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Orthodontic considerations for patients presenting with Goldenhar Syndrome: A long-term case report Cover

Orthodontic considerations for patients presenting with Goldenhar Syndrome: A long-term case report

Australasian Orthodontic Journal
Volume 39 (2023): Issue 1 (January 2023)
By: Peter Fowler,  Emily Gray and  Jennifer Haworth  
Open Access
|Jun 2023

Figures & Tables

Figure 1.

Extra oral photographs. (A) Patient at age 8.2 years. (B) Patient at age 15.5 years. (C) Pre-orthodontic treatment (17.3 years). (D) Presurgical (19.2 years). (E) Post orthodontic treatment and bilateral sagittal split osteotomy (BSSO) and rotational advancement genioplasty (20.2 years). (F) Follow up (post dermal fat graft/MedporR onlay and refinement genioplasty) at 23.4 years.
Extra oral photographs. (A) Patient at age 8.2 years. (B) Patient at age 15.5 years. (C) Pre-orthodontic treatment (17.3 years). (D) Presurgical (19.2 years). (E) Post orthodontic treatment and bilateral sagittal split osteotomy (BSSO) and rotational advancement genioplasty (20.2 years). (F) Follow up (post dermal fat graft/MedporR onlay and refinement genioplasty) at 23.4 years.

Figure 2.

Intra-oral photographs. (A). Mixed dentition (aged 8.2 years). (B) Permanent dentition (aged 15.5 years). (C) Pre-orthodontic Tx (aged 17.3 years). (D) Pre surgical occlusion (aged 19.2 years). (E) Post orthodontic treatment and bilateral sagittal split osteotomy (BSSO) rotational advancement with genioplasty (aged 20.2 years). (F) Follow up (aged 23.4 years).
Intra-oral photographs. (A). Mixed dentition (aged 8.2 years). (B) Permanent dentition (aged 15.5 years). (C) Pre-orthodontic Tx (aged 17.3 years). (D) Pre surgical occlusion (aged 19.2 years). (E) Post orthodontic treatment and bilateral sagittal split osteotomy (BSSO) rotational advancement with genioplasty (aged 20.2 years). (F) Follow up (aged 23.4 years).

Figure 3.

OPG images. (A) Prior to removal of the lower right second molar to improve accessible bone stock for future asymmetric mandibular surgery. (B) Pre surgery. (C) Immediately post-surgical BSSO differential advancement and genioplasty. (D) Post orthodontic treatment (prior to MedporR onlay and refinement genioplasty).
OPG images. (A) Prior to removal of the lower right second molar to improve accessible bone stock for future asymmetric mandibular surgery. (B) Pre surgery. (C) Immediately post-surgical BSSO differential advancement and genioplasty. (D) Post orthodontic treatment (prior to MedporR onlay and refinement genioplasty).

Figure 4.

Pre and post-surgical radiographs. (A) 3D imaging Right-side. (B) 3D imaging Frontal. (C) 3D imaging Left side (aged 15.5 years). (D) Pre orthodontic lateral cephalogram (aged 17.3 years). (E) Pre surgical lateral cephalogram (aged 19.2 years). (F) Post-surgical rotational bilateral sagittal split osteotomy (BSSO) advancement with genioplasty (aged 20.2 years of age).
Pre and post-surgical radiographs. (A) 3D imaging Right-side. (B) 3D imaging Frontal. (C) 3D imaging Left side (aged 15.5 years). (D) Pre orthodontic lateral cephalogram (aged 17.3 years). (E) Pre surgical lateral cephalogram (aged 19.2 years). (F) Post-surgical rotational bilateral sagittal split osteotomy (BSSO) advancement with genioplasty (aged 20.2 years of age).

Lateral cephalogram analysis: (A) Pre-treatment, (B) Pre-surgery, (C) Post treatment

VariableABC
SNA (°)78.278.979.2
SNB (°)67.568.972.9
ANB (°)10.710.06.3
Wits (mm)+2.3+1.1-1.4
MMA (°)44.044.839.4
UI/Max (°)121.9119.1110.8
LI/Man (°)96.284.284.9
UI/LI (°)106.5101.9128.4
LFH (%)58.560.258.6
Holdaway (°)25.331.620.5
DOI: https://doi.org/10.2478/aoj-2023-0014 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
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Language: English
Page range: 132 - 140
Submitted on: Feb 1, 2023
Accepted on: Apr 1, 2023
Published on: Jun 12, 2023
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
Related subjects:
Medicine,
Basic medical science,
Basic medical science, other

© 2023 Peter Fowler, Emily Gray, Jennifer Haworth, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.

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