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Orthodontic considerations for patients presenting with Goldenhar Syndrome: A long-term case report

Peter Fowler

Peter Fowler

Bristol Dental SchoolBristol, United Kingdom
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Fowler, Peter
, 
Emily Gray

Emily Gray

Edinburgh Dental InstituteEdinburgh, United Kingdom
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Gray, Emily
 und 
Jennifer Haworth

Jennifer Haworth

Bristol Dental SchoolBristol, United Kingdom
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Haworth, Jennifer
  
12. Juni 2023
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Online veröffentlicht: 12. Juni 2023
Seitenbereich: 132 - 140
Eingereicht: 01. Feb. 2023
Akzeptiert: 01. Apr. 2023
DOI: https://doi.org/10.2478/aoj-2023-0014
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© 2023 Peter Fowler et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1.

Extra oral photographs. (A) Patient at age 8.2 years. (B) Patient at age 15.5 years. (C) Pre-orthodontic treatment (17.3 years). (D) Presurgical (19.2 years). (E) Post orthodontic treatment and bilateral sagittal split osteotomy (BSSO) and rotational advancement genioplasty (20.2 years). (F) Follow up (post dermal fat graft/MedporR onlay and refinement genioplasty) at 23.4 years.
Extra oral photographs. (A) Patient at age 8.2 years. (B) Patient at age 15.5 years. (C) Pre-orthodontic treatment (17.3 years). (D) Presurgical (19.2 years). (E) Post orthodontic treatment and bilateral sagittal split osteotomy (BSSO) and rotational advancement genioplasty (20.2 years). (F) Follow up (post dermal fat graft/MedporR onlay and refinement genioplasty) at 23.4 years.

Figure 2.

Intra-oral photographs. (A). Mixed dentition (aged 8.2 years). (B) Permanent dentition (aged 15.5 years). (C) Pre-orthodontic Tx (aged 17.3 years). (D) Pre surgical occlusion (aged 19.2 years). (E) Post orthodontic treatment and bilateral sagittal split osteotomy (BSSO) rotational advancement with genioplasty (aged 20.2 years). (F) Follow up (aged 23.4 years).
Intra-oral photographs. (A). Mixed dentition (aged 8.2 years). (B) Permanent dentition (aged 15.5 years). (C) Pre-orthodontic Tx (aged 17.3 years). (D) Pre surgical occlusion (aged 19.2 years). (E) Post orthodontic treatment and bilateral sagittal split osteotomy (BSSO) rotational advancement with genioplasty (aged 20.2 years). (F) Follow up (aged 23.4 years).

Figure 3.

OPG images. (A) Prior to removal of the lower right second molar to improve accessible bone stock for future asymmetric mandibular surgery. (B) Pre surgery. (C) Immediately post-surgical BSSO differential advancement and genioplasty. (D) Post orthodontic treatment (prior to MedporR onlay and refinement genioplasty).
OPG images. (A) Prior to removal of the lower right second molar to improve accessible bone stock for future asymmetric mandibular surgery. (B) Pre surgery. (C) Immediately post-surgical BSSO differential advancement and genioplasty. (D) Post orthodontic treatment (prior to MedporR onlay and refinement genioplasty).

Figure 4.

Pre and post-surgical radiographs. (A) 3D imaging Right-side. (B) 3D imaging Frontal. (C) 3D imaging Left side (aged 15.5 years). (D) Pre orthodontic lateral cephalogram (aged 17.3 years). (E) Pre surgical lateral cephalogram (aged 19.2 years). (F) Post-surgical rotational bilateral sagittal split osteotomy (BSSO) advancement with genioplasty (aged 20.2 years of age).
Pre and post-surgical radiographs. (A) 3D imaging Right-side. (B) 3D imaging Frontal. (C) 3D imaging Left side (aged 15.5 years). (D) Pre orthodontic lateral cephalogram (aged 17.3 years). (E) Pre surgical lateral cephalogram (aged 19.2 years). (F) Post-surgical rotational bilateral sagittal split osteotomy (BSSO) advancement with genioplasty (aged 20.2 years of age).

Lateral cephalogram analysis: (A) Pre-treatment, (B) Pre-surgery, (C) Post treatment

Variable A B C
SNA (°) 78.2 78.9 79.2
SNB (°) 67.5 68.9 72.9
ANB (°) 10.7 10.0 6.3
Wits (mm) +2.3 +1.1 -1.4
MMA (°) 44.0 44.8 39.4
UI/Max (°) 121.9 119.1 110.8
LI/Man (°) 96.2 84.2 84.9
UI/LI (°) 106.5 101.9 128.4
LFH (%) 58.5 60.2 58.6
Holdaway (°) 25.3 31.6 20.5
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