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

Mandibular reconstruction in craniofacial microsomia (CFM) has been described and reviewed at length although final results are not always (aesthetically) satisfactory due to maxillo-mandibular asymmetry, for which optimal correction techniques remain unclear. The aim of this systematic review is to...

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Veröffentlicht in:	Journal of cranio-maxillo-facial surgery Jg. 46; H. 9; S. 1427 - 1435
Hauptverfasser:	van de Lande, Lara S., Pluijmers, Britt I., Caron, Cornelia J.J.M., Wolvius, Eppo B., Dunaway, David J., Koudstaal, Maarten J., Padwa, Bonnie L.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Scotland Elsevier Ltd 01.09.2018
Schlagworte:	Bimaxillary osteotomy Craniofacial microsomia Esthetics, Dental Facial Asymmetry - surgery Goldenhar Syndrome - surgery Hemifacial microsomia Humans Le Fort Osteotomy Mandibular distraction osteogenesis Mandibular Reconstruction - methods Maxillofacial Development Osteogenesis, Distraction Osteotomy, Le Fort Systematic review Le Fort Osteotomy Mandibular distraction osteogenesis Systematic review Craniofacial microsomia Hemifacial microsomia Bimaxillary osteotomy
ISSN:	1010-5182, 1878-4119, 1878-4119
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Abstract	Mandibular reconstruction in craniofacial microsomia (CFM) has been described and reviewed at length although final results are not always (aesthetically) satisfactory due to maxillo-mandibular asymmetry, for which optimal correction techniques remain unclear. The aim of this systematic review is to provide an overview of the surgical options for maxillary correction in patients with unilateral CFM. MEDLINE/Pubmed, Embase, Cochrane and Web of Science databases were searched up to April 15, 2017. Inclusion criteria were: studies reporting patients with unilateral CFM (n > 4) who had maxillary correction (with/without simultaneous mandibular correction) with a minimal follow-up of 6 months. The outcome measures included type of treatment (including preceding facial procedures), type and severity of mandibular deformity (by Pruzansky-Kaban system: Types I/IIa/IIb/III), asymmetry analysis method, outcome (i.e. occlusion, canting, stability, esthetic result, facial symmetry), complications and additional treatment needed. Nine studies met the inclusion criteria. Analysis showed that Le Fort I + mandibular distraction osteogenesis (LeFort + MDO) and BiMaxillary osteotomy (BiMax) were used for treatment, as single or multiple-stage procedures. All studies reported aesthetic and functional improvement. Types I/IIa benefited from LeFort + MDO; Type IIb from LeFort + MDO or BiMax; and Type III from BiMax (with 50% of cases having preceding mandibular procedures, including patient-fitted prosthesis) at a mean age of 20.2 years. Four studies recommended additional (esthetic) procedures.
AbstractList	Mandibular reconstruction in craniofacial microsomia (CFM) has been described and reviewed at length although final results are not always (aesthetically) satisfactory due to maxillo-mandibular asymmetry, for which optimal correction techniques remain unclear. The aim of this systematic review is to provide an overview of the surgical options for maxillary correction in patients with unilateral CFM.INTRODUCTIONMandibular reconstruction in craniofacial microsomia (CFM) has been described and reviewed at length although final results are not always (aesthetically) satisfactory due to maxillo-mandibular asymmetry, for which optimal correction techniques remain unclear. The aim of this systematic review is to provide an overview of the surgical options for maxillary correction in patients with unilateral CFM.MEDLINE/Pubmed, Embase, Cochrane and Web of Science databases were searched up to April 15, 2017. Inclusion criteria were: studies reporting patients with unilateral CFM (n > 4) who had maxillary correction (with/without simultaneous mandibular correction) with a minimal follow-up of 6 months. The outcome measures included type of treatment (including preceding facial procedures), type and severity of mandibular deformity (by Pruzansky-Kaban system: Types I/IIa/IIb/III), asymmetry analysis method, outcome (i.e. occlusion, canting, stability, esthetic result, facial symmetry), complications and additional treatment needed.MATERIAL AND METHODSMEDLINE/Pubmed, Embase, Cochrane and Web of Science databases were searched up to April 15, 2017. Inclusion criteria were: studies reporting patients with unilateral CFM (n > 4) who had maxillary correction (with/without simultaneous mandibular correction) with a minimal follow-up of 6 months. The outcome measures included type of treatment (including preceding facial procedures), type and severity of mandibular deformity (by Pruzansky-Kaban system: Types I/IIa/IIb/III), asymmetry analysis method, outcome (i.e. occlusion, canting, stability, esthetic result, facial symmetry), complications and additional treatment needed.Nine studies met the inclusion criteria. Analysis showed that Le Fort I + mandibular distraction osteogenesis (LeFort + MDO) and BiMaxillary osteotomy (BiMax) were used for treatment, as single or multiple-stage procedures. All studies reported aesthetic