Growth and Development Considerations for Craniomaxillofacial Surgery - 01/08/12

Doi : 10.1016/j.coms.2012.05.007

Bernard J. Costello, DMD, MD ^a,^b,^c,^⁎ , Reynaldo D. Rivera, DDS, MD ^a,^b, Jocelyn Shand, MBBS(Melb), MDSc(Melb), BDS(Otago), FDSRCS(Eng), FRACDS(OMS) ^d, Mark Mooney, PhD ^e,^f,^g,^h
^a Division of Craniofacial and Cleft Surgery, University of Pittsburgh School of Dental Medicine, 3501 Terrace Street, Pittsburgh, PA 15261, USA
^b Department of Oral and Maxillofacial Surgery, University of Pittsburgh School of Dental Medicine, 3501 Terrace Street, Pittsburgh, PA 15261, USA
^c Pediatric Oral and Maxillofacial Surgery, Children’s Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224, USA
^d Division of Plastic and Maxillofacial Surgery, Royal Children’s Hospital, Flemington Road, Parkville, Victoria 3052, Australia
^e Department of Oral Biology, University of Pittsburgh School of Dental Medicine, 3501 Terrace Street, Pittsburgh, PA 15261, USA
^f Department of Anthropology, University of Pittsburgh, 3302 WWPH, Pittsburgh, PA 15260, USA
^g Department of Surgery-Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, 200 Lothrop Street, Pittsburgh, PA 15213, USA
^h Department of Orthodontics and Dentofacial Orthopedics, University of Pittsburgh School of Dental Medicine, 3501 Terrace Street, Pittsburgh, PA 15261, USA

Corresponding author. Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 1112, Pittsburgh, PA 15213.

Résumé

The purpose of craniomaxillofacial surgery is to improve function, occlusion, craniofacial balance, and aesthetics. Accurate diagnosis, assessment, and careful treatment planning are essential in achieving a successful outcome, and an understanding of the pattern of facial growth is integral in this process. Patients with craniofacial congenital dysmorphologies, posttraumatic asymmetries, or disturbances of facial balance from radiation may have functional and/or aesthetic issues that require treatment. Understanding the complexities of growth in the skull and face is a key component to appropriate treatment planning for these disorders. This article reviews growth and development in the craniofacial skeleton.

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Keywords : Craniomaxillofacial surgery, Growth, Development, Dysmorphology