Early surgical-orthodontic treatment of mandibular hypoplasia in juvenile chronic arthritis

This study is an intermediate evaluation of early surgical-orthodontic treatment in 7 patients with unior bilateral hypoplastic mandibular growth due to juvenile chronic arthritis. Resection of the condylar heads and reconstruction with costochondral grafts was undertaken between 10 and 14 years of...

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Veröffentlicht in:Journal of cranio-maxillo-facial surgery 1993-03, Vol.21 (2), p.67-75
Hauptverfasser: Svensson, B., Feldmann, G., Rindler, A.
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container_title Journal of cranio-maxillo-facial surgery
container_volume 21
creator Svensson, B.
Feldmann, G.
Rindler, A.
description This study is an intermediate evaluation of early surgical-orthodontic treatment in 7 patients with unior bilateral hypoplastic mandibular growth due to juvenile chronic arthritis. Resection of the condylar heads and reconstruction with costochondral grafts was undertaken between 10 and 14 years of age and followed by orthodontic treatment. At the latest follow-up, 2–4.5 years postoperatively, all patients showed mandibular growth. Some even showed a tendency towards progenia. The scheduling of the surgery in relation to completion of growth seemed to be of importance in relation to the magnitude of mandibular growth. At the latest check-up, only one patient had attained skeletal maturation and a more long-term follow-up is needed before this method can be finally evaluated.
doi_str_mv 10.1016/S1010-5182(05)80150-7
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Resection of the condylar heads and reconstruction with costochondral grafts was undertaken between 10 and 14 years of age and followed by orthodontic treatment. At the latest follow-up, 2–4.5 years postoperatively, all patients showed mandibular growth. Some even showed a tendency towards progenia. The scheduling of the surgery in relation to completion of growth seemed to be of importance in relation to the magnitude of mandibular growth. At the latest check-up, only one patient had attained skeletal maturation and a more long-term follow-up is needed before this method can be finally evaluated.</description><subject>Adolescent</subject><subject>Arthritis, Juvenile - complications</subject><subject>Arthritis, Juvenile - surgery</subject><subject>Biological and medical sciences</subject><subject>Bone Screws</subject><subject>Bone Transplantation</subject><subject>Cartilage - transplantation</subject><subject>Cephalometry</subject><subject>Child</subject><subject>Dentistry</subject><subject>Facial Asymmetry - etiology</subject><subject>Facial Asymmetry - surgery</subject><subject>Facial bones, jaws, teeth, parodontium: diseases, semeiology</subject><subject>Female</subject><subject>Humans</subject><subject>Mandible - growth &amp; development</subject><subject>Mandibular Condyle - surgery</subject><subject>Maxillofacial Development</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Orthodontics, Interceptive</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Retrognathia - etiology</subject><subject>Retrognathia - surgery</subject><subject>Temporomandibular Joint Disorders - etiology</subject><subject>Temporomandibular Joint Disorders - surgery</subject><subject>Temporomandibular Joint Disorders - therapy</subject><subject>Treatment Outcome</subject><issn>1010-5182</issn><issn>1878-4119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE9LHDEYh4O0WGv7EYQ5lGIPU99s_kzmJCK2FQQP2lMP4d1M4kZmkjXJCPvtzbpbr16SwPv8fm94CDmh8JMClWd39YRWULU4BfFDARXQdgfkiKpOtZzS_kN9_0c-kc85PwKABNUfkkPFBUAnj8i_K0zjpslzevAGxzamsopDDMWbpiSLZbKhNNE1E4bBL-cRU7ParON6xOyx8aF5nJ9t8KNtzCrFUGNYK5IvPn8hHx2O2X7d38fk76-r-8s_7c3t7-vLi5vWMNWXlnJpJF0MFN0gLDhnHKJw4ARTbsmd6p0DSXvGuWG9lGbJF5Q7MJxKYBLZMfm-612n-DTbXPTks7HjiMHGOetOSMrYglVQ7ECTYs7JOr1OfsK00RT0Vqp-laq3xjQI_SpVdzV3sl8wLyc7vKX2Fuv8236OuUp0CYPx-Q3jsgchtjXnO8xWGc_eJp2Nt8HYwSdrih6if-cjLzcSlNs</recordid><startdate>19930301</startdate><enddate>19930301</enddate><creator>Svensson, B.</creator><creator>Feldmann, G.</creator><creator>Rindler, A.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19930301</creationdate><title>Early surgical-orthodontic treatment of mandibular hypoplasia in juvenile chronic arthritis</title><author>Svensson, B. ; Feldmann, G. ; Rindler, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-146c612d1afd5e0ffcfaa5f0f538fb4f89ff0619344c3966cb4214f0c416036a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Arthritis, Juvenile - complications</topic><topic>Arthritis, Juvenile - surgery</topic><topic>Biological and medical sciences</topic><topic>Bone Screws</topic><topic>Bone Transplantation</topic><topic>Cartilage - transplantation</topic><topic>Cephalometry</topic><topic>Child</topic><topic>Dentistry</topic><topic>Facial Asymmetry - etiology</topic><topic>Facial Asymmetry - surgery</topic><topic>Facial bones, jaws, teeth, parodontium: diseases, semeiology</topic><topic>Female</topic><topic>Humans</topic><topic>Mandible - growth &amp; development</topic><topic>Mandibular Condyle - surgery</topic><topic>Maxillofacial Development</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Orthodontics, Interceptive</topic><topic>Otorhinolaryngology. 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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adolescent
Arthritis, Juvenile - complications
Arthritis, Juvenile - surgery
Biological and medical sciences
Bone Screws
Bone Transplantation
Cartilage - transplantation
Cephalometry
Child
Dentistry
Facial Asymmetry - etiology
Facial Asymmetry - surgery
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Mandible - growth & development
Mandibular Condyle - surgery
Maxillofacial Development
Medical sciences
Non tumoral diseases
Orthodontics, Interceptive
Otorhinolaryngology. Stomatology
Retrognathia - etiology
Retrognathia - surgery
Temporomandibular Joint Disorders - etiology
Temporomandibular Joint Disorders - surgery
Temporomandibular Joint Disorders - therapy
Treatment Outcome
title Early surgical-orthodontic treatment of mandibular hypoplasia in juvenile chronic arthritis
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