Nonsurgical treatment of hemifacial microsomia by therapeutic ultrasound and hybrid functional appliance
| Autor: | Tarik M. Al-Baghdadi, Tarek El-Bialy, Ahmad Janadas |
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| Rok vydání: | 2010 |
| Předmět: |
Orthodontics
medicine.medical_specialty Therapeutic ultrasound business.industry medicine.medical_treatment Mandible Orthognathic surgery Dentistry Open Access Journal of Clinical Trials medicine.disease Condyle Nonsurgical treatment Hemifacial microsomia stomatognathic diseases stomatognathic system Orthopedic surgery medicine Distraction osteogenesis Pharmacology (medical) business Pharmacology Toxicology and Pharmaceutics (miscellaneous) |
| Zdroj: | Open Access Journal of Clinical Trials. :29 |
| ISSN: | 1179-1519 |
| DOI: | 10.2147/oajct.s7060 |
| Popis: | Tarek El-Bialy1, Ali Hasan2, Ahmad Janadas3, Tarik Albaghdadi41Division of Orthodontics, Department of Dentistry, University of Alberta, Edmonton, Alberta, Canada; 2Division of Orthodontics, Department of Preventive Dental Sciences, Faculty of Dentistry; 3Division of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry; 4Division of Radiology, Faculty of Medicine, King Abdul Aziz University, Jeddah, Saudi ArabiaAim: Conventional treatment of patients with hemifacial microsomia involves orthognathic surgery and/or distraction osteogenesis of the mandible. Previous reports showed that low-intensity pulsed ultrasound (LIPUS) enhances mandibular growth in growing rabbits and monkeys. In monkeys, LIPUS enhanced mandibular growth when combined with functional jaw orthopedic appliances. The purpose of this pilot study was to investigate if LIPUS could enhance mandibular growth in children with hemifacial microsomia.Methods: Five children (age range 3–11 years) with hemifacial microsomia were treated with hybrid jaw orthopedic functional appliances and treatment of the affected mandibular condyle by LIPUS for 20 minutes per day.Results: The results showed that after one year of treatment, significant improvement of the underdeveloped side of patients’ faces and mandibles was recognized both clinically and radiographically.Discussion: Although improvement took a longer time than did a surgical approach, optimizing this technique may achieve better results in a shorter treatment time. A randomized controlled clinical trial to investigate the effect of optimized LIPUS application or functional appliances in the treatment of hemifacial microsomia is warranted.Keywords: hemifacial microsomia, LIPUS, non-surgical treatment, children |
| Databáze: | OpenAIRE |
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