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Cleft lip and palate: developmental abnormalities of the face, mouth and jaws
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
The principal dentofacial deformity associated with cleft lip and palate is underdevelopment in both the horizontal and vertical direction of the maxilla. This jaw size discrepancy can be corrected with orthognathic surgery (Figure45.21)
Obstructive sleep apnea: personalizing CPAP alternative therapies to individual physiology
Published in Expert Review of Respiratory Medicine, 2022
Brandon Nokes, Jessica Cooper, Michelle Cao
Skeletal surgery includes 1) hyoid advancement 2) genioplasty/genioglossus advancement 3) maxillary expansion 4) maxillomandibular advancement 5) mandibular distraction and 6) maxillomandibular expansion. The two most common are maxillomandibular advancement (MMA) and genioglossus advancement (GGA), which are often described as tongue base surgery [91]. Predictors of success for skeletal surgery are complete concentric collapse (CCC) and lateral pharyngeal wall collapse (LPW) on DISE, or congenital dentofacial deformity on physical exam [91]. Previously, MMA was used as a salvage surgical therapy for OSA, but now has more predictable clinical outcomes through visualizing the pattern of collapse at the velum during DISE [91]. The OSA cure rate for MMA is approximately 38%, but again can be optimized through careful patient selection [92].
A comparison of self-esteem and social appearance anxiety levels of individuals with different types of malocclusions
Published in Acta Odontologica Scandinavica, 2021
Ezgi Atik, Mehmet Mert Önde, Silvi Domnori, Saliha Tutar, Okan Can Yiğit
Sun and Jiang [13] evaluated the relationship between the malocclusion type classified by Angle’s classification and self-esteem of adolescents aged between 12 and 18 years. In similar to our results, they concluded that Class II malocclusion presented higher risk for low appearance of self-esteem. Gavric et al. [27] studied the interaction between the dentofacial aesthetic and self-esteem in adolescents and young adults. According to their results, there was not a correlation between malocclusion and self-esteem. Similarly, different studies also confirmed the result that dentofacial deformity does not strictly have an impact on self-esteem [14,28]. Inconsistent and contradictory results in relation to the malocclusion and self-esteem interaction could be explained with the fact that there are variable factors which may also effect self-esteem besides malocclusion such as obesity, social life activity, school success, family approach to child, health situation, family income and personality traits.
Improving treatment of the temporomandibular joint in juvenile idiopathic arthritis: let’s face it
Published in Expert Review of Clinical Immunology, 2019
Peter Stoustrup, Marinka Twilt
Functional impairment and dentofacial deformity due to condylar erosion and destruction or the arthritis-induced inhibitory effect on mandibular growth may lead to the need for surgical intervention. Resnick et al. [6] describe an algorithm for management of facial growth disturbances resulting from JIA. The algorithm was developed by the TMJaw surgical task force during a multinational consensus conference involving surgeons and orthodontists with special expertise in this area. According to the algorithm, treatment options are based on the skeletal maturity and the degree of asymmetry and or loss of vertical height. Surgical interventions consist of orthognatic surgery including distraction osteogenesis or autologous or alloplastic joint replacement. The success of the implementation of distraction osteogenesis in growing patients with TMJ involvement and dentofacial asymmetry has been studied [6]. Most studies on autologous or alloplastic joint replacements are case reports or very small case series. The algorithm by Resnick et al. does not only include surgical interventions but also the need to optimize the systemic and or orthopedic treatments demonstrating the multidisciplinary approach of JIA associated TMJ arthritis with the help of five cases [6].