What is Hemifacial Microsomia?How is Hemifacial Microsomia Treated?

 

What is Hemifacial Microsomia?

Hemifacial microsomia is a common congenital facial difference that causes asymmetric development of the face. Hemifacial has been called many terms such as Goldenhar syndrome and oculo-auriculo-vertebral spectrum. They are all the same condition. This condition may affect all structures of the face, but most commonly causes asymmetry of the eyes, jaws, ears, muscles/nerves that allow a patient to smile, and the soft tissues of the face.

 


How is Hemifacial Microsomia Treated?

 

Mandibular Reconstruction

The deformities affecting the jaws cover a broad spectrum. Some patients have minor asymmetry that is not noticeable during every day conversation. Other patients are born without a normal temporomandibular joint (TMJ) and have a small jaw that causes airway obstruction or Pierre Robin sequence. Minor cases may not require surgery. The best time to treat jaw asymmetry is after your child is done growing later in their teenage years. Orthognathic surgery on the upper and lower jaws allows the surgeon to place the jaws where they should be located without the risk of your child “outgrowing” their correction. Our surgeons use the latest 3-dimensional imaging techniques and computer assisted planning to prepare for this operation.

 

Patients will often require orthognathic surgery later when they have finished growing. These operations are typically done with a technique called mandibular distraction when the bone is gradually stretched using either an external or internally buried device. This technique can be performed on newborns or fully grown adults.

 

Your surgeon will discuss this with you and determine what treatment is best for you.


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