Ali Kausar, Dibbs Rami P, Maricevich Renata S
Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
Division of Hematology/Oncology, Texas Children's Hospital, Houston, Texas.
Arch Plast Surg. 2022 Sep 23;49(5):642-647. doi: 10.1055/s-0042-1756317. eCollection 2022 Sep.
Hemifacial microsomia (HFM) is a complex congenital condition with heterogeneous malformations of the facial skeleton that almost always involves mandibular hypoplasia. Here we introduce a unique case in which a patient with HFM had initially successful optimization of facial symmetry using a polyetheretherketone implant for mandibular augmentation. However, multiple factors associated with the intraoperative and postoperative course, including hardware failure and infection, led to diminished mechanical strength of the mandible, ultimately resulting in a mandibular fracture. In this unique case presentation of HFM, we discuss the various factors that contributed to mandibular weakness and increased susceptibility to fracture.
半侧颜面短小畸形（HFM）是一种复杂的先天性疾病，面部骨骼存在异质性畸形，几乎总是涉及下颌骨发育不全。在此，我们介绍一个独特的病例，一名HFM患者最初使用聚醚醚酮植入物进行下颌骨增大术成功优化了面部对称性。然而，与术中及术后过程相关的多种因素，包括硬件故障和感染，导致下颌骨机械强度下降，最终导致下颌骨骨折。在这个独特的HFM病例报告中，我们讨论了导致下颌骨薄弱和骨折易感性增加的各种因素。
