The Bulletin of Tokyo Dental College
Print ISSN : 0040-8891
Case Report
A Case of Sotos Syndrome Treated with Distraction Osteogenesis in Maxilla and Mandible
Masayuki TakanoKiyohiro KasaharaChiharu OgawaHidenori KatadaKenji Sueishi
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2012 Volume 53 Issue 2 Pages 75-82

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Abstract
Sotos syndrome is inherited in an autosomal-dominant manner and is characterized by increased birth weight, excessive growth, advanced bone age, and distinctive facial features, including dolichocephaly, hypertelorism, and a prominent mandible. We treated a jaw deformity due to Sotos syndrome consisting of malocclusion due to a narrow maxillary dental arch and mandibular retrusion from hypoplasia of the rami. The patient was a 17-year-old man. Malocclusion due to a narrow maxillary dental arch and mandibular retrusion was diagnosed. Rapid maxillary expansion with Lines corticotomy and mandibular advancement with distraction osteogenesis were performed. The maxilla was expanded laterally a total of 3 mm and the mandible prolonged 12 mm in the posterior area of the mandibular body. Subsequently, orthodontic treatment was continued. At present, 5 years after surgery, occlusion remains good and stable.
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© 2012 by Tokyo Dental College, Japan
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