Reconstrução condilar com enxerto autógeno costocondral em paciente portadora de microssomia hemifacial: relato de caso / Condylar reconstruction with autogenous costochondral graft in a patient with hemifacial microsomy: case report

Josiclei de Castro Moraes, Thiago Brito Xavier, Wender Luís Barroso Tavares, Yago dos Santos Pereira, Breno Gonçalves Daroz, Douglas Fabrício da Silva Farias

Abstract


A microssomia hemifacial é uma malformação congênita caracterizada pela hipoplasia dos tecidos derivados embriologicamente dos 1º e 2º arcos faríngeos, manifestando-se principalmente como deformidade mandibular e assimetria facial. O tratamento para esta condição varia de acordo com o grau de comprometimento das estruturas craniofaciais. O objetivo deste relato de caso é descrever a reconstrução condilar com enxerto autógeno costocondral em uma paciente pediátrica portadora de microssomia hemifacial com classificação de Pruzansky-Kaban grau III. Uma paciente do sexo feminino com dois anos e oito meses de idade, foi submetida a reconstrução condilar esquerda com enxerto autógeno costocondral para correção de assimetria facial. No momento a paciente encontra-se em acompanhamento para monitoramento do crescimento facial. A reconstrução de côndilo mandibular é essencial para restabelecer a função mastigatória, estética, fala, deglutição e, assim, melhorar a qualidade de vida do paciente. Tal reconstrução possui indicação bem consolidada na literatura nos casos de pacientes pediátricos.


Keywords


Anormalidade craniofacial, assimetria facial, cirurgia reconstrutiva.

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DOI: https://doi.org/10.34119/bjhrv5n3-028

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