and functional improvement.RESULTSNine studies met the inclusion criteria. Analysis showed that Le Fort I + mandibular distraction osteogenesis (LeFort + MDO) and BiMaxillary osteotomy (BiMax) were used for treatment, as single or multiple-stage procedures. All studies reported aesthetic and functional improvement.Types I/IIa benefited from LeFort + MDO; Type IIb from LeFort + MDO or BiMax; and Type III from BiMax (with 50% of cases having preceding mandibular procedures, including patient-fitted prosthesis) at a mean age of 20.2 years. Four studies recommended additional (esthetic) procedures.CONCLUSIONTypes I/IIa benefited from LeFort + MDO; Type IIb from LeFort + MDO or BiMax; and Type III from BiMax (with 50% of cases having preceding mandibular procedures, including patient-fitted prosthesis) at a mean age of 20.2 years. Four studies recommended additional (esthetic) procedures. Mandibular reconstruction in craniofacial microsomia (CFM) has been described and reviewed at length although final results are not always (aesthetically) satisfactory due to maxillo-mandibular asymmetry, for which optimal correction techniques remain unclear. The aim of this systematic review is to provide an overview of the surgical options for maxillary correction in patients with unilateral CFM. MEDLINE/Pubmed, Embase, Cochrane and Web of Science databases were searched up to April 15, 2017. Inclusion criteria were: studies reporting patients with unilateral CFM (n > 4) who had maxillary correction (with/without simultaneous mandibular correction) with a minimal follow-up of 6 months. The outcome measures included type of treatment (including preceding facial procedures), type and severity of mandibular deformity (by Pruzansky-Kaban system: Types I/IIa/IIb/III), asymmetry analysis method, outcome (i.e. occlusion, canting, stability, esthetic result, facial symmetry), complications and additional treatment needed. Nine studies met the inclusion criteria. Analysis showed that Le Fort I + mandibular distraction osteogenesis (LeFort + MDO) and BiMaxillary osteotomy (BiMax) were used for treatment, as single or multiple-stage procedures. All studies reported aesthetic and functional improvement. Types I/IIa benefited from LeFort + MDO; Type IIb from LeFort + MDO or BiMax; and Type III from BiMax (with 50% of cases having preceding mandibular procedures, including patient-fitted prosthesis) at a mean age of 20.2 years. Four studies recommended additional (esthetic) procedures.
Author	Caron, Cornelia J.J.M. Wolvius, Eppo B. Padwa, Bonnie L. Koudstaal, Maarten J. Dunaway, David J. Pluijmers, Britt I. van de Lande, Lara S.
Author_xml	– sequence: 1 givenname: Lara S. surname: van de Lande fullname: van de Lande, Lara S. organization: The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia Children's Hospital Rotterdam, Rotterdam, The Netherlands – sequence: 2 givenname: Britt I. surname: Pluijmers fullname: Pluijmers, Britt I. email: b.pluijmers@erasmusmc.nl, brittpluijmers@gmail.com organization: The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia Children's Hospital Rotterdam, Rotterdam, The Netherlands – sequence: 3 givenname: Cornelia J.J.M. surname: Caron fullname: Caron, Cornelia J.J.M. organization: The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia Children's Hospital Rotterdam, Rotterdam, The Netherlands – sequence: 4 givenname: Eppo B. surname: Wolvius fullname: Wolvius, Eppo B. organization: The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia Children's Hospital Rotterdam, Rotterdam, The Netherlands – sequence: 5 givenname: David J. surname: Dunaway fullname: Dunaway, David J. organization: The Craniofacial Unit, Great Ormond Street Hospital, London, United Kingdom – sequence: 6 givenname: Maarten J. surname: Koudstaal fullname: Koudstaal, Maarten J. organization: The Dutch Craniofacial Center, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Sophia Children's Hospital Rotterdam, Rotterdam, The Netherlands – sequence: 7 givenname: Bonnie L. surname: Padwa fullname: Padwa, Bonnie L. organization: Department of Plastic and Oral Surgery, (Head of department: Bonnie L. Padwa, DMD, MD), Boston Children's Hospital, Boston, United States
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/29907434$$D View this record in MEDLINE/PubMed
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Keywords	Le Fort Osteotomy Mandibular distraction osteogenesis Systematic review Craniofacial microsomia Hemifacial microsomia Bimaxillary osteotomy
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Snippet	Mandibular reconstruction in craniofacial microsomia (CFM) has been described and reviewed at length although final results are not always (aesthetically)...
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SubjectTerms	Bimaxillary osteotomy Craniofacial microsomia Esthetics, Dental Facial Asymmetry - surgery Goldenhar Syndrome - surgery Hemifacial microsomia Humans Le Fort Osteotomy Mandibular distraction osteogenesis Mandibular Reconstruction - methods Maxillofacial Development Osteogenesis, Distraction Osteotomy, Le Fort Systematic review
Title	Surgical correction of the midface in craniofacial microsomia. Part 1: A systematic review
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