title: Chin Wing Osteotomy for Bilateral Goldenhar Syndrome Treated by "Chin Wing Mentoplasty": Aesthetic, Functional, and Histological Considerations.
abstract: Various treatment strategies have been proposed to perform the aesthetic surgical correction of asymmetric deformities of the mandible. These techniques range from relatively simple to complex procedures including bimaxillary surgery associated with complex mandibular osteotomies. The authors describe a patient with grade III Goldenhar syndrome, treated by a "chin wing" mentoplasty as described by Triaca. These situations are classically treated with a bilateral sagittal splint osteotomy (BSSO) in combination with mentoplasty. However, because of a good occlusion with Angle's class I relation, slight imbalance of the occlusal plane with good function of the mouth opening, the patient refused to be treated with a BSSO, hence, a chin wing mentoplasty was performed. Size and stability of bone regeneration were evaluated by histological examination and dynamic-volume computed tomography (CT). Mature bone in the grafted areas was detected by histology and CT scan with stable results and a significant increase of facial aesthetics 1 year after surgery. The authors also demonstrated that the chin wing technique provided a little but significant breathing improvement as detected on CT scans and lateral X-ray cephalograms by measuring the breathing area. Chin wing mentoplasty is a moderately invasive technique that is able to improve the aesthetics of the face and patient breathing.
authors.affiliation: *Department of Medicine and Surgery, Unit of Maxillofacial Surgery, University of Salerno, Salerno †Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples ‡Department of Medicine and Surgery, University of Salerno, Salerno, Italy §Department of Surgery, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV.
authors.forename: Antonio
authors.initials: A
authors.lastname: Cortese
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pantaleo
authors.forename: Massimo
authors.initials: M
authors.lastname: Amato
authors.forename: Pier Paolo
authors.initials: PP
authors.lastname: Claudio
mesh_terms: D000328:Adult; D001861:Bone Regeneration / Q000502:physiology; D016025:Bone Transplantation / Q000379:methods*; D002680:Chin / Q000601:surgery; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D063172:Genioplasty / Q000379:methods*; D006053:Goldenhar Syndrome / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008334:Mandible / Q000473:pathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D014057:Tomography, X-Ray Computed