Hemifacial Microsomia: A Mini-Review and Case Report
Journal of Dental School,
Vol. 40 No. 2 (2022),
18 April 2023
,
Page 82-88
https://doi.org/10.22037/jds.v40i2.39853
Abstract
Objectives Hemifacial microsomia (HFM) is an asymmetric craniofacial malformation, which results from hypoplasia of the first and second branchial arch components and is characterized by a wide spectrum of phenotypic expressions, varying from the underdevelopment of the temporomandibular joint, mandible, facial and trigeminal nerves, masticatory muscles, ears, and hypoplastic maxillary, temporal, orbital, and zygomatic bones to conductive hearing loss due to external and middle ear deformities. Management of this developmental defect is multidisciplinary and associated with various phenotypic spectra and severities. A wide range of treatment protocols, such as surgical interventions, have been proposed, especially for mandibular hypoplasia, including rib or fibular bone grafting, distraction osteogenesis (DO), orthognathic surgery, and a combination of these procedures.
Case In this study, the treatment course and 17-year follow-up of a patient with HFM were described. The treatment included autogenous costochondral grafting, followed by full-time application of an asymmetric hybrid functional appliance, fixed orthodontic therapy, orthognathic surgery, and contour modification surgery to achieve optimal facial aesthetics.
Conclusion Patients can benefit from functional jaw orthopedics psychosocially and the consequent enhanced facial symmetry during childhood and adolescence is really advantageous
- Hemifacial microsomia
- Facial asymmetry
- Congenital anomalies
- Unilateral hypoplasia
How to Cite
References
Chen YF, Baan F, Bruggink R, Bronkhorst E, Liao YF, Ongkosuwito E. Three-dimensional characterization of mandibular asymmetry in craniofacial microsomia. Clin Oral Investig. 2020; 24(12): 4363-72.
Veliz M S, Agurto V P, Leiva V N. Hemifacial microsomia. A literature review. Rev Fac Odontol Univ Antioq [online]. 2016; 27(2): 404-25.
Young A, Spinner A. Hemifacial Microsomia. StatPearls publishing , 2020:3-19.
Taiwo AO. Classification and management of hemifacial microsomia: a literature review. Ann Ib Postgrad Med. 2020 Jun; 18(1):S9-15.
Choudhary SH, Kale LM, Mishra SS, Swami AN. Hemifacial microsomia: A rare case report. J Indian Acad Oral Med Radiol. 2015; 27(4): 603-7.
Kabak SL, Savrasova NA, Zatochnaya VV, Melnichenko YM. Hemifacial microsomia: skeletal abnormalities evaluation using CBCT (case report). J Radiol Case Rep. 2019; 13(11): 1-9.
Sharma S, Patil S V, Mudhol A, Shashidhar J, Hemifacial Microsomia: A Mini Review. J Adv Med Med Res. 2019; 30(7):1-7.
Vento AR, LaBrie RA, Mulliken JB. The O.M.E.N.S. classification of hemifacial microsomia. Cleft Palate Craniofac J. 1991; 28(1):68-77.
Ascenço AS, Balbinot P, Junior IM, D'Oro U, Busato L, da Silva Freitas R. Mandibular distraction in hemifacial microsomia is not a permanent treatment: a long-term evaluation. J Craniofac Surg. 2014; 25(2):352-4.
Chhabra N, Chhabra A. Hemifacial Microsomia : Clinicoradiological insight and report of a case. Ethiop J Health Sci. 2017; 27(1):91-4.
Sant'Anna EF, Lau GW, Marquezan M, de Souza Araújo MT, Polley JW, Figueroa AA. Combined maxillary and mandibular distraction osteogenesis in patients with hemifacial microsomia. Am J Orthod Dentofacial Orthop. 2015;
(5):566-77.
Ramanathan M, Bonanthaya K, Panneerselvam E, Manuel S, Kumar V, Rai A. Hemifacial Microsomia (HFM) and Treacher Collins Syndrome. Oral Maxillofac Surg. Springer, Singapore. 2021: 1769-1812.
Jenzer AC, Singh P. Anesthetic Considerations In Hemifacial Microsomia. StatPearls. 2021; 1-10.
David DJ, Mahatumarat C, Cooter RD. Hemifacial microsomia: a multisystem classification. Plast Reconstr Surg. 1987; 80(4):525-35.
Shakir S, Bartlett SP. Modern mandibular distraction applications in hemifacial microsomia. Clin Plast Surg. 2021; 48(3):375-89.
Wan DC, Taub PJ, Allam KA, Perry A, Tabit CJ, Kawamoto HK, et al. Distraction osteogenesis of costocartilaginous rib grafts and treatment algorithm for severely hypoplastic mandibles. Plast Reconstr Surg. 2011; 127(5):2005-13.
Zhang RS, Lin LO, Hoppe IC, Swanson JW, Taylor JA, Bartlett SP. Early mandibular distraction in craniofacial microsomia and need for orthognathic correction at skeletal maturity: a Comparative long-term follow-up study. Plast Reconstr Surg. 2018; 142(5):1285-93.
Song JY, Yang H, He X, Gao S, Wu GM, Hu M, Zhang Y. Surgery-first for a patient with mild hemifacial microsomia: a case report and review of literature. World J Clin Cases. 2021 ;9(1):148-62.
Renkema RW, Caron CJJM, Pauws E, Wolvius EB, Schipper JAM, et al. Extracraniofacial anomalies in craniofacial microsomia: retrospective analysis of 991 patients. Int J Oral Maxillofac Surg. 2019 ;48(9):1169-76.
Konstantinidou AE, Tasoulas J, Kallipolitis G, Gasparatos S, Velissariou V, Paraskevakou H. Mandibulofacial dysostosis (treacher-collins syndrome) in the fetus: novel association with pectus carinatum in a molecularly confirmed case and review of the fetal phenotype. Birth Defects Res A Clin Mol Teratol. 2013; 97(12):774-80.
Renju R, Varma BR, Kumar SJ, Kumaran P. Mandibulofacial dysostosis (treacher collins syndrome): a case report and review of literature. Contemp Clin Dent. 2014; 5(4):532-4.
Chen Y, Niu F, Yu B, Liu J, Wang M, Gui L. Three-dimensional preoperative design of distraction osteogenesis for hemifacial microsomia. J Craniofac Surg. 2014 ;25(1):184-8.
- Abstract Viewed: 221 times
- PDF Downloaded: 219 times