2000 年 10 巻 3 号 p. 300-309
A case of hemifacial microsomia treated by orthognatic surgery is reported. The patient was a 14-year-old male who complained of facial asymmetry and dental crowding. After preoperative orthodontic treatment with the extraction of the four first premolars, a Le Fort I osteotomy and sagittal split ramus osteotomies (two-jaw surgery) were carried out, when the patient was 16 years old. Facial asymmetry and occlusion were improved dramatically. No marked clinical changes in occlusion were found after 12 months' follow-up. The patient has been wearing retainers full-time. He is pleased with the occlusion and his facial appearance.