STM Article Repository

Purpose: The purpose of the present study was to emphasize the importance of thorough case analysis including all possible diagnostic measures of facial asymmetry prior to formulating an appropriate treatment planning and select the relevant treatment modality.

Patients and Methods: Six Patients, of different age and gender groups with severe facial asymmetry and unilateral condylar hyperplasia, were presented. Border line cases with suspected condylar growth (Age 18-25Y) were subjected to SPECT bone scan prior to orthosurgical intervention. The treatment procedure was selected according to: the condylar growth activity, severity of the dentofacial deformity and age of the patient. Some were treated with unilateral ramus osteotomy of the affected condyle, others with bilateral ramus osteotomy with or without genioplasty and the remaining needed bimaxillary surgery (Le Fort I maxillary osteotomy together with mandibular ramus osteotomy.

Results: Posttreatment records (Photos, Models, and radiographs) showed marked improvement in facial symmetry and normal occlusal relationship in 3Ds. The patients’ perception about their facial esthetics and functional occlusion was satisfactory.

Conclusions: Optimal oro-facial harmony and balance with normal functional occlusion were achieved. Collaboration between the healthcare team was a key factor in realizing treatment goals and patients’ contentment.