A case of basal cell nevus syndrome with jaw deformity treated by maxillary distraction osteogenesis

  • MARUKAWA Kohei
    Oral and Maxlllofacial Surgery, Department of Cell and Tissue Biology, Dividion of Cancer Science, Kanazawa University Graduate School of Medical Science
  • UEKI Koichiro
    Oral and Maxlllofacial Surgery, Department of Cell and Tissue Biology, Dividion of Cancer Science, Kanazawa University Graduate School of Medical Science
  • OHARA Teruhisa
    Oral and Maxlllofacial Surgery, Department of Cell and Tissue Biology, Dividion of Cancer Science, Kanazawa University Graduate School of Medical Science
  • TAKATSUKA Shigeyuki
    Oral and Maxlllofacial Surgery, Department of Cell and Tissue Biology, Dividion of Cancer Science, Kanazawa University Graduate School of Medical Science
  • NAKAGAWA Kiyomasa
    Oral and Maxlllofacial Surgery, Department of Cell and Tissue Biology, Dividion of Cancer Science, Kanazawa University Graduate School of Medical Science
  • YAMAMOTO Etsuhide
    Oral and Maxlllofacial Surgery, Department of Cell and Tissue Biology, Dividion of Cancer Science, Kanazawa University Graduate School of Medical Science

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Other Title
  • 顎形態異常を骨延長法により治療した基底細胞母斑症候群の1例
  • ガク ケイタイ イジョウ オ コツ エンチョウホウ ニ ヨリ チリョウシタ キテイ サイボウ ボハン ショウコウグン ノ 1レイ

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Abstract

Basal cell nevus syndrome (BCNS) is frequently accompanied by multiple maxillomandibular cysts. This disease is known to cause several types of maxillofacial deformity, but there are few reports of orthognathic surgery in patients with BCNS. A patient with BCNS who underwent maxillary distraction osteogenesis is described. The patient was a 19-year-old man. He underwent palatoplasty for cleft palate while he was an infant. Maxillary hypoplasia subsequently developed. Le Fort I osteotomy and anterior alveolar osteotomy of the mandible were performed. A RED system and lateral expansion device were used for maxillary advancement and palatal widening. The total advancement was 15mm, and the total lateral expansion was 6 mm. After distraction, orthodontic treatment was continued. At present, 3 years after distraction, an excellent facial outline and occlusal condition have been obtained. After the operation, we have kept the patient under close observation.

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