A case report of microgenia with obstructive sleep apnea syndrome and osteoarthrosis of the temporomandibular joint treated by distraction osteogenesis

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  • 変形性顎関節症と閉塞性睡眠時無呼吸症候群を伴い下顎骨を延長した小下顎症の1例
  • ヘンケイセイ ガク カンセツショウ ト ヘイソクセイ スイミンジ ムコキュウ ショウコウグン オ トモナイ カガクコツ オ エンチョウ シタ ショウカガクショウ ノ 1レイ

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Most patients with microgenia undergo mandiblar advancement by orthognathic surgery, but complications such as temporomandibular joint disorders, skeletal relapse, and progressive condylar resorption (PCR) commonly occur after surgical mandibular advancement by sagittal splitting ramus osteotomy.<br> Obstructive sleep apnea syndrome (OSAS) is related to a long face and clockwise rotation and retrusion of the mandible, whereas microgenia and retrognathism are often associated with condylar disorders.<br> We describe a 30-year-old man with microgenia, bilateral condylar disorders, and severe OSAS. We performed orthognathic surgery including distraction osteogenesis (DOG), and there was no relapse of malocclusion, signs of PCR, or recurrence of OSAS 22 months after DOG.

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