EXPORT CITATION

Chapter-17 Facial Asymmetry

BOOK TITLE: Surgical Correction of Facial Deformities

Author
1. Mani Varghese
ISBN
9788184488791
DOI
10.5005/jp/books/11121_17
Edition
1/e
Publishing Year
2010
Pages
11
Author Affiliations
1. Mar Baselios Dental College , Kothamangalam (Kerala), India, Govt Dental College and Hospital, Calicut
Chapter keywords

Abstract

It is hard to find a perfectly symmetric face. Minor asymmetries are seldom noted generally and do not need any intervention. But major asymmetries may be a concern for the patient and hence need correction. For analysis of facial asymmetry, PA cephalogram and other radiographs like submentovertex and both lateral cephalograms are used for three-dimensional understanding of the jaws. Three dimensional C.T. Reconstruction of the skull gives better understanding of the defect, helps in treatment planning and helps to predict the outcome of treatment. Clinical analysis and history taking are very important in assessing the deficiency and arriving at the etiology and diagnosis. Trauma to the mandibular condyle during childhood is one of the major causes for asymmetric development of facial skeleton and musculature. Deformity noticed from early childhood is often congenital and observation of deformity later during growth could be developmental. Another major cause for asymmetric facial growth is Hemifacial microsomia. In Hemifacial microsomia the surrounding tissue is also affected though in mild deformities it may not be pronounced. In most cases maxillary involvement is secondary to the involvement of the mandible.

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved