1/4. The klippel-feil syndrome: a case report.Short neck and fusion of cervical vertebrae are observed in several genetic conditions and well-defined syndromes. An 8-year-old boy with a short neck, low-set posterior hairline, deafness and limited neck motion was suspected of having such a condition. Clinical and radiographic examination led to the diagnosis of klippel-feil syndrome.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/4. Case report CB. Surgical vs nonsurgical treatment in the nongrowing patient.With an increase in the number of adults currently seeking orthodontic care, the orthodontist will invariably be faced with the planning and execution of treatment for nongrowing patients with significant skeletal discrepancies. Surgical orthodontic treatment may be the preferred mechanical choice in many of the cases, but may not fit the patient's financial or emotional capabilities. It is often incumbent upon the orthodontist to present alternative treatment options along with the risks and benefits inherent in the dentoalveolar compensation of a malocclusion which is predominantly skeletal. Traditional concerns have been with periodontal and dentoalveolar stability, intermaxillary dental function and soft tissue facial aesthetics with more recent focus on the medical-legal implications of potentially altered temporomandibular joint function. Ultimately the decision to undertake an alternative treatment plan, postpone combination surgical/orthodontic treatment or opt for no treatment must lie with the well informed patient. The following case represents many of the considerations and comprises involved with the treatment of a nongrowing skeletal Class II problem.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
3/4. Osteochondromas associated with facial asymmetry and masticatory dysfunction: report of two cases.Two cases of solitary osteochondromas interfering with mandibular motion are presented along with a brief review of the literature. A single incidence of an osteochondroma developing from the mandibular condyle is added to the growing number of case reports. In addition, an osteochondroma developing from the zygomatic arch is reported. Our review of the literature has shown no previous report of occurrence at this site.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
4/4. Costochondral graft construction/reconstruction of the ramus/condyle unit: long-term follow-up.This is a retrospective study of 26 patients (seven growing and 19 non-growing) who received costochondral grafts (n = 33) for construction or reconstruction of the ramus/condyle unit (RCU). Facial appearance, jaw motion, occlusion, contour, and linear growth changes were documented preoperatively, immediately postoperatively, and long-term (> 1 year). Average follow-up was 48.6 months for growing and 46.4 months for nongrowing patients. facial asymmetry and malocclusion were successfully corrected in all patients except for those with hemifacial microsomia, where partial correction was most common. For the growing patients mean change in RCU length (n = 8) during the observation period was 3.1 mm on the constructed/reconstructed side and 3.2 mm on the unoperated side. For nongrowing patients, mean change in the RCU length (n = 25) was -5.7 mm for the reconstructed side. Three patients developed lateral contour overgrowth of the articulating surface; no patients developed clinically significant linear overgrowth with malocclusion. The results of this study indicate that a costochondral graft may be used successfully to construct/reconstruct the RCU and that linear overgrowth of the graft does not appear to be a clinical problem with the method described in this paper.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |