Mandibular reconstruction in the growing patient with unilateral craniofacial microsomia: a systematic review

Surgical correction of the midface in craniofacial microsomia. Part 1: A systematic review

“…However, some studies recommend postponing intervention, if possible, until skeletal maturity. The data from this study is in agreement with previous systematic reviews (Mommaerts et al, 2002;Pluijmers et al, 2014) which suggest delaying mandibular reconstruction until the permanent dentition, or even skeletal maturity if there are no pressing functional and/or psychosocial problems. Several studies state that there is no evidence supporting the effectiveness of early asymmetry correction in patients with CFM.…”

“…Mandibular reconstruction in patients with CFM has been described and reviewed at length, showing that the outcome of treatment is not so much treatment-dependent, but patient and severity dependent. (Pluijmers et al, 2014) Some studies recommend the use of mandibular distraction osteogenesis (MDO) -with or without previous bone grafts -for correction of the mandiblular deformity. (Pluijmers et al, 2014) However, the final results of MDO are not always satisfactory due to canting of the occlusal plane and complete three-dimensional facial and occlusal symmetry is not always obtained.…”

“…(Pluijmers et al, 2014) Some studies recommend the use of mandibular distraction osteogenesis (MDO) -with or without previous bone grafts -for correction of the mandiblular deformity. (Pluijmers et al, 2014) However, the final results of MDO are not always satisfactory due to canting of the occlusal plane and complete three-dimensional facial and occlusal symmetry is not always obtained. (Polley et al, 1997;Nagy et al, 2009) The optimal choice of technique to correct the maxillo-mandibular asymmetry in patients with CFM remains unclear.…”

A critical analysis of the management of craniofacial microsomia

“…The concept of an inter-uterine vascular event, whether it be causing embryonic hypoxia or producing a haematoma with indiscriminate damage of local cells, provides a particularly plausible explanation for the deformities of CM. The tentative proposition from McCarthy's first paper, and from others that followed, 30 36 Nagy et al 37 and Pluijmers et al 38 The search was made using PubMed and Embase, using the following terms: This resulted in only 28 articles where DO was applied during growth in patients with functional joints. There were six retrospective reviews, 39 two comparative studies, 40 two prospective studies, 41 three case reports, 42 one systematic review, 43 three reviews, 44 and one comment supporting a review.…”

Síndrome de Goldenhar y microsomía hemifacial. Revisión de la literatura

“…Los mejores resultados se observaron en los casos más leves tratados con distracción osteogénica e injertos en la dentición permanente, usualmente a los 15 años de edad. Para la mandíbula severamente hipoplásica se recomienda un enfoque en varias etapas, reconociendo la dificultad de establecer un único protocolo de tratamiento para un grupo tan heterogéneo de pacientes con MHF, primando el injerto costocondral paralelo a la cirugía ortognática 18 .…”