Abstract

PORTELLES MASSO, Ayelén María  and  BERGER KOHN, Carlos. Combined surgical management of mandibular angle prominence and microgenia. Rev Cubana Estomatol [online]. 2010, vol.47, n.3, pp. 355-360. ISSN 1561-297X.

Chin play a very important role in facial aesthetics. Different deformities of volume and of position may occur at this level and it is the microgenia one of the more frequent. Treatment options include the use of silicone, alloplasty materials and autologous bone graft. Authors report the use of the bone removed from mandibular angle to increase the chin. This is the case of a white female patient aged 18 seen by the Orthognathics Multidisciplinary Staff of "V. I. Lenin" Hospital due to its uncommon face width. The corresponding physical examination as well as the complementary ones diagnosed a bilateral prominence of mandibular angle associated with a microgenia. Surgery carried out was of remodeling type of both mandibular angles and genioplasty.of height increase and a discrete advancement using the bone removed from the gonion. There were satisfactory aesthetic results without evidence of bone reabsorption. We conclude that use of autologous graft of mandibular angle is an effective treatment alternative for correction of microgenia.

Keywords : Genioplastia; microgenia; mandibular deformities.

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