Management of the Ramus Condyle Unit in the Patient with Hemifacial Microsomia
Management of the Ramus Condyle Unit in the Patient with Hemifacial Microsomia is organized by American Association of Oral and Maxillofacial Surgeons (AAOMS).
Original Release Date: September 19, 2019
Review Date: May 14, 2022
Expiration Date: May 14, 2025
Overview:
Hemifacial microsomia (HFM) is a specific condition that describes the unilateral incomplete or hypoplastic development of the facial soft tissues, ear, and skeleton. HFM is the second most common facial birth defect after cleft lip and palate, ranging from 1 in 3,500 live births. Traditional methods for reconstructing the absent joint and ramus in HFM include autogenous bone grafts, distraction osteogenesis, and alloplastic reconstruction. The focus of this lecture is to discuss the condition and its treatment options.
Learning Objectives:
At the conclusion of this program, participants should be able to:
• Explain when and how to manage the TMJ and resultant skeletal deformity in patients with hemifacial microsomia.
• Describe when and how to reconstruct the TMJ in patients with hemifacial microsomia using costochondral grafting or a total joint prosthesis.
• Identify the long- and short-term results and pitfalls of costochondral grafting vs alloplastic reconstruction in the HFM patient.
