A case of first and second branchial arch syndrome in a patient whose profile and occlusion improved in response to orthognatic surgery.

DOI 9 References
  • TOBIUME Satoru
    First Department of Oral and Maxillofacial Surgery, School of Dentistry, Tokushima University
  • FUJISAWA Kenji
    First Department of Oral and Maxillofacial Surgery, School of Dentistry, Tokushima University
  • NAKANISHI Hiroaki
    First Department of Oral and Maxillofacial Surgery, School of Dentistry, Tokushima University
  • HAYASHI Eiji
    First Department of Oral and Maxillofacial Surgery, School of Dentistry, Tokushima University
  • MIYAMOTO Yoji
    First Department of Oral and Maxillofacial Surgery, School of Dentistry, Tokushima University
  • NAGAYAMA Masaru
    First Department of Oral and Maxillofacial Surgery, School of Dentistry, Tokushima University

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  • 顎矯正手術により顔貌およびこう合の改善が得られた第１・第２し弓症候群の１例

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Abstract

We describe a case of first and second branchial arch syndrome in a patient whose profile and occlusion improved in response to orthognatic surgery.<BR>A 2-year-9-month-old boy was referred to our clinic for the treatment of open bite. Because symptoms were mild the patient was placed under observation. However, open bite and bird face became severer as he grew older. Cephalometric analysis indicated mandibular micrognathia. Before operation, we made and analyzed computer tomography-based three-dimensional models. The models were very useful for operation planning. After preoperative orthodontic treatment, sagittal splitting ramus osteotomy and horizontal sliding advancement genioplasty were performed in two stages.

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