Japanese Journal of Oral and Maxillofacial Surgery
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
Case reports
Clinical observation after mandibular distraction osteogenesis only in the mandible of a patient with Goldenhar syndrome − Evaluation after 10 years of follow-up −
Yumiko INOUEYoshihiko YOKOEHiroki MORIMaki HANAIGaku YAMAMOTO
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JOURNAL FREE ACCESS

2014 Volume 60 Issue 4 Pages 219-224

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Abstract
Goldenhar syndrome is a disease characterized by a mandibular hypoplastic defect as the main sign, associated with a bulbar conjunctiva epidermoid tumor and backbone malformation resulting from the first and second branchial arch syndrome. Approximately 70% of patients present with unilateral symptoms, resulting in facial asymmetry. Since hypoplasia of the mandible is the main feature of this syndrome, mandibular distraction osteogenesis is suitable for treatment of this syndrome.
We describe an 8-year-2-month-old boy with Goldenhar syndrome. His mandible was Type IIa according to the Pruzansky-Kaban classification. We initially perfomed mandibular distraction osteogenesis to acquire facial symmetry. Then, occlusal plane inclination due to the secondary maxillary deformation was prevented by orthodontic treatment. He was followed up for 10 years with no particular relapse.
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© 2014 Japanese Society of Oral and Mxillofacial Surgeons
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