problem resolution and oral health maintenance, incorporating recent techniques in managing and treating patients with MS.

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Section: Discussionmentioning

confidence: 99%

Oral findings and comprehensive dental management of Moebius syndrome: a systematic review

Alarcón-Sánchez,

Romero-Servin,

Yessayan

et al. 2024

BMC Oral Health

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Revolutionizing Adult Micrognathia Treatment: Should Free Fibular Flap Become an Option?

Atmodiwirjo,

Bangun,

Amanda

et al. 2024

Journal of Craniofacial Surgery

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The management of micrognathia in adults necessitates intricate surgical procedures. A vascularized bone graft, notably the free fibular flap (FFF), offers a novel viable solution for repairing significant defects. However, the limited utilization of FFF in adult micrognathia contributes to gaps in understanding its outcomes. A retrospective case series of 2 patients aged 28 and 65, with severe micrognathia due to neglected trauma and osteoradionecrosis, underwent refracture and reconstruction with FFF. Intraoperatively, no significant complications occurred. The FFF were molded to fit the gaps of refractured mandible sites, with similar surgical approaches for both patients. Upon 3 months' follow up, their quality of life (QoL), structural changes, and sensation alterations were assessed and showed promising results. The sensory impairment caused did not hinder the quality of life. Thus, the free fibular flap demonstrates promising outcomes as the initial treatment for adult micrognathia, yielding minimal morbidities and significant functional and anatomic improvements.

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Treatment of severe micrognathia in an adult with distraction osteogenesis: A case report

Abstract: Distraction osteogenesis (DO) of the mandible is often performed at a young age, and there are few reports after age 30, as in this case.The Hybrid MMF used in this case was useful in that it allowed correction of fine directionality.

Cited by 2 publications

References 29 publications

Oral findings and comprehensive dental management of Moebius syndrome: a systematic review

Oral findings and comprehensive dental management of Moebius syndrome: a systematic review

Revolutionizing Adult Micrognathia Treatment: Should Free Fibular Flap Become an Option?

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