Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case report
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista Uningá (Online) |
Texto Completo: | https://revista.uninga.br/uninga/article/view/4477 |
Resumo: | Temporomandibular joint ankylosis (TMJA) may be fibrous or bony (resulting from the fusion of articular surfaces, glenoid fossa, and mandibular condyle). A multidisciplinary approach is necessary to successfully rehabilitate patients with this condition since it can cause problems related to psychosocial, nutritional, facial, and occlusal factors. Depending on the patient’s age, orthotic intervention may be necessary in order to correct the malocclusion caused by TMJA. This article presents the case of a pediatric patient with idiopathic left TMJA who underwent multidisciplinary treatment at a reference center for craniofacial anomalies in western Parana. Balters Bionator orthopedic appliances were initially used, followed by rapid maxillary expansion using a Hyrax expander. This resulted in improved masticatory, esthetic, and speech functions, particularly mouth opening, as well as partial correction of mandibular asymmetry and the occlusal plane within the limits of the case. The use of functional and mechanical orthopedic appliances contributed to improved facial function and esthetics, and the multidisciplinary team’s care was essential to improving the patient’s quality of life during the rehabilitation process. |
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Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case reportTratamento ortopédico multidisciplinar da assimetria facial em paciente pediátrico: relato de casoAnquiloseaparelhos ortopédicosarticulação temporomandibular. Articulação temporomandibularRelato de casoAnkylosisorthotic devices temporomandibular joint. Temporomandibular jointCase reportTemporomandibular joint ankylosis (TMJA) may be fibrous or bony (resulting from the fusion of articular surfaces, glenoid fossa, and mandibular condyle). A multidisciplinary approach is necessary to successfully rehabilitate patients with this condition since it can cause problems related to psychosocial, nutritional, facial, and occlusal factors. Depending on the patient’s age, orthotic intervention may be necessary in order to correct the malocclusion caused by TMJA. This article presents the case of a pediatric patient with idiopathic left TMJA who underwent multidisciplinary treatment at a reference center for craniofacial anomalies in western Parana. Balters Bionator orthopedic appliances were initially used, followed by rapid maxillary expansion using a Hyrax expander. This resulted in improved masticatory, esthetic, and speech functions, particularly mouth opening, as well as partial correction of mandibular asymmetry and the occlusal plane within the limits of the case. The use of functional and mechanical orthopedic appliances contributed to improved facial function and esthetics, and the multidisciplinary team’s care was essential to improving the patient’s quality of life during the rehabilitation process.A Anquilose da Articulação Temporomandibular (AATM) pode ser do tipo óssea pela fusão das superfícies articulares, cavidade glenoide e côndilo mandibular e do tipo fibrosa. Essa patologia pode gerar comprometimentos psicossociais, de nutrição, faciais e oclusais, sendo o tratamento multiprofissional a melhor terapêutica para reabilitação desses pacientes. A intervenção ortopédica é fundamental para correção de má oclusão causada pela AATM, dependendo da idade do paciente. O presente artigo objetiva relatar o caso de um paciente pediátrico com AATM esquerda idiopática que está realizando tratamento multidisciplinar em um centro de referência em tratamento de anomalias craniofaciais localizado no oeste do Paraná. Inicialmente, utilizou-se o aparelho ortopédico Bionator de Balters, seguido da expansão rápida da maxila com uso do Expansor Hyrax, permitindo ao paciente melhora na função mastigatória, estética, fonação e, principalmente, da abertura bucal com a correção parcial do plano oclusal e da assimetria mandibular dentro dos limites impostos pelo caso. O uso de dispositivos ortopédicos funcionais e mecânicos contribuíram para melhora da função e estética da face e o atendimento por uma equipe multiprofissional se mostrou essencial, disponibilizando oportunidade de obtenção de melhor qualidade de vida durante o processo de reabilitação.Editora Uningá2023-09-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionTextoinfo:eu-repo/semantics/otherapplication/pdfapplication/pdfhttps://revista.uninga.br/uninga/article/view/447710.46311/2318-0579.60.eUJ4477Revista Uningá; Vol. 60 (2023); eUJ4477Revista Uningá; v. 60 (2023); eUJ44772318-0579reponame:Revista Uningá (Online)instname:Centro Universitário Uningáinstacron:UNINGAporenghttps://revista.uninga.br/uninga/article/view/4477/2576https://revista.uninga.br/uninga/article/view/4477/2577Copyright (c) 2023 Revista Uningáhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessVillarroel, Sara Yrma Piccinin Lindenberg, Juliana MarquesNardelli, AlineBusato, Mauro Carlos Agner Nassar , Carlos Augusto 2023-09-08T19:20:56Zoai:ojs.revista.uninga.br:article/4477Revistahttps://revista.uninga.br/uninga/indexPUBhttps://revista.uninga.br/uninga/oairevistauninga@uninga.edu.br2318-05792318-0579opendoar:2023-09-08T19:20:56Revista Uningá (Online) - Centro Universitário Uningáfalse |
dc.title.none.fl_str_mv |
Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case report Tratamento ortopédico multidisciplinar da assimetria facial em paciente pediátrico: relato de caso |
title |
Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case report |
spellingShingle |
Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case report Villarroel, Sara Yrma Piccinin Anquilose aparelhos ortopédicos articulação temporomandibular. Articulação temporomandibular Relato de caso Ankylosis orthotic devices temporomandibular joint. Temporomandibular joint Case report |
title_short |
Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case report |
title_full |
Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case report |
title_fullStr |
Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case report |
title_full_unstemmed |
Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case report |
title_sort |
Multidisciplinar orthopedic treatment of facial asymmetry in a pediatric patient: case report |
author |
Villarroel, Sara Yrma Piccinin |
author_facet |
Villarroel, Sara Yrma Piccinin Lindenberg, Juliana Marques Nardelli, Aline Busato, Mauro Carlos Agner Nassar , Carlos Augusto |
author_role |
author |
author2 |
Lindenberg, Juliana Marques Nardelli, Aline Busato, Mauro Carlos Agner Nassar , Carlos Augusto |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Villarroel, Sara Yrma Piccinin Lindenberg, Juliana Marques Nardelli, Aline Busato, Mauro Carlos Agner Nassar , Carlos Augusto |
dc.subject.por.fl_str_mv |
Anquilose aparelhos ortopédicos articulação temporomandibular. Articulação temporomandibular Relato de caso Ankylosis orthotic devices temporomandibular joint. Temporomandibular joint Case report |
topic |
Anquilose aparelhos ortopédicos articulação temporomandibular. Articulação temporomandibular Relato de caso Ankylosis orthotic devices temporomandibular joint. Temporomandibular joint Case report |
description |
Temporomandibular joint ankylosis (TMJA) may be fibrous or bony (resulting from the fusion of articular surfaces, glenoid fossa, and mandibular condyle). A multidisciplinary approach is necessary to successfully rehabilitate patients with this condition since it can cause problems related to psychosocial, nutritional, facial, and occlusal factors. Depending on the patient’s age, orthotic intervention may be necessary in order to correct the malocclusion caused by TMJA. This article presents the case of a pediatric patient with idiopathic left TMJA who underwent multidisciplinary treatment at a reference center for craniofacial anomalies in western Parana. Balters Bionator orthopedic appliances were initially used, followed by rapid maxillary expansion using a Hyrax expander. This resulted in improved masticatory, esthetic, and speech functions, particularly mouth opening, as well as partial correction of mandibular asymmetry and the occlusal plane within the limits of the case. The use of functional and mechanical orthopedic appliances contributed to improved facial function and esthetics, and the multidisciplinary team’s care was essential to improving the patient’s quality of life during the rehabilitation process. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Texto info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revista.uninga.br/uninga/article/view/4477 10.46311/2318-0579.60.eUJ4477 |
url |
https://revista.uninga.br/uninga/article/view/4477 |
identifier_str_mv |
10.46311/2318-0579.60.eUJ4477 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://revista.uninga.br/uninga/article/view/4477/2576 https://revista.uninga.br/uninga/article/view/4477/2577 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Revista Uningá https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Revista Uningá https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Editora Uningá |
publisher.none.fl_str_mv |
Editora Uningá |
dc.source.none.fl_str_mv |
Revista Uningá; Vol. 60 (2023); eUJ4477 Revista Uningá; v. 60 (2023); eUJ4477 2318-0579 reponame:Revista Uningá (Online) instname:Centro Universitário Uningá instacron:UNINGA |
instname_str |
Centro Universitário Uningá |
instacron_str |
UNINGA |
institution |
UNINGA |
reponame_str |
Revista Uningá (Online) |
collection |
Revista Uningá (Online) |
repository.name.fl_str_mv |
Revista Uningá (Online) - Centro Universitário Uningá |
repository.mail.fl_str_mv |
revistauninga@uninga.edu.br |
_version_ |
1797042158913454080 |