Abstract:
Hemifacial microsomia (HFM) is a complex congenital condition with heterogeneous malformations of the facial skeleton that almost always involves mandibular hypoplasia. Here we introduce a unique case in which a patient with HFM had initially successful optimization of facial symmetry using a polyetheretherketone implant for mandibular augmentation. However, multiple factors associated with the intraoperative and postoperative course, including hardware failure and infection, led to diminished mechanical strength of the mandible, ultimately resulting in a mandibular fracture. In this unique case presentation of HFM, we discuss the various factors that contributed to mandibular weakness and increased susceptibility to fracture.
摘要:
半面微体(HFM)是一种复杂的先天性疾病,具有面部骨骼的异质畸形,几乎总是涉及下颌骨发育不全。在这里,我们介绍了一个独特的案例,其中HFM患者最初使用聚醚醚酮植入物进行下颌骨增强成功地优化了面部对称性。然而,与术中和术后过程相关的多个因素,包括硬件故障和感染,导致下颌骨的机械强度下降,最终导致下颌骨骨折.在HFM的这种独特的情况下,我们讨论了导致下颌骨无力和骨折易感性增加的各种因素。