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KMID : 0358819860130040551
Journal of Korean Society of Plastic and Reconstructive Surgeons
1986 Volume.13 No. 4 p.551 ~ p.562
CORRECTION OF BIRD FACE DEFORMITIES
Kim Dong-Ill

Kim Soo-Shin
Baek Se-Min
Abstract
Extreme mandibular retrognathia produces a characteristic facial appearance which is known familliarly as the ¡¯bird face deformity¡¯ in Germany (¡¯vogelgeschicht¡¯) the ¡¯Andy Gump¡¯ face in the United states, and the ¡¯gold fish mouth¡¯ in Korea. This deformity can result from various causes. It can occur congenitally, either alone or as part of hemifacial microsomia. More common are developmental causes, often secondary to childhood trauma. These cases are often associated with temperomandibular joint ankylosis. Retrognathia is often associated with other facial deformities, especially those of the maxilla. The management of mild degrees of retrognathia is well described in many articles and textbooks. Many plastic suegeons routinely treat mild degree of pseudoretrognathia with bone or alloplastic implants, and more severe deformities are treated with sliding genioplasties, or various sliding osteotomies. We have found, in the course of treating a number of such patients, that the treatment of such cases requires the application of several different treatment modalities to achieve optimal results.

In this paper we present six representative patients with severe retrognathia and discuss the various surgical procedures we used to treat their multiple problems.
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