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KMID : 0361920200500050336
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Korean Journal of Orthodontics
2020 Volume.50 No. 5 p.336 ~ p.345
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Treatment modalities for Korean patients with unilateral hemifacial microsomia according to Pruzansky?Kaban types and growth stages
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Yang Il-Hyung
Chung Jee-Hyeok
Yim Sun-Jin
Cho Il-Sik
Kim Suk-Wha
Choi Jin-Young
Lee Jong-Ho
Kim Myung-Jin
Baek Seung-Hak
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Abstract
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Objective: To investigate the treatment modalities (Tx-Mods) for patients with unilateral hemifacial microsomia (UHFM) according to Pruzansky?Kaban types and growth stages.
Methods: The samples consisted of 82 Korean UHFM patients. Tx-Mods were defined as follows: Tx-Mod-1, growth observation due to mild facial asymmetry; Tx-Mod-2, unilateral functional appliance; Tx- Mod-3, fixed orthodontic treatment; Tx-Mod-4, growth observation due to a definite need for surgical intervention; Tx-Mod-5, unilateral mandibular or bimaxillary distraction osteogenesis (DO); Tx-Mod-6, maxillary fixation using LeFort I osteotomy and mandibular DO/sagittal split ramus osteotomy; Tx- Mod-7, orthognathic surgery; and Tx-Mod-8, costochondral grafting. The type and frequency of Tx-Mod, the number of patients who underwent surgical procedures, and the number of surgeries that each patient underwent, were investigated.
Results: The degree of invasiveness and complexity of Tx-Mod increased, with an increase in treatment stage and Pruzansky?Kaban type (initial < final; [I, IIa] < [IIb, III], all p < 0.001). The percentage of patients who underwent surgical procedures increased up to 4.2 times, with an increase in the Pruzansky?Kaban type (I, 24.1%; IIa, 47.1%; IIb, 84.4%; III, 100%; p < 0.001). However, the mean number of surgical procedures that each patient underwent showed a tendency of increase according to the Pruzansky?Kaban types (I, n = 1.1; IIa, n = 1.5; IIb, n = 1.6; III, n = 2.3; p > 0.05).
Conclusions: These findings might be used as basic guidelines for successful treatment planning and prognosis prediction in UHFM patients.
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KEYWORD
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Treatment modality, Unilateral hemifacial microsomia
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