Growth characteristics and classification systems of hemifacial microsomia: a literature review.

IF 2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-05-11 DOI:10.1186/s40902-024-00427-8
Joonyoung Huh, Ji-Song Park, Buyanbileg Sodnom-Ish, Hoon Joo Yang
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Abstract

Background: Hemifacial microsomia is characterized by the hypoplasia of the mandible and temporomandibular joint, involving a variety of abnormalities of the craniofacial area. Since it gradually worsens as patients grow, it is necessary to understand the characteristics of facial bone growth and facial deformity in hemifacial microsomia patients in order to determine appropriate treatment timing and treatment methods.

Main body: Appropriate classification of hemifacial microsomia would facilitate accurate diagnosis, selection of treatment methods, and prognosis prediction. Therefore, in this article, we review previously published hemifacial microsomia classification and provide an overview of the growth of the facial skeleton and the characteristics of hemifacial microsomia-related facial deformities. The OMENS system is the most comprehensive classification method based on the characteristics of hemifacial microsomia deformity, but it needs to be improved to include malar/midface abnormalities and nerve involvement. In hemifacial microsomia, growth is progressing on the affected side, but to a lesser degree than the unaffected side. Therefore, surgical intervention in growing patients should be performed selectively according to the severity of deformity.

Conclusion: Understanding growth patterns is important to develop appropriate treatment protocols for correcting asymmetry in adult patients and to minimize secondary anomalies in growing patients.

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半面小畸形的生长特征和分类系统:文献综述。
背景:半面小畸形以下颌骨和颞下颌关节发育不良为特征,涉及颅面部的多种畸形。由于该病会随着患者的成长而逐渐加重,因此有必要了解半面小畸形患者面部骨骼生长和面部畸形的特点,以确定合适的治疗时机和治疗方法:对半颜面小畸形进行适当的分类有助于准确诊断、选择治疗方法和预测预后。因此,在本文中,我们回顾了之前发表的半面小畸形分类,并概述了面部骨骼的生长和半面小畸形相关面部畸形的特征。OMENS系统是基于半面小畸形畸形特征的最全面的分类方法,但还需要改进,以包括畸形/中面畸形和神经受累。在半侧颜面小畸形中,受影响的一侧正在发育,但程度低于未受影响的一侧。因此,应根据畸形的严重程度,有选择性地对生长期患者进行手术干预:结论:了解生长模式对于制定适当的治疗方案以矫正成年患者的不对称以及尽量减少生长期患者的继发性畸形非常重要。
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来源期刊
Maxillofacial Plastic and Reconstructive Surgery
Maxillofacial Plastic and Reconstructive Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.30
自引率
13.00%
发文量
37
审稿时长
13 weeks
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