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Case Reports
. 2014 Apr;40(2):91-5.
doi: 10.5125/jkaoms.2014.40.2.91. Epub 2014 Apr 28.

The treatment of malocclusion after open reduction of maxillofacial fracture: a report of three cases

Sung-Suk Lee  1 , Su-Gwan Kim  1 , Seong-Yong Moon  1 , Ji-Su Oh  1 , Jae-Seek You  1
Affiliations
Case Reports

The treatment of malocclusion after open reduction of maxillofacial fracture: a report of three cases

Sung-Suk Lee et al. J Korean Assoc Oral Maxillofac Surg. 2014 Apr.

Abstract

The posttraumatic complications of jaw fractures related to jaw function and facial deformity include nonunion, malunion, malocclusion, temporomandibular joint dysfunction and facial asymmetry. This report presents cases referred to our department for revision of malunion and malocclusion following inadequate reduction of jaw fractures. Three patients with posttraumatic malocclusions caused by malunion were treated with a LeFort I osteotomy in one case and re-fracture in two cases. All of the patients exhibited stable results without further complications (e.g., malunion or malocclusion). Accurate preoperative diagnosis and proper anatomical reduction of the fracture segments are essential to preventing post-surgical malunion and malocclusion.

Keywords: Fractures; Malocclusion; Malunited.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Three-dimensional computed tomography of the initial examination.
Fig. 2
Fig. 2
Panoramic view two months after surgery in Department of Otolaryngology.
Fig. 3
Fig. 3
Computed tomography two months after surgery in Department of Otolaryngology.
Fig. 4
Fig. 4
Panoramic view after revision surgery.
Fig. 5
Fig. 5
A. Panoramic view after surgery in Department of Plastic Surgery. B. Panoramic view after revision surgery.
Fig. 6
Fig. 6
Computed tomography at the hospital upon initial examination.
Fig. 7
Fig. 7
A. Three-dimensional computed tomography after the first surgery. B. Skull posteroanterior view after the revision surgery.
See this image and copyright information in PMC

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