[Maxillofacial manifestations of Steinert's myotonic dystrophy. Clinical and therapeutic aspects].
The craniofacial manifestations, together with teleradiographic and cephalometric findings, of Steinert's dystrophy were examined based on a review of the literature and the clinical features of several patients with myotonic dystrophy leading to the diagnosis of Steinert's disease. The prevalence of the functional impairments due to facial deformation varies with the severity of the disease, suggesting early interceptive treatment supported by orthopaedic care and rehabilitation therapy of orofacial functions. Surgery involves bimaxillary osteotomy which can improve mastication and facial morphology. Operative risks should be carefully identified with adequate explorations before surgery.
Mercier
J
J
Clinique de stomatologie et chirurgie maxillo-faciale, C.H.R.U., Hôtel-Dieu, Nantes.
Bennani
F
F
Ferri
J
J
Piot
B
B
D000293:Adolescent; D000328:Adult; D002508:Cephalometry; D002648:Child; D005145:Face; D005147:Facial Bones / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008310:Malocclusion / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D009059:Mouth Diseases / Q000473:pathology; D009223:Myotonic Dystrophy / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D009971:Orthodontics, Corrective; D010027:Osteotomy
Manifestations maxillo-faciales de la dystrophie myotonique de Steinert. Aspects cliniques et thérapeutiques.