J Am Dent Assoc. 2021 Aug;152(8):653-668. doi: 10.1016/j.adaj.2020.10.015. Epub 2021 Mar 2.
The authors successfully treat a case of hemifacial microsomia involving unilateral condylar hypoplasia using conventional orthodontic techniques followed by long-term retention.
A girl aged 10 years and 2 months received a diagnosis of hemifacial microsomia resulting from unilateral condylar hypoplasia. During a growth period, premature incisal contact was abolished. After her growth was complete, she received conventional orthodontic treatment with preadjusted edgewise appliances. After 27 months of multibracket treatment, acceptable occlusion with a class I canine and molar relationship was achieved. The occlusion remained stable throughout the 15-year retention period, although there was a slight facial change.
Early orthodontic management only can have some limitations but could be one of the treatment options for hemifacial microsomia.
作者成功地使用常规正畸技术治疗了一例单侧髁突发育不全导致的半面短小畸形病例，并进行了长期保持。
一名 10 岁零 2 个月的女孩被诊断为单侧髁突发育不全导致的半面短小畸形。在生长期间，取消了过早的切牙接触。生长完成后，她接受了常规正畸治疗，使用预调整方丝弓矫治器。经过 27 个月的多托槽治疗，实现了可接受的Ⅰ类尖窝关系和磨牙关系。在 15 年的保持期间，咬合保持稳定，尽管有轻微的面部变化。
早期的正畸管理可能有一定的局限性，但可以作为半面短小畸形的治疗选择之一。
