Konaş Ersoy, Aliyev Ali, Tunçbilek Gökhan
From the Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
J Craniofac Surg. 2015 Jan;26(1):e68-70. doi: 10.1097/SCS.0000000000001239.
Complex zygomaticomandibular syngnathia is an extremely rare condition with an unknown etiology. The main goal of the surgery is to release the ankylosis, establish good functioning mandible, and prevent reankylosis, if possible. In our case, we offer a new solution to have an adequate oral opening and to prevent reankylosis. After the release of bony syngnathia, we placed a distractor between mandibular segment and maxillozygomatic complex. To our best knowledge, this is the only syngnathia case in the literature treated using distraction techniques. There is a major improvement in the patient's status. Distraction may broaden our horizons in this rare and difficult-to-treat deformity.
复杂性颧骨下颌骨融合性小颌畸形是一种病因不明的极为罕见的病症。手术的主要目的是松解关节强直，建立功能良好的下颌骨，并尽可能防止再次发生关节强直。在我们的病例中，我们提供了一种新的解决方案，以实现足够的开口度并防止再次发生关节强直。在松解骨性融合性小颌畸形后，我们在下颌骨段与上颌颧骨复合体之间放置了一个牵张器。据我们所知，这是文献中唯一使用牵张技术治疗的融合性小颌畸形病例。患者的状况有了显著改善。牵张技术可能会为这种罕见且难以治疗的畸形拓宽我们的视野。
