Abstract

ESLAVA JACOME, Camilo Alberto; ARTEAGA ARTEAGA, María Camila; MONTENEGRO SANTOFIMIO, Laura Estefanía  and  MARULANDA GRAJALES, Daniela. Hemifacial microsomy correction with temporomandibular joint prosthesis with zygomatic arch extension and orthognathic surgery. Rev Esp Cirug Oral y Maxilofac [online]. 2021, vol.43, n.4, pp.156-161.  Epub Jan 17, 2022. ISSN 2173-9161.  https://dx.doi.org/10.20986/recom.2021.1303/2021.

The careful planning of surgical treatment is essential to correct facial asymmetry in patients with hemifacial microsomia, leading to a favorable result in functional and aesthetic stability.

In the present article reports a clinical case of hemifacial microsomia in a 28-year-old female patient with previous orthognathic surgery, which did not meet the aesthetic and functional objectives. With virtual planning, the design of a temporomandibular joint prosthesis is carried out that includes the reconstruction of the zygomatic arch up to the mastoid region concomitant with orthognathic surgery, achieving facial harmony and long-term skeletal stability.

Keywords : Temporomandibular joint; orthognatic surgery; hemifacial microsomia; Skeletal and soft tissue asymmetry; 3D surgical simulation.

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