Hama Amin Omed Shafiq, Abdulrahman Saman Wahid, Altom Ahmad, Hasan Bikhtiyar Azad, Khdhir Rebwar Hassan, Zorab Rostam Hama, Abdul Aziz Jeza M, Huy Nguyen Tien
Department of Dentistry, Al-Qalam University College, Kirkuk, Iraq.
Department of Oral & Maxillofacial Surgery, Baxshin Hospital, Sulaimani, Kurdistan Regional Government, Iraq.
Ann Med Surg (Lond). 2022 Jun 25;79:104088. doi: 10.1016/j.amsu.2022.104088. eCollection 2022 Jul.
dentofacial deformities are mainly congenital problems that distort the face structure. However, they have many adverse effects on adolescents' quality of life and self-esteem.
We report a case of an 18-year-old female with no family history or previous surgical method. She presented to our hospital with a facial deformity, including a midline shift of 1.5 teeth to the left side and a malalignment of dentation. Orthopantomography (OPG) X-ray and cephalometric X-ray assessed the deformity extent and determined the appropriate surgical procedure. As a result, the patient underwent genioplasty and bimaxillary (BiMax) surgery to correct the problem.
Facial deformities occur during the normal embryonic phase and develop clearly when the patient reaches puberty due to a growth spurt. Some researchers encourage early correction, while others recommend the surgery only after completing the growth. However, the perfect age for this surgery is 19 years old for boys and 17 for girls after the cessation of facial growth. Therefore, our patient underwent surgery at 18 years old, which is the desirable age.
Genioplasty and BiMax are reasonable procedures to treat facial deformities and correct malalignment of dentation in an 18-year-old patient without major complications.
牙颌面畸形主要是先天性问题，会扭曲面部结构。然而，它们对青少年的生活质量和自尊有许多不利影响。
我们报告一例18岁女性病例，其无家族病史或既往手术史。她因面部畸形前来我院就诊，包括中线向左偏移1.5颗牙以及牙列不齐。全景X线片（OPG）和头影测量X线片评估了畸形程度并确定了合适的手术方案。结果，患者接受了颏成形术和双颌手术来纠正问题。
面部畸形在正常胚胎期出现，当患者进入青春期因生长突增而明显显现。一些研究者鼓励早期矫正，而另一些人则建议在生长完成后再进行手术。然而，该手术的理想年龄是男孩19岁、女孩17岁，即面部生长停止后。因此，我们的患者在18岁时接受了手术，这是理想的年龄。
颏成形术和双颌手术是治疗18岁患者面部畸形及纠正牙列不齐的合理手术方法，且无重大并发症。
