title: Congenital maxillomandibular syngnathia: a new management technique using distraction techniques.
abstract: Complex zygomaticomandibular syngnathia is an extremely rare condition with an unknown etiology. The main goal of the surgery is to release the ankylosis, establish good functioning mandible, and prevent reankylosis, if possible. In our case, we offer a new solution to have an adequate oral opening and to prevent reankylosis. After the release of bony syngnathia, we placed a distractor between mandibular segment and maxillozygomatic complex. To our best knowledge, this is the only syngnathia case in the literature treated using distraction techniques. There is a major improvement in the patient's status. Distraction may broaden our horizons in this rare and difficult-to-treat deformity.
authors.affiliation: From the Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
authors.forename: Ersoy
authors.initials: E
authors.lastname: Konaş
authors.forename: Ali
authors.initials: A
authors.lastname: Aliyev
authors.forename: Gökhan
authors.initials: G
authors.lastname: Tunçbilek
mesh_terms: D002972:Cleft Palate / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D005881:Gingiva / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D007231:Infant, Newborn; D016268:Internal Fixators; D008334:Mandible / Q000002:abnormalities* / Q000601:surgery; D008335:Mandibular Condyle / Q000601:surgery; D008437:Maxilla / Q000002:abnormalities* / Q000601:surgery; D008865:Microstomia / Q000601:surgery; D019857:Osteogenesis, Distraction / Q000295:instrumentation / Q000379:methods*; D013580:Synostosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014059:Tongue / Q000002:abnormalities; D015050:Zygoma / Q000002:abnormalities / Q000601:surgery