NESLİHAN EBRU ŞENIŞIK, Selin Öğreten TUNÇAY, NESLİHAN EBRU ŞENIŞIK, YAVUZ FINDIK, MUSTAFA ASIM AYDIN, TİMUÇİN BAYKUL, TİMUÇİN BAYKUL

Fasiyal Asimetrinin Ortodontik-Cerrahi Tedavisi: Vaka Raporu

Fasiyal asimetri farklı etyolojik sebeplerden kaynaklanabilir. Yüz asimetrisi üst yüze nazaran alt yüzü daha fazla etkiler. Fasiyal asimetrinin estetik görünüm açısından kabul edilemez olduğu erişkin vakalarda tedavi sıklıkla ortodontik ve ortognatik cerrahi tedavi kombinasyonu ile yapılır. Hasta memnuniyeti sağlamak için tedavi sonrası elde edilecek sonuç ile hasta beklentisinin örtüştüğünden emin olunmalıdır. Bu vaka raporunda, 20 yaşında fasiyal asimetri şikâyeti ile kliniğimize başvuran bayan hastanın ortodonti ve ortognatik cerrahi kombinasyonu ile tedavisi sunulmaktadır. Kombinasyon tedavisi, cerrahi öncesi ortodontik tedavi, ortognatik cerrahi ve cerrahi sonrası ortodontik bitirme olarak 3 fazda gerçekleştirilmiştir. Tedavi, sabit ortodontik tedavi ve tek çeneyi içine alan ortognatik cerrahi kombinasyonu ile yapılmıştır. Tedavi başında planlanan sonuçlara başarıyla ulaşılmış, vakaya hedeflenen fonksiyon ve yüz estetiği kazandırılmıştır. Anahtar kelimeler: Fasiyal asimetri, ortodonti, ortognatik cerrahi

Anahtar Kelimeler:

Fasiyal asimetri, ortodo, ortogna

Orthodontic-Surgery Treatment of Facial Asymmetry: A Case Report

Summary Facial asymmetry can be caused by different etiological causes. The lower face can be affected by face asymmetry more than the upper face. In adult cases where facial asymmetry is unacceptable in terms of aesthetic appearance, treatment is often a combination of orthodontic and orthognatic surgery. In order to achieve patient satisfaction, patient expectations should be known. In this case report, a 20-year-old female patient with a complaint of facial asymmetry is presented with a treatment in combination of orthodontic and orthognathic surgery. Combination therapy was performed in 3 phases as pre-surgical orthodontic treatment, orthognathic surgery, and post-surgical orthodontic treatment. The treatment was performed with a combination of fixed orthodontic treatment and lower jaw surgery. The planned outcomes were successfully achieved, and the function and facial aesthetics were improved.

Keywords:

facial a, orthodont,

PDF

___

1. Rebellato J. Asymmetric extractions used in the treatment of patients with asymmetries. Semin Orthod 1998;4:180-188.
2. Beyer JW, Lindauer SJ. Evaluation of dental midline position. Semin Orthod 1998;4:146–152.
3. Bishara SE, Burkey PS, Kharouf JG. Dental and facial asymmetries: a review. Angle Orthod 1994;64:89-98.
4. Severt TR, Proffit WR. The prevalence of facial asymmetry in the dentofacial deformities population at the University of North Carolina. Int J Adult Orthodon Orthognath Surg 1997;12:171-6.
5. Haraguchi S, Takada K, Yasuda Y. Facial asymmetry in subjects with skeletal Class III deformity. Angle Orthod 2002;72:28-35.
6. Hegtvedt AK. Diagnosis and management of facial asymmetry. In: Peterson LJ, Indressano AT, Marciani RD, Roser SM, eds. Oral and Maxillofacial Surgery. Vol 3. Philadelphia: Lippincott, 1993:1400-14.
7. Cohen MM Jr. Perspectives of craniofacial asymmetry. Part III. Common and/or well known causes of asymmetry. Int J Oral Maxillofac Surg 1995;24:127-33.
8. Reyneke JP, Tsakiris P, Kienle F. A simple classification for surgical planning of maxillomandibular asymmetry. Br J Oral Maxillofac Surg 1997;35:349-51.
9. Schellhas KP, Piper MA, Omlie MR. Facial skeleton remodeling due to temporomandibular joint degeneration: an imaging study study of 100 patients. Am J Neuroradiol 1990;11:541-551.
10. Westesson PL, Tallents RH, Katzberg RW, Guay JA. Radiographic assessment of asymmetry of the mandible. Am J Neuroradiol 1994;15:991-999.
11. Yamashiro T, Okada T, Takada K. Case report: facial asymmetry and early condylar fracture. Angle Orthod 1998; 68:85-90.
12. Koldaş T, Hayırlıoğlu T, Keskin C, Biren S. [Surgical Treatment of Mandibular Laterognathism] Journal of Istanbul University Faculty of Dentistry 2013;29:89-93.
13. Kawamoto HK, Kim SS, Jarrahy R, Bradley JP. Differential diagnosis of the idiopathic laterally deviated mandible. Plast Reconstr Surg 2009;124:1599-1609.
14. Lo LJ, Marsh JL, Pilgram TK, Vannier MW. Plagiocephaly: differential diagnosis based on endocranial morphology. Plast Reconstr Surg 1996;97:282-91.
15. Lo LJ, Marsh JL, Kane AA, Vannier MW. Orbital dysmorphology in unicoronal synostosis. Cleft Palate Craniofac J 1996;33:190-7.
16. Kane AA, Lo LJ, Vannier MW, Marsh JL. Mandibular dysmorphology in unicoronal synostosis and plagiocephaly without synostosis. Cleft Palate Craniofac J 1996;33:418-23.
17. Yu CC, Wong FH, Lo LJ, Chen YR. Craniofacial deformity in patients with uncorrected congenital muscular torticollis: an assessment from 3-dimensional CT imaging. Plast Reconstr Surg 2004;113:24-33.
18. Chen YR, Bendor-Samuel RL, Huang CS. Hemimandibular hyperplasia. Plast Reconstr Surg 1996;97:730-7.
19. Kane AA, Lo LJ, Christensen GE, Vannier MW, Marsh JL. Relationship between bone and muscles of mastication in hemifacial microsomia. Plast Reconstr Surg 1997;99:990-7.
20. Ortakoglu K, Akcam T, Sencimen M, Karakoc O, Ozyigit HA, Bengi O. Osteochondroma of the mandible causing severe facial asymmetry: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:e21-8.
21. Carlson ER. Pathologic facial asymmetries. Atlas Oral Maxillofac Surg Clin North Am 1996;4:19-35.
22. Shah SM, Joshi MR. An assessment of asymmetry in the normal craniofacial complex. Angle Orthod 1978;48:141-8.
23. Cheng LH, Roles D, Telfer MR. Orthognathic surgery: the patients’ perspective. Br J Oral Maxillofac Surg. 1998;36:261-263.
24. Ko EWC, Huang CS, Chen YR. Characteristics and corrective outcome of face asymmetry by orthognathic surgery. J Oral Maxillofac Surg 2009;67:2201-9.
25. Peck S, Peck L, Kataja M. Skeletal asymmetry in esthetically pleasing faces. Angle Orthod. 1991;61:43-8.
26. Proffit WR, Turvey TA, Phillips C. The hierarchy of stability and predictability in orthognathic surgery with rigid fixation: an update and extension. Head Face Med 2007;30:3-21.
27. Öğütcen Toller M, Taşraya Yılmaz N, Özkan N, Uzun E. [Three-Dimensional Computerized Tomographic Evaluation of a Case With Facial Asymmetry Corrected Using Orthognathic Surgery]. Ondokuz Mayıs Üniversitesi Diş hekimliği Fakültesi Dergisi: 2001;6:20-23.
28. Epker BN. Modifications in the sagittal osteotomy of the mandible. J Oral Surg. 1977;35:157-9.
29. Rivera SM, Hatch JP, Dolce C, Bays RA, Van Sickels JE, Rugh JD. Patients’ own reasons and patient perceived recommendations for orthognathic surgery. Am J Orthod Dentofacial Orthop 2000;118:134-141.