Distraction Osteogenesis for Lower Jaw Asymmetry Correction
Lower jaw deformities are the leading cause of facial asymmetry. This can result either from pathological conditions, trauma or idiopathic causes. Trauma to the lower jaw is a common occurrence due to its prominent position.
Cysts and tumors of the jaws also leads to asymmetry of the lower jaw. Lower jaw asymmetry correction surgery is the only recourse to this. Such pathological conditions cause bony destruction of the jaw.
Large bony defects are created by resection or enucleation of the pathological tissues. Such defects are addressed through bone grafting procedures. Bone graft surgery is usually performed at the rib region. These grafts are crafted to perfectly fit into the bony defect.
Idiopathic occurrence of lower jaw asymmetry is also quite common. Another condition that causes facial asymmetry is hemifacial microsomia. Lower jaw asymmetry correction is performed through distraction osteogenesis.
Distraction osteogenesis was developed by Prof. Gavril Ilizarov of Russia. This was initially developed for addressing length discrepancy of the long bones. Over time, it has been adapted to help in lengthening of any bone shortening.
Initial distraction devices were externally fitted devices. These were cumbersome and did not permit normal movement of the patient. There was severe limitation of activities during the period of distraction.
Soft tissue drape is changed during distraction osteogenesis and other jaw surgery procedures. Bone grafts to the upper and lower jaw bones also has the same effect. Hemifacial microsomia results in an asymmetric face. Facial symmetry is performed through orthognathic surgery.
Craniofacial surgeries correct facial asymmetry and restore facial balance. Correction of facial asymmetries is obtained through effective treatment planning. Such reconstructive surgery is also aided by orthodontic treatment for dental malocclusion.
An oral and maxillofacial surgeon corrects the distorted facial structure. Mandibular distraction osteogenesis corrected upper and lower jaw asymmetry. This is a highly specialized procedure and is only performed by a few surgeons in India.
Over time, research led to the development of internal distractor devices. These proved to be ideal for distraction of bones such as the jaw bones. Kawamoto distractors were internal distractors developed for advancement of the midface.
Jaw distraction surgery in India is available only in a few superspecialty hospitals. This procedure is technique intensive and requires years of experience. Best results for jaw distraction surgery in India is obtained by experienced surgeons.
Balaji Dental and Craniofacial Hospital is a leading center for distraction osteogenesis. Dr. SM Balaji pioneered jaw distraction surgery in India. Upper jaw distraction involves advancement of the midfacial region. We are the leading craniofacial surgery hospital in the Asia Pacific region.
Our hospital has also developed several surgical innovations in distraction osteogenesis. These have aided in improving the overall results from distraction osteogenesis. Such innovations have become part of mainstream surgical protocol across the globe today.
We are also a leading destination for medical tourism involving distraction osteogenesis. This has become a part of our services towards humanity in treating underprivileged patients.
Many patients obtain a second lease in life following distraction osteogenesis of the lower jaw. This leads to dramatic improvement in both function and overall facial esthetics. This leads to greatly enhanced overall quality of life.
This young male was born with an idiopathic lower jaw asymmetry. He also had a relatively smaller lower jaw compared to the upper jaw. This was leading to difficulty with eating and breathing functions.
The patient also had nighttime sleep disturbances. He was also not happy with the esthetic compromise caused by his lower jaw asymmetry. Desiring to undergo correction, his parents had conducted a detailed search.
They had finally decided to get his condition addressed in our hospital. Treatment planning was performed at our hospital. He had deviation of the lower jaw to the left. It was decided to perform unilateral distraction osteogenesis for lower jaw asymmetry.
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