Aristizábal Juan Fernando, Smit Rosana Martínez
Cleft Palate Craniofac J. 2015 May;52(3):e56-64. doi: 10.1597/13-157. Epub 2014 Dec 22.
Turner syndrome is caused by complete or partial absence of one X chromosome. These patients usually have a delay in growth and altered body proportions, causing sexual infantilism, short stature, delayed bone maturation, and variations in craniofacial morphology, among other systemic complications. The skeletal features associated with this syndrome include maxillary growth reduction with midface hypoplasia; mandibular micrognathia; high, narrow palate; V-shaped maxillary arch; and open bite. This case report shows a two-phase orthodontic treatment in a patient with Turner syndrome with a Class II malocclusion and severe deep bite, which is an unusual feature in patients with this disease. A conventional orthodontic treatment was performed, and after 20 months in retention the patient remains stable.
特纳综合征是由一条X染色体完全或部分缺失引起的。这些患者通常生长发育迟缓,身体比例改变,导致性幼稚、身材矮小、骨骼成熟延迟以及颅面形态变异等其他全身并发症。与该综合征相关的骨骼特征包括上颌生长受限伴面中部发育不全;下颌小颌畸形;高而窄的腭部;V形上颌弓;以及开牙合。本病例报告展示了一名患有II类错牙合和严重深覆牙合的特纳综合征患者的两阶段正畸治疗,这在该疾病患者中是不常见的特征。进行了常规正畸治疗,在保持20个月后患者情况稳定。