An 18-year-old boy afflicted with Parry-Romberg syndrome reported to our hospital seeking to correct his facial asymmetry. His left side face was defective leading to slanting bite and an obvious asymmetry of the face. The radiographic examination showed a grossly under-developed upper and lower jaw on the left side.
Eminent Craniofacial Surgeon Dr. S. M. Balaji adopted a stage-by-stage rehabilitation. To correct the jaw deformity, he applied the innovative simultaneous maxillary and mandibular distraction procedure. Le Fort I osteotomy was done for the upper jaw. The lower jaw bone was cut and the distractor device has been placed. A screw attached to the distractor is turned gradually at a rate of 1 mm per day. The bone segments move apart and new bone is formed in the gap to lengthen the jaw. After the required length is achieved and new bone is stabilized, subsequently correcting the asymmetry of the face, the distractor device will be removed.
This will be followed by correction of soft tissue defect by fat grafting as the second stage. We will be updating this case with more details as the treatment proceeds.
Eminent Craniofacial Surgeon Dr. S. M. Balaji adopted a stage-by-stage rehabilitation. To correct the jaw deformity, he applied the innovative simultaneous maxillary and mandibular distraction procedure. Le Fort I osteotomy was done for the upper jaw. The lower jaw bone was cut and the distractor device has been placed. A screw attached to the distractor is turned gradually at a rate of 1 mm per day. The bone segments move apart and new bone is formed in the gap to lengthen the jaw. After the required length is achieved and new bone is stabilized, subsequently correcting the asymmetry of the face, the distractor device will be removed.
This will be followed by correction of soft tissue defect by fat grafting as the second stage. We will be updating this case with more details as the treatment proceeds.
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