After thorough clinical and radiological examination, it was diagnosed that she had hemifacial microsomia in which the ramul height of the mandible on right side was considerably less which led to asymmetry. Maxillofacial Surgeon Dr. S. M. Balaji skillfully planned to correct her face as well as her bite with the innovative “Distraction Osteogenesis” technique. Intraorally Le Fort I osteotomy was done, lower jaw bone on the right side was cut and distractor device was fixed to the mandible at the ramus region. The screw attached to the distractor was turned gradually everyday that pushed the cut bone segments apart. New bone was formed in the resultant gap and the jaw bone was ultimately lengthened. After the face became symmetrical, the distractor was removed.
Thus entire surgery was done inside the mouth with no scars on the face. The girl and her parents were very happy with the results.