MANDIBULAR RECONSTRUCTION WITH COSTOCHONDRAL GRAFT IN PATIENTS WITH SEVERE MANDIBULAR HYPOPLASIA IN CRANIOFACIAL MICROSOMY

Authors

  • Vanessa Sayuri Ogawa Hospital de Clínicas da Universidade Federal do Paraná
  • Carolina Peressutti Hospital de Clínicas da Universidade Federal do Paraná
  • Maria Cecília Closs Ono Hospital de Clínicas da Universidade Federal do Paraná
  • Isis Juliane Guarezi Nasser Hospital de Clínicas da Universidade Federal do Paraná
  • Flávia David João De Masi Hospital de Clínicas da Universidade Federal do Paraná
  • Renato da Silva Freitas Hospital de Clínicas da Universidade Federal do Paraná

Keywords:

Hemifacial Microsomia, Mandibular Reconstruction, Facial Asymmetry

Abstract

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.

Author Biographies

  • Vanessa Sayuri Ogawa, Hospital de Clínicas da Universidade Federal do Paraná

    Residente de Cirurgia Plástica do Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brasil.

  • Carolina Peressutti, Hospital de Clínicas da Universidade Federal do Paraná

    Residente de Cirurgia Plástica do Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brasil.

  • Maria Cecília Closs Ono, Hospital de Clínicas da Universidade Federal do Paraná

    Cirurgiã Plástica do Centro de Atendimento Integral ao Fissurado Labiopalatal (CAIF), Curitiba, PR, Brasil.

  • Isis Juliane Guarezi Nasser, Hospital de Clínicas da Universidade Federal do Paraná

    Cirurgiã plástica do Centro de Atendimento Integral ao Fissurado Labiopalatal (CAIF), Curitiba, PR, Brasil.

  • Flávia David João De Masi, Hospital de Clínicas da Universidade Federal do Paraná

    Cirurgiã plástica do Centro de Atendimento Integral ao Fissurado Labiopalatal (CAIF), Curitiba, PR, Brasil.

  • Renato da Silva Freitas, Hospital de Clínicas da Universidade Federal do Paraná

    Cirurgião Plástico, Chefe do Serviço de Cirurgia Plástica do Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brasil e do Centro de Atendimento Integral ao Fissurado Labiopalatal (CAIF), Curitiba, PR, Brasil.

References

Wu BZ, Ma L, Li Y, Chen S, Yi B. Costochondral graft in young children with hemifacial microsomia. J Craniofac Surg. 2017;28(1):129–33.

Serebrakian AT, Golinko MS, Alperovich M, Runyan CM, Staffenberg DA. Efficacy of standard costochondral grafting in patients with bilateral craniofacial microsomia. J Craniofac Surg. 2016;27(7):e673–6.

Abduch LSF, Rocha PB da, Nasser IJG, Ono MCC, Freitas R da S. Dermal-Fat Graft for Facial Contouring in Patients With Craniofacial Microsomia. J Craniofac Surg. 2019;30(7):2134–7.

Tahiri Y, Chang CS, Tuin J, Paliga JT, Lowe KM, Taylor JA, et al. Costochondral grafting in craniofacial microsomia. Plast Reconstr Surg. 2015;135(2):530–41.

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.

Ascenço ASK, 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.

Alonso N, Busato L, Ferreira MC. Mathematical Analysis of the Results. J Craniofac Surg. 2007;29–38.

McCarthy JG, Hopper RA, Hollier LH, Peltomaki T, Katzen T, Grayson BH. Molding of the regenerate in mandibular distraction: Clinical experience. Plast Reconstr Surg. 2003;112(5):1239–46.

Shakir S, Naran S, Lowe KM, Bartlett SP. Balancing Distraction Forces in the Mandible. Plast Reconstr Surg - Glob Open. 2018;6(9):e1856.

Published

2022-04-28

How to Cite

MANDIBULAR RECONSTRUCTION WITH COSTOCHONDRAL GRAFT IN PATIENTS WITH SEVERE MANDIBULAR HYPOPLASIA IN CRANIOFACIAL MICROSOMY. (2022). Arquivos Catarinenses De Medicina, 51(1), 202-211. https://revista.acm.org.br/arquivos/article/view/1233

Similar Articles

31-35 of 35

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)