Balaji S M, Balaji Preetha
Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India.
Indian J Dent Res. 2022 Jul-Sep;33(3):344-347. doi: 10.4103/ijdr.ijdr_688_22.
Hemifacial hyperplasia (HH) is a rare congenital condition involving enlargement of one or more tissues of the face. The treatment is surgically challenging and requires expertise. This manuscript aims to report two similar appearing HH but warranting different surgical treatment. A 19-year-old female and a 14-year-old boy presented with right facial asymmetry since birth and sought correction of the same. Surgical treatment was planned. Based on clinical history, diagnosis and imaging, HH was diagnosed. The first case was entirely a soft tissue abnormality that was treated with debulking while the second case had involvement of facial bones, necessitating surgical recontouring. The facial asymmetry was addressed. Healing was uneventful. Though the aesthetical concern and appearance of the two cases of HH were same, the treatment vastly differed. This was based on the source of asymmetry. Proper diagnosis and informed decision are a key for successful surgical outcome.
半侧颜面增生症（HH）是一种罕见的先天性疾病，累及面部一个或多个组织的增大。其治疗在手术方面具有挑战性，需要专业知识。本手稿旨在报告两例看似相似但需要不同手术治疗的HH病例。一名19岁女性和一名14岁男孩自出生以来就出现右侧面部不对称，并寻求对此进行矫正。计划进行手术治疗。根据临床病史、诊断和影像学检查，诊断为HH。第一例完全是软组织异常，通过减容治疗，而第二例涉及面部骨骼，需要进行手术重塑。面部不对称问题得到了解决。愈合过程顺利。虽然这两例HH病例的美学问题和外观相同，但治疗方法却大不相同。这是基于不对称的来源。正确的诊断和明智的决策是手术成功的关键。
