ABSTRACT
Hemifacial microsomia (HFM) is the most common craniofacial anomaly after cleft lip and cleft palate; this deformity primarily involves the facial skeleton and ear, with either underdevelopment or absence of both components. In patients with HFM, the management of the asymmetries requires a series of treatment phases that focus on their interception and correction, such as distraction osteogenesis or functional appliance treatment during growth and presurgical orthodontic treatment followed by mandibular and maxillary surgery. Satisfactory results were obtained in a 9-year-old girl with HFM who was treated with distraction osteogenesis. At the age of 19, genioplasty and mandible body augmentation with a porous polyethylene implant (PPE, Medpor(R), Porex) was sequentially performed for the functional and esthetic reconstruction of the face. We report a case of HFM with a review of the literature.
Subject(s)
Child , Female , Humans , Cleft Lip , Cleft Palate , Congenital Abnormalities , Ear , Follow-Up Studies , Genioplasty , Goldenhar Syndrome , Mandible , Osteogenesis, Distraction , Polyethylene , SkeletonABSTRACT
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ABSTRACT
0.05). Amnesia during local injection was observed in eight patients (34.8%). Compared with the preoperative anxiety score, the intraoperative anxiety score was decreased.CONCLUSION: In this study, we found cardiovascular and respiratory stability in intravenous sedation using dexmedetomidine with pethidine, in plate and screw removal, after orthognathic surgery. Furthemore, intravenous sedation using dexmedetomidine with pethidine shows adequate analgesic and sedative effects.
Subject(s)
Humans , Amnesia , Anxiety , Arterial Pressure , Blood Pressure , Dexmedetomidine , Heart Rate , Hypnotics and Sedatives , Meperidine , Orthognathic Surgery , OxygenABSTRACT