MANDIBULAR RECONSTRUCTION WITH COSTOCHONDRAL GRAFT IN PATIENTS WITH SEVERE MANDIBULAR HYPOPLASIA IN CRANIOFACIAL MICROSOMY
Keywords:
Hemifacial Microsomia, Mandibular Reconstruction, Facial AsymmetryAbstract
This is an observational and descriptive study carried out since 1996 at the Centro de Atendimento Integral ao fissurado labiopalatal in Curitiba with 16 patients classified as Pruzansky type 2B and 3. The mean age was 5.18 years, mostly female and unilateral involvement. The postoperative complication was respiratory difficulty and one case of graft displacement and follow-up period of the patients was 10.4 years. The method of treatment is the costochondral graft, in growing children the result has a success rate of 80% demonstrated in the literature. In our study, the result was satisfactory by clinical evaluation. Reconstruction with costochondral cartilage graft in severe cases proved to obtain good functional and aesthetic results.
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