Freeman-Sheldon syndrome
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Freeman-Sheldon syndrome : combined surgical and non-surgical approach. / Sadrimanesh, Roozbeh; Hassani, Ali; Vahdati, Seyed Aliakbar; Chaghari, Hossain; Sadr-Eshkevari, Pooyan; Rashad, Ashkan.
In: J CRANIO MAXILL SURG, Vol. 41, No. 5, 07.2013, p. 397-402.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Freeman-Sheldon syndrome
T2 - combined surgical and non-surgical approach
AU - Sadrimanesh, Roozbeh
AU - Hassani, Ali
AU - Vahdati, Seyed Aliakbar
AU - Chaghari, Hossain
AU - Sadr-Eshkevari, Pooyan
AU - Rashad, Ashkan
N1 - Copyright © 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
PY - 2013/7
Y1 - 2013/7
N2 - BACKGROUND: Many Freeman-Sheldon syndrome patients suffer from extensive microstomia resulting in possible inhibition of dental and skeletal development as well as difficulties in eating, speech and dental hygiene. Oral commissure contraction treatments vary from patient education to complicated surgical and/or prosthetic treatments, but recurrence is often described. This article reports on a combined surgical and non-surgical approach in order to increase maximum mouth opening and maintain the result of the surgery.TECHNIQUE: The patient underwent bilateral commissuroplasty using 2 rhomboid flaps for each side. After two steps of intraoral and perioral tissue impression taking, a master cast was poured and a retractor was fabricated from thermoplastic material. The patient was encouraged to wear the retractor the entire day and night except at meal times.RESULTS: After surgery maximum mouth opening was increased from 20 mm to 37 mm and remained the same six months after the surgery. Psychosocial factors were improved and the patient was satisfied with the results of her treatment.CONCLUSION: The use of bilateral commissuroplasty in combination with this customized dynamic oral commissure retractor may be applicable in other syndromic patients with a small oral commissure and also in patients with circumoral burns.
AB - BACKGROUND: Many Freeman-Sheldon syndrome patients suffer from extensive microstomia resulting in possible inhibition of dental and skeletal development as well as difficulties in eating, speech and dental hygiene. Oral commissure contraction treatments vary from patient education to complicated surgical and/or prosthetic treatments, but recurrence is often described. This article reports on a combined surgical and non-surgical approach in order to increase maximum mouth opening and maintain the result of the surgery.TECHNIQUE: The patient underwent bilateral commissuroplasty using 2 rhomboid flaps for each side. After two steps of intraoral and perioral tissue impression taking, a master cast was poured and a retractor was fabricated from thermoplastic material. The patient was encouraged to wear the retractor the entire day and night except at meal times.RESULTS: After surgery maximum mouth opening was increased from 20 mm to 37 mm and remained the same six months after the surgery. Psychosocial factors were improved and the patient was satisfied with the results of her treatment.CONCLUSION: The use of bilateral commissuroplasty in combination with this customized dynamic oral commissure retractor may be applicable in other syndromic patients with a small oral commissure and also in patients with circumoral burns.
KW - Adolescent
KW - Attitude to Health
KW - Combined Modality Therapy
KW - Craniofacial Dysostosis
KW - Equipment Design
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Lip
KW - Microstomia
KW - Orthodontics, Corrective
KW - Orthognathic Surgical Procedures
KW - Patient Satisfaction
KW - Plastics
KW - Stents
KW - Surgical Flaps
KW - Case Reports
KW - Journal Article
U2 - 10.1016/j.jcms.2012.11.004
DO - 10.1016/j.jcms.2012.11.004
M3 - SCORING: Journal article
C2 - 23218872
VL - 41
SP - 397
EP - 402
JO - J CRANIO MAXILL SURG
JF - J CRANIO MAXILL SURG
SN - 1010-5182
IS - 5
ER -
