Back to Browse Journals » Open Access Journal of Clinical Trials » Volume 2

Nonsurgical treatment of hemifacial microsomia by therapeutic ultrasound and hybrid functional appliance

Authors Tarek El-Bialy, Ali Hasan, Ahmad Janadas, et al

Published Date March 2010 Volume 2010:2 Pages 29—36

DOI http://dx.doi.org/10.2147/OAJCT.S7060

Published 31 March 2010

Tarek El-Bialy1, Ali Hasan2, Ahmad Janadas3, Tarik Albaghdadi4

1Division of Orthodontics, Department of Dentistry, University of Alberta, Edmonton, Alberta, Canada; 2Division of Orthodontics, Department of Preventive Dental Sciences, Faculty of Dentistry; 3Division of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry; 4Division of Radiology, Faculty of Medicine, King Abdul Aziz University, Jeddah, Saudi Arabia

Aim: Conventional treatment of patients with hemifacial microsomia involves orthognathic surgery and/or distraction osteogenesis of the mandible. Previous reports showed that low-intensity pulsed ultrasound (LIPUS) enhances mandibular growth in growing rabbits and monkeys. In monkeys, LIPUS enhanced mandibular growth when combined with functional jaw orthopedic appliances. The purpose of this pilot study was to investigate if LIPUS could enhance mandibular growth in children with hemifacial microsomia.

Methods: Five children (age range 3–11 years) with hemifacial microsomia were treated with hybrid jaw orthopedic functional appliances and treatment of the affected mandibular condyle by LIPUS for 20 minutes per day.

Results: The results showed that after one year of treatment, significant improvement of the underdeveloped side of patients’ faces and mandibles was recognized both clinically and radiographically.

Discussion: Although improvement took a longer time than did a surgical approach, optimizing this technique may achieve better results in a shorter treatment time. A randomized controlled clinical trial to investigate the effect of optimized LIPUS application or functional appliances in the treatment of hemifacial microsomia is warranted.
Keywords: hemifacial microsomia, LIPUS, non-surgical treatment, children

Download Article [PDF] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php

Readers of this article also read:

Differences in daily disposable circle lens performance characteristics

Schafer JM, Reindel WT, Rah MJ, Chan O, Zhang L

Clinical Optometry 2014, 6:37-42

Published Date: 3 April 2014

A clinical tool to measure plagiocephaly in infants using a flexicurve: a reliability study

Leung A, Watter P, Gavranich J

Pediatric Health, Medicine and Therapeutics 2013, 4:109-115

Published Date: 4 October 2013

Utilization of intermittent preventive treatment for malaria among pregnant women attending antenatal clinics in health facilities of Cross River State, Nigeria

Esu E, Effa E, Udoh E, Oduwole O, Odey F, Chibuzor M, Oyo-Ita A, Meremikwu M

Research and Reports in Tropical Medicine 2013, 4:29-35

Published Date: 20 September 2013

Exacerbations in the pre- and post-COPD diagnosis periods

Yawn BP, Wollan P, Rank M

Pragmatic and Observational Research 2013, 4:1-6

Published Date: 2 May 2013

Emergency contraception: an untapped resource among sexually active college students in Osogbo metropolis, Nigeria

Asekun-Olarinmoye EO, Adebimpe WO, Adeomi AA, Olugbenga-Bello AI

Open Access Journal of Contraception 2013, 4:13-20

Published Date: 22 April 2013

Phenyramidol in acute conditions of lumbago, integumental pain and musculo-skeletal pain: an open label, noncomparative, multi-center study

Shah H, Shakeel A, Karne N, Patil C, Kewalramani R, Kasodekar V, Dave M

Open Access Journal of Clinical Trials 2011, 3:27-33

Published Date: 10 May 2011

Comparison between effects of intravenous lidocaine and sublingual nifedipine on preventing blood pressure increase in laryngoscopy

Gholamreza Mohseni, Azam Kolyaei, Morteza Farshchian, et al

Open Access Journal of Clinical Trials 2010, 2:89-92

Published Date: 17 June 2010

Activities of key glycolytic enzymes in the plasma of Saudi autistic patients

A El-Ansary, S Al-Daihan, A Al-Dabas, et al

Open Access Journal of Clinical Trials 2010, 2:49-57

Published Date: 13 April 2010

Influences upon pediatricians’ willingness to refer patients to clinical research

Jeanne Dalen, Robert D Annett, Janet L Brody, et al

Open Access Journal of Clinical Trials 2010, 2:23-28

Published Date: 15 March 2